Services Deployed
Revenue Cycle Management
IT Systems Strategy & Implementation
MSO Operation
Human Resources
Overview
Our Client completed a sizable acquisition expanding their footprint in additional states. The Company had not completed a transaction of this size previously and was seeking support to develop a holistic integration strategy across core functional areas. Further, the Company was experiencing specific pain points in its current IT and RCM departments and was seeking guidance on how to address these pain points and how to develop the right integration strategy in the context of these pain points.
Specifically, the acquiring Company’s EMR architecture was structured as individual on-premise instances for each clinic location. Integrating the target into this environment would present performance challenges and yet changing the acquiring company’s EMR infrastructure was both complex and delicate.
Execution
- 7 SCALE team members were deployed throughout the engagement including team members across:
- DSO domain team
- HR
- RCM
- IT
- Data analytics
- Project management
- SCALE defined and developed strategies for a holistic range of integration workstreams
- SCALE defined and developed strategies for a holistic range of integration workstreams
- SCALE provided centralized integration execution project management for process status tracking and status transparency in addition to specialized domain expert integration execution oversight across key functional areas including:
- RCM
- IT
- HR
- Operations
- Call center
- Data analytics
- We support the evaluation of various alternatives for addressing key operational & platform scaling needs and challenges to support the Company’s larger pro forma footprint such as:
- RCM performance workflow automation
- IT / EMR architecture
SCALE used a holistic, multidisciplinary approach leveraging our deep functional domain expertise specific to comparable healthcare platforms across all core functional areas to collaborate with, advise and support Client’s leadership who had not previously been through a sizable integration process before.
- Phase 1 -1 month
- Current state structure workflow and performance evaluation across both acquiring and target companies
- Phase 2 -4 month
- Integration execution
- 4 months to achieve substantial integration across core phase 1 integration objectives
Results
SCALE developed the following KPI’s, setting and meeting industry standard goals for our Client:
- Coders 98% accuracy
- Denials Management: No more than 15% AR in >90 day bucket
- Medical records turnaround within 30 days
- Developed SOP’s
- Decreased claim lag time to 6 days
- Decrease AR >90 day buckets to less than 20% overall outstanding debt
- Front end coding accuracy at 62% vs 27% at start