Revenue Cycle Outsourcing

Turning backlogs into breakthroughs: A revenue cycle success story

Exact Sciences Corp., a prominent molecular diagnostics company known for its revolutionary product, Cologuard, sought to streamline its order entry process to enhance efficiency and reduce operational backlogs. Access Healthcare was chosen to implement a robust order entry system, aligning with Exact Sciences’ vision of delivering seamless and timely patient care

Transforming CDI and Inpatient Coding Processes for a Large Healthcare System

Transforming CDI and Inpatient Coding Processes for a Large Healthcare System

One of the largest providers of revenue cycle services to hospitals and healthcare systems contracted with Access Healthcare Services for inpatient DRG Coding, Inpatient CDI services, and DRG Validation from 2021. As a first step, while embarking on the transition of IP DRG coding & CDI processes to our global delivery locations, Access Healthcare established a multi-level governance and transition team. This team included the Client’s HIM leaders, facility-specific hospital staff/ HIIM team members, Access Healthcare’s team of medical coders, and clinical documentation specialists.

Comprehensive Transformation Delivers: Reduced A/R Days + Increased Revenue + Expanded Partnership

Comprehensive Transformation Delivers: Reduced A/R Days + Increased Revenue + Expanded Partnership

Our client, a leading independent provider of outpatient behavioral health services in the United States, was facing significant difficulties in securing timely payments for their services.

Infusing Scalability and Delivering Superior Medical Coding Outcomes for a Revenue Cycle Services Provider

Infusing Scalability and Delivering Superior Medical Coding Outcomes for a Revenue Cycle Services Provider

One of the largest providers of revenue cycle services to hospitals and healthcare systems contracted with Access Healthcare Services for delivering multi-specialty acute coding, professional coding, revenue integrity, coding audits, and coding denial management since early 2021. This case study describes how Access Healthcare enabled the customer to grow its coding operation from 0 to 500 coders.

Leading Medical Billing Company Keeps Accounts Receivable in Check. Shifts Focus to Denial Prevention.

Leading Medical Billing Company Keeps Accounts Receivable in Check. Shifts Focus to Denial Prevention.

Our client, one of the nation’s top medical billing companies, provides revenue cycle solutions to hospitals and physician groups across the country. As one of their hospital clients faced increased days in AR, high denial rates, and increased A/R in the 120+ day aging bucket, Access Healthcare implemented an iterative program to improve metrics quickly and shift focus to denial prevention. Please read the case study for solution details.

Collaborative Revenue Cycle Outsourcing Relationship

Collaborative Revenue Cycle Outsourcing Relationship

In today’s healthcare landscape, the need to do more with less has never been greater. Those companies providing services to the healthcare industry are being asked to streamline processes and increase efficiency at every step. Sometimes this results in a breakdown of quality and trust. Even a company that places a very high value on the quality of their services and maintaining a positive relationship with their customers may not keep up with the rapidly growing demands of the industry and are forced to outsource part of their business. Unfortunately, sometimes those partners don’t have the same values.

70,000 Charts Coded Per Month, Accuracy and Turn Around Time KPIs Guaranteed and Delivered

70,000 Charts Coded Per Month, Accuracy and Turn Around Time KPIs Guaranteed and Delivered

Outsourcing medical coding has become a common practice among healthcare providers and medical billing companies. The ability to scale effectively, provide a highly educated workforce and a dedicated team of coders has led to cost savings and more efficient processes. However, many companies still struggle with finding the right, trusted partner for this critical discipline of revenue cycle management.

$10 Million collected from accounts receivable backlog, Positioned client for Growth

$10 Million collected from accounts receivable backlog, Positioned client for Growth

Accounts Receivable backlog is not uncommon, particularly in consideration of the ever-increasing complexities of Revenue Cycle Management. While somewhat understandable, the negative impact on the business can be severe. Not only does overall financial health suffer, but for both billing companies and healthcare systems, reputations and the opportunity for growth will be compromised.

Improving Collections and Customer Satisfaction by Applying Revenue Cycle Best Practices and Workflow Enhancement

Improving Collections and Customer Satisfaction by Applying Revenue Cycle Best Practices and Workflow Enhancement

Our client, a leading national provider of information solutions and revenue cycle management services in the outpatient space, faced a substantial loss of revenue stemming from workflow-related problems with their offshore revenue cycle partner. Management of the workflow was inconsistent with little communication between departments. "Things" were falling through the cracks, most notably, revenue. As the software provider looked to rebuild its value proposition, improving customer satisfaction was a priority, its leadership team asked Access Healthcare to resolve these issues.