The healthcare landscape is changing and organizations must transform to stay competitive. Revenue cycle improvement opportunities can fund this transformation through quick wins and high financial impact (typically 1-4% net revenue opportunity), and an improved patient experience. Denials and avoidable write-offs have increased across the industry (top quartile metric has doubled since 2015), bad debt is increasing as deductibles and premiums rise, and cost-to-collect pressures mount due to increased regulations and reduced reimbursement. 

A comprehensive assessment must entail more than a superficial level review of KPI benchmarking and opportunities identified from surface level interviews. Guidehouse assessments are multi-pronged and focus on in depth data and documentation analysis, account sampling, comprehensive interviews and staff shadowing, and complimentary EMR technical audits to evaluate how your system supports your operations. 

Guidehouse primarily offers assessments across three different formats: 

• One-Time Performance Improvement Assessment: 
  • Focuses on targeted organizational analysis including quantified opportunity by area, root cause issue identification, staffing review, vendor landscape review, and productivity and quality opportunities
  • Includes relevant EMR system review to diagnose broken/inappropriate build limiting performance and optimization opportunities that drive net revenue capture and A/R reduction
• EMR Pre-Live Readiness Assessment:
  • Organizations that struggle with EMR conversions often drastically underestimate both operational and technical change management needs to design, adopt, and train on not only a new platform, but new operational workflows to support that platform  
  • Evaluates both operational and technical readiness for upcoming EMR implementation, including critical risk areas and prioritized build errors that result in financial duress at go-live 
  • Includes structure and operational workflow review to ensure your organization is ready to fully leverage the newly purchased EMR 
• Recurring Performance Assessment 
  • Partnership based approach that schedules recurring check-ins with Guidehouse assessment team to perform comprehensive reviews, but allow client the opportunity to take on optimization efforts themselves in between check-ins 
  • Focuses on targeted organizational analysis including quantified opportunity by area, root cause issue identification, staffing review, vendor landscape review, and productivity and quality opportunities
  • Includes relevant EMR system review to diagnose broken/inappropriate build limiting performance and optimization opportunities that drive net revenue capture and A/R reduction