Consolidating core revenue functions led to increased cashflow, reduced denials, and overall reduction in total days in A/R
St. John’s Episcopal Hospital
Health Care billing systems are designed to register patients, capture insurance information, charges, and coding data to generate billing.
These core systems lack the sophistication to leverage new technology and external data sources into the revenue cycle workflow.
Jzanus provides that technology. St. John’s Episcopal Hospital was burdened by the need for numerous touch points with limited integration between their disparate systems.
Lacking the technology to automate repetitious, low-value, high-volume transactions with limited manpower the challenge for revenue cycle leaders is to work account data more intelligently.
Delivering real–time analytics enables providers to identify and respond to payer denial trends and mitigate the impact on cash flow.
For SJEH and other institutions, this translates into inefficient workflow processes and increased denials. While major advancements in Robotic Process Automation (RPA) and Artificial Intelligence (AI) are used in healthcare in the clinical space, and by insurance carriers generating targeted denials, providers are confronted with outdated technology.
SMARTWorks Solution has enabled the centralization of our core revenue cycle activities. System Dashboards provide tracking, quantification, and resolution of billing and follow-up activities, expanded insurance discovery, and accountability for all DNFB and Denials activity resulting in increased cash flow.Brenda Batista, RHIA, CCS, CCS-P, CPC Assistant Vice President, Patient Financial Services
SMARTWorks Solution is a single platform that compiles information from multiple sources, including the host accounting system and the claim scrubber, along with information from 276/277, 837/835 data and insurance carrier websites, and transforms the data into actionable tasks.
By embracing our business intelligence and adopting the benefits of task automation that are core to SMARTWorks, SJEH saw improvements to their financials as well as satisfaction among leadership and staff. SMARTWorks’ availability as a Software-As-A-Service (SAAS) offering means that training, integration, and maintenance are all inclusive of one monthly licensing fee requiring NO capital expenditures, add-on costs, or long-term commitment.
Reviewing the results