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The US healthcare industry utilizes Prior Authorization as a means of ensuring optimal and cost-effective use of medical services in accordance with the insurance coverage of each patient. As a rule, healthcare providers must reach out to and obtain approval from the respective insurance companies before they can deliver certain medical treatments or services to their patients.
Hospitals seeking to optimize their revenue cycle and improve their financial performance must start with a foundation of meaningful KPIs. Benchmarking and strategic metrics for each KPI are crucial aspects of implementing an effective transformation.
The brass-tack discussion at the Health Evolution Summit 2023, a gathering of industry leaders, recently delved into the topic of financial transformation in healthcare.
Read how healthcare organizations are achieving successful outcomes by partnering with Access Healthcare
How Access Healthcare’s strategic approach to hiring, training, and technology boosted satisfaction scores by 11%
Exact Sciences Corp., a prominent molecular diagnostics company known for its revolutionary product, Cologuard, sought to streamline its order entry process to enhance efficiency and reduce operational backlogs. Access Healthcare was chosen to implement a robust order entry system, aligning with Exact Sciences’ vision of delivering seamless and timely patient care
How Access Healthcare partnered to implement new process and help manage the system’s exponential growth.
How Access Healthcare reduced A/R days and increased collections and revenue to improve financial stability .
One of the largest providers of revenue cycle services to hospitals and healthcare systems contracted with Access Healthcare Services for delivering multi-specialty acute coding, professional coding, revenue integrity, coding audits, and coding denial management since early 2021. This case study describes how Access Healthcare enabled the customer to grow its coding operation from 0 to 500 coders.
The US healthcare industry is making a definite shift towards value-based care, where the quality of healthcare delivered to patients and the results achieved take center stage, marking a clear departure from the traditional fee-for-servicess approach.