Optimizing revenue cycle workflows

Intelligent HealthCare Consulting:
Revenue Cycle Optimization

Intelligent WORKFLOWS

A robust approach to front end workflows helps referral throughput and improves the patient journey.

Our solutions are designed to streamline patient journeys and internal processes. RelateCare’s Revenue Cycle solutions aim to improve workflows and address bottlenecks and timing delays, thereby reducing revenue delays or losses for our partners. Our primary focus is on identifying areas for improvement in the frontend Revenue Cycle work, streamlining workflows, and enhancing revenue capture.

Our consultants leverage industry best practices, workforce management tools, lean methodology in process redesign and automation opportunities. The team delivers support in implementation of processes that significantly improve the patient journey through the organization and enhance new collection opportunities for the health system.

A Holistic Approach

By adopting a holistic approach, we thoroughly assess the as-is performance and workflows, and then apply industry best practices along with customized solutions. This process enables us to advocate for a future state design that aligns with both strategic and operational business needs. We consider front-end practices and conduct comprehensive back-end data analysis to accurately measure the true impact of workflows.

The team takes a systematic approach mapping current state processes, identifying the gaps, and working with our clients to design and build a seamless front-end process that reduces back-end rework.

Demonstrating ROI

The following areas can be tracked and measured during our engagements to demonstrate ROI:

• Insurance Verification

• Referral Management

• Pre-Authorization

• Financial Counseling

• Pre-Service Collections

• Pre-Billing & Billing Edits

• Claim Submission

• Accounts Receivable Follow Up & Resolution

• Cash Posting

• Denial Management

• Self-Pay

• Credit Balance Management

• Epic Build Functionality & Utilization

The team’s primary focus is to partner with our clients to create an ideal future state for a seamless journey for patients and an efficient and optimized workflow for your staff.

Intelligent Insights

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