CASE STUDY
Covenant Health cuts unbilled days by 75% and more than doubles cash collections.
End-to-end partnership with Ensemble enables investment in service lines
SNAPSHOT
As part of its journey to excellence, Covenant Health is committed to keeping patient costs low while protecting and improving access to high-quality care. After attempting to consolidate three disparately operating hospitals into one centralized business, coupled with an Epic go-live, Covenant Health sought an end-to-end revenue cycle partnership with Ensemble. This collaboration boosted cash collections by 103% and point-of-service collections by 20%, while cutting unbilled days by 75% and decreasing AR by 10 days.
PROFILE
- Regional health delivery network
- > $500M NPR
- Virginia; West Virginia
- End-to-end RCM partner since Oct. 2019
Challenges
Covenant Health faced significant challenges that strained its financial resources and operational efficiency. These included successfully implementing and optimizing its Epic usage, addressing high vendor expenditures, resolving deficiencies in patient estimate capabilities, improving point-of-service collections and addressing the underlying causes of high volumes of unbilled claims.
Solutions
Our partnership with Ensemble continues to serve us well by helping us to effectively manage a comprehensive range of processes that help our health system collect payment for services while meeting patients’ needs.”
By integrating data-driven insights with best practice processes and specialized expertise, we streamlined operations to drive performance improvement at scale.
- Implemented daily reviews of unbilled claims with key stakeholders + restructured upstream workflows
- Leveraged Epic for patient estimates + educated staff on collections best practices
- Consolidated vendors + brought key functions in-house to reduce vendor spend