The Revenue Cycle Re-Imagined

HEI Works with Leading Integrated Health Systems to Achieve Financial Excellence in the Revenue Cycle

The hospital revenue cycle is undergoing dramatic change and becoming more complex every day, from increasing payer regulations, EMR conversions, patient consumerism, physician practice acquisitions, and patient experience. Health systems are learning to adapt without adding cost, by educating and training their staff to be engaged problem solvers.

HEI has worked with health systems across the country to dramatically change and re-engineer their organizations to be successful in the future. Discover the HEI solution that is right for your organization.

HEI's Cultural Transformation Model

Meaningful change within organizations starts with an engaged problem-solving culture. It begins with process engineers engaging all levels of staff to re-engineer and design new processes to reduce waste, optimize current technology for prioritized workflows while eliminating workarounds and utilizing advanced data analysis to identify performance gaps and sustainably improve financial outcomes.

MaineHealth Case Study: Engineering the Foundation for Future Quality Care Delivery

MaineHealth is a not-for-profit, 11-hospital integrated healthcare system of leading providers and other organizations with net patient revenues of approximately $1.7 billion. Ranked among the nation’s top 100 integrated healthcare delivery networks, MaineHealth has been named one of “America’s Best Hospitals”.

To Re-Imagine and Adapt Your Revenue Cycle We Offer the Following

Revenue Cycle Assessment

As provider organizations continue to transition from fee-for-service reimbursement to value-based care including population health initiatives, bundled payments, and risk-bearing contracts, the focus on financial performance has never been greater. An assessment of the revenue cycle, encompassing all operational components, is essential to understand where provider organizations are performing well and where opportunity remains.

Revenue Cycle Training

HEI’s Revenue Cycle Academy is a focused, hands-on, 5-day training, designed for revenue cycle team executives, directors, managers and team leaders. Request a sample curriculum today.

After an HEI Health Revenue Cycle Assessment, Leadership Will be Able to Answer the Following Questions:

  • Compared to top performers, how much additional money remains in the revenue cycle?
  • Which areas are performing well, and which are not?
  • Is the existing technology being utilized to its fullest capability?
  • What are the savings associated with removing waste and inefficiencies from current operations by standardizing organizational structure, job functions, and processes?
  • What is the organization’s overall quality of workmanship in the revenue cycle?

The Virtual Revenue Cycle

There is a big push throughout the healthcare industry to allow revenue cycle staff to work from home. Whether it’s because of rush hour traffic, attracting and retaining talent, costly office space, or employee satisfaction many healthcare systems are making the move. While the thought of having a virtual business office is very appealing to many leaders, it can be filled with issues and challenges. A virtual revenue cycle solution must safeguard patient health information, compensate for adequate office conditions, and promote staff performance.

HEI Health works with healthcare provider organizations to successfully prepare and transition their workforce for a truly remote revenue cycle model.

Is Your Organization Prepared for Remote Workforce Management?

HEI Health Revenue Cycle Technology

In support of a revenue cycle transformation, HEI Health’s revenue cycle technology may be implemented to newly re-engineered processes.

ScoreLogix
ScoreLogix

ScoreLogix enables healthcare leaders to identify lost revenue by payers, organizations, and providers. Analyze the revenue cycle performance across an entire organization, or by department to track revenue yield, net to cash conversion, cost to collect, and aging A/R. ScoreLogix offers mobile-friendly reporting with interactive data visualization and trend analysis.

CollectLogix
CollectLogix

The unique CollectLogix 11-factor statistical algorithm is built for prioritizing all A/R 3rd party follow-up. With standardized job aids to improve collector performance, organizations have achieved an increase in business office productivity by as much as 40%, as well as a 20% decrease in A/R greater than 90 days. Discover how CollectLogix can help healthcare provider organizations reduce bad debt and increase monthly cash collections by 3%.

Reconomate
Reconomate

Reconomate enables organizations to target financial quality outcomes, gain precise insight on A/R cash and avoid costly mistakes. Decrease unposted cash and begin posting 100% of cash within two days. Automatically route payable accounts to the right person at the right time to save time and money by reducing time-consuming payment matching and account sorting.

Request a Demo Today to See if HEI Technology is the Right Solution for You

Extended Business Office Solutions for Insurance Receivables

With complex payer regulations and continuous pressure on budgets, getting healthcare claims paid can be challenging. That is why HEI Health has a full-service Extended Business Office that can take on projects from small to large, with rapid scalability.

Our Core Offerings Include:

  • Billing
  • Insurance Follow-Up
  • EMR Implementation and Conversion Projects
  • Buffer Capacity
  • A/R Run-out Projects
  • Business Intelligence and Performance Benchmarking

Business office operations may require a specialized and time sensitive outsourcing approach. HEI Health’s specialized and versatile team can work with your organization to provide tangible and immediate solutions to address urgent business needs:

  • Year End Audit Clean-Up Support
  • Credit Balance Clean-Up
  • Aged A/R Clean-Up
  • Denial Accounts Clean-Up
  • A/R Work-Down
  • Fill Short Term Gaps Created by Turnover
  • Insurance Verification and Authorization Back Logs