Full Outsource

A Revenue Cycle Outsourcing Company

Proven Strategies +
Powerful Technologies =
Industry-Leading Revenue Cycle Performance.

Do you need more yield from your revenue cycle? Do you have a mandate to reduce costs? Are you ready to increase your net revenue, strengthen your audit compliance and improve your patient’s experience? Ensemble delivers the top results in the industry.

Our experienced team of operators leverages proven processes enhanced by our patented suite of technologies to maximize reimbursement, recover underpayments, reduce denials and provide an exceptional experience for patients.

Case Studies

3 Hospital System – $420m Annual Net Revenue

 

March 2018 – February 2019

Cash collection as percent of net revenue from 98.6% to 103.3% as of FY 2018 within year 1 of the agreement (March 2018 – December 2018)

Unbilled reduction of 4.7 days within one year of agreement ~18.1M in annualized net revenue lift equating to 4.92% of 2017 baseline net revenue lift

7 Hospital System – $670m Annual Net Revenue

 

February 2018 – March 2019

Cash collection as percent of net revenue from 95.7% to 101.1% as of FY 2018 within year 1 of engagement (February 2018 – December 2018)

Unbilled reduction of 4.7 days within one year of agreement ~126.6M in annualized net revenue lift equating to 4.3% of 2017 baseline net revenue lift

5 Hospital System – $860m Annual Net Revenue

 

June 2016 – December 2018

2% net revenue lift through denials reduction and underpayment recovery

$44,000,000+ DNFB/DNFS reduction

Average AR day reduction of 9.8

Point of Service collections improved 202%

21 Hospital System – $3.6b Annual Net Revenue

 

March 2016 – December 2018

$440,000,000 in net revenue lift (4.1% of net revenue value in same timeframe)

$239,805,900 in post-denial and underpayment recoveries (zero balance)

$30,432,208 net revenue increase from charge capture initatives

Ensemble Offers Two Flexible Models of Engagement:

 

 

End-To-End RCM Partnership Model:

 

  • Covers Patient Access and Pre-Access Operations, HIM and Coding Operations, Clinical Documentation Improvement, Revenue Integrity, Traditional Back-End Functions
  • Patient Access associates remain on client payroll and expensed to Ensemble
  • HIM/Coding/CDI/Back-End functions become Ensemble employees
  • Patient Service Division moved to centralized location for Ensemble
  • Employees may remain badged as client
  • Benefits:
    • Seasoned and experienced leadership team
    • Existing trained and skilled associates
    • Improved overlay technology
    • Established best practice processes with compliance and monitoring
    • Acceleration of net lift

Co-Ownership Model

  • Covers Patient Access and Pre-Access Operations, HIM and Coding Operations, Clinical Documentation Improvement, Revenue Integrity, traditional Back-End Functions
  • Patient Access associates remain on Client Payroll and expensed to Ensemble
  • HIM/Coding/CDI/Back-End functions remain on client payroll and expensed to Ensemble
  • Patient Service Division remains onsite
  • Benefits:
    • Backend jobs remain onsite at client
    • Repurpose and re-train of existing talent
    • Onsite business office structure

*Physician RCM support is also available under either engagement model.

Full Outsourcing the Ensemble Way

  • MAP Award-winning performance
  • Emphasis on continuous training
  • Technology continuance and enhancement
  • Silo-less organizational structure
  • Balancing patient experience with financial performance
  • Smartest digitization strategy in RCM
  • 100% operator staff
  • Fast paths to cash
  • Long-term, sustained lift

Full Revenue Cycle Outsourcing Overview

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Full Outsource Partnerships
Solution Overview

 

Ensemble’s Full Outsourcing Partners experience an average 2-5% lift in net patient revenue.

Facility Patient Access

Pre-Arrival Services

Health Information Management

Revenue Integrity & Chargemaster Services

Central Business Office

 

What to Expect

Due Diligence Process

 

First, we’ll engage in a due diligence process that establishes a baseline and minimizes surprises.

Establish Key Metrics

 

Together, we’ll establish key metrics for success, based on due diligence findings and hospital priorities and interests.

Make A Plan

 

We’ll work on a transition and communication plan for staff – including human resources, benefits, and employment transition, if needed.

Engagement & Reporting

 

We’ll develop detailed engagement and reporting for various levels of hospital leadership and performance standards metrics to ensure active monitoring of success factors throughout your revenue cycle transition.