Challenge 

In July 2017, INTEGRIS Health was dealing with multiple issues. The health system had launched its hospital information system conversion in May 2016 and the go-live resulted in performance degradation across the revenue cycle. Issues included increases in accounts receivable and reductions in net revenue and cash collection. INTEGRIS also experienced an increased spike in denials and avoidable write-offs soon after the conversion (stemming from workflow inefficiencies and technical build errors).

Solution

Following the results of a comprehensive revenue cycle assessment, Guidehouse was engaged to standardize workflows, system design, and implement targeted improvements across INTEGRIS’ revenue cycle to increase net revenue and cash collections. Guidehouse’s work helped INTEGRIS in the following areas:

Drive Cash Acceleration

• Discharged, Not Final Billed/Candidate for Bill (CFB) Management
• Central Business Office Optimization

Focus Net Revenue Improvement

• Revenue Integrity Organizational Redesign
• Revenue Guardian Implementation
• Denials Prevention/Avoidable Write-off Management

Technical and Operational Transformation

• Charge Description Master and Charge Capture Technical Review
• Advance Beneficiary Notice Implementation
• Authorization and Referral Optimization
• Pre-Service Financial Clearance Process Design and Implementation
• Central Business Office Optimization
• Management Reporting Across the Revenue Cycle