CASE STUDY
Midwestern pediatric clinic sees 167% increase in monthly cash collections.
Modernized revenue cycle through Ensemble partnership helps better serve vulnerable population
SNAPSHOT
A pediatric outpatient mental health and wellness organization faced poor financial performance that threatened efforts to meet growing demand for services in its community. Ensemble’s strategic operational assessment identified several points of concern, including low pre-service collections, significant billing delays and excessively aged AR.
The organization engaged Ensemble to fully manage its revenue cycle after seeing the results we delivered for its community connect partner.
PROFILE
- Pediatric outpatient mental health
- < $250M NPR
- Midwest
- End-to-end RCM partner since Feb. 2020
Challenges
Lagging financial performance and cash collections threatened efforts to meet the growing demand for resources and access to mental health care in their community. A revenue cycle assessment highlighted poor cash performance, low point-of-service collections, high unbilled claims inventory and a high volume of AR > 90 days.
Solutions
Our assessment revealed opportunities to optimize Epic and enhance revenue cycle operations in several areas. By using our proprietary technology, redesigning operational processes and applying industry expertise, we achieved substantial performance improvements, including:
- Strengthening charge capture + reconciliation by aligning technical and clinical denials follow-up and improving cash collections
- Designing a comprehensive communication plan with consistent touch points to expedite performance improvement and monitoring
- Implementing ongoing training + education on modern revenue cycle management best practices
- Maximizing use of Epic's capabilities for better performance
We believe the great work our revenue cycle operators perform connects directly to positive outcomes for patients and communities. It’s a privilege to partner with such an impactful organization and help support their mission of providing a trusted delivery of care, impacting the lives of every individual they touch.
Results
cash collections