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



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Revenue Cycle Outsourcing Company
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



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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%



Revenue Cycle Outsourcing Company
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




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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.