Award Winning Revenue Cycle Outsourcing Solutions For Health Systems & Hospitals | Physician Groups | Dental Organizations
How We Help Clients
According to a recent HFMA survey, providers reported leveraging vendors and outsourcing as their top two cost reduction strategies. In order to help providers focus on their core missions, Guidehouse offers a full suite of award-winning revenue cycle management solutions - including both advisory and outsourcing services - focused on driving revenue, reducing costs, and maximizing yield. As a leading comprehensive revenue cycle management solutions provider, Guidehouse is recognized with industry accolades such as seven #1 KLAS rankings for revenue cycle outsourcing services.
Our revenue cycle outsourcing includes comprehensive revenue cycle management (CRCM), as well as, several modular services we can deploy independently based on client interest and need. Our end-to-end revenue cycle solution addresses front-end, mid-revenue cycle, and back-end functions that holistically secure revenue that might otherwise be lost. We tailor our offerings to the client’s needs and provide highly-trained staff that employ the best in class technologies and optimize process flows to ensure the most efficient and effective reimbursement capture as well as the patient experience. Like our comprehensive solution, our modular offerings address all phases of the revenue cycle with an emphasis on coding and insurance follow-up.
Who We Serve
Guidehouse is not a copy and paste revenue cycle partner. We understand the revenue cycle is the lifeblood of your organization, so providers need a partner they can trust. Powered by a deep field of revenue cycle experts and leading technology, we deliver a tailored approach, customized to your unique needs and desired results.
Unparalleled technology helping our clients reduce costs, increase revenue,
and improve the patient experience.
Comprehensive Revenue Cycle Management
Guidehouse offers comprehensive revenue cycle outsourcing for all phases of the revenue cycle, including: patient access, health information management, revenue integrity, and patient financial services. By utilizing our full capabilities, we leverage our consulting expertise to provide change management and process improvement for our clients. This holistic approach, coupled with innovative technology use, helps you achieve the full potential of your entire revenue cycle.
Patient Access Solutions — Front-end patient services that are used prior to the delivery of clinical services, set the stage for full and prompt payments after care is provided. The patient access department serves a critical role in provider organizations as it interacts with every patient through the registration, insurance verification and cash collection process. Due to increased pressure to enhance patient experience, healthcare organizations need to improve their patient access services by employing best practice workflows through the implementation of technology, processes and highly trained personnel.
Health Information Management —The middle section of the revenue cycle should be designed to ensure that the data collected and used for payments is robust, correct, and up-to-date. The Health Information Management (HIM) department serves a critical role in provider organizations in the collection and retention of clinical and financial data. As healthcare organizations grow with an emphasis on performance excellence and business strategy, accurate coding and clinical documentation integrity are paramount to an organization’s financial success and longevity. Our credentialed clinical coders and certified management staff enable our clients to receive accurate reimbursement.
Revenue Integrity — In conjunction with HIM, revenue integrity operates in the middle section of the revenue cycle and is used to ensure that the data used for payments is robust and up-to-date. The revenue integrity department serves a critical role in provider organizations for the accurate documentation of clinical services, translating these into reimbursable offerings. We design and implement processes to monitor revenue and identify, correct, and optimize the processes and systems that lead to lost revenue.
Patient Financial Services — Back-end patient account resolution services guarantee full and prompt payment after care is provided. The patient financial services (PFS) department serves a critical role in provider organizations to ensure the full and timely collection of payments. As healthcare providers look for ways to achieve the full potential of their revenue cycle, it is vital to increase collections and obtain timely and accurate reimbursement on every patient account. As a leading extended business office services provider, our accounts receivable management team members extend the capabilities of your business office to gain efficiencies and reduce accounts receivable.
Innovative Partnerships & Ventures
Guidehouse partners with clients to create managed services joint ventures. These innovative partnerships harness the expertise of both parties while providing significant shared revenue opportunities. In 2020, Guidehouse partnered with Connecticut Children’s Medical Center to form the Children's Health Consortium. The consortium harnesses the expertise and power of a collective, allowing clients to achieve scale, access cutting-edge technology, reduce costs, and transform their revenue cycle teams from a cost center into a revenue stream.
Guidehouse partners with clients to create managed services joint ventures. These innovative partnerships harness the expertise of both parties while providing significant shared revenue opportunities. Over the past two years, we developed revenue cycle management partnerships with Baptist Health South Florida (Health Systems Solutions) and Connecticut Children’s Medical Center (Children's Health Consortium). The latter follows a consortium model, allowing for future partners to benefit as owners.
I would absolutely buy Guidehouse’s services again. We just keep going back to Guidehouse. I don’t want to sound like an infomercial, but Guidehouse has overdelivered on every project they have worked on. We can easily go back to them and show them the next thing we are looking at because they know us extremely well. We can create change at a fast pace with Guidehouse.
Financial Improvement Consulting Client | Source: KLAS Research