Sushil Ghorpade
The Client
One of the top 10 academic patient financial service providers based out of the US
Challenge
- Frequent documentation loss
- Recurring manual errors
- Heavy real estate and record management overhead
- Ineffective insights from disparate data sources
- Difficulty in optimizing human resource costs
- Substantial compliance hurdles with HIPAA regulations
PCH Health Plan
Upon engaging with PCH Health, a comprehensive root cause analysis was conducted for the client, and the following issues were detected:
Issues Detected
- Reliance on manual processes for document collection and maintenance
- Multiple sources and formats of physical and digital information
- Need for enhanced insights from disparate data sources
- Need for a holistic approach to reduce costs and accelerate revenue cycles
- Sought a partner capable of seamless integration with Epic, their existing legacy EHR system.
PCH Health Solutions
PCH Health designed and deployed a blended delivery model solution with seamless on-site and off-site operations.
- Offered a unified portal for queries, empowering clients to access and download information while efficiently managing multi-channel and multi-format intakes.
- Provided digitization that enabled the client to rapidly extract data from all incoming documents.
- Flawlessly integrated with their existing EHR system, facilitating a direct payer-provider connection.
- Provided access to advanced analytics, reducing their DSO and significantly improving their recovery rates.
Results & Benefits
- 25% Reduction in Full-Time Equivalents (FTEs)
- $4.3 billion Net Patient Revenue serviced through PCH
- 30% Increase in Collector Efficiency
- Seamless Integration with Legacy EHR system
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