Client Story Midwest Based Medical Group

Why the Partnership?
Developing long-lasting partnerships take time, and the six-year relationship we’ve built with one of the nation’s top-rated Midwestern academic medical groups is a result of transparency, trust, and accountability. Clear-cut client directives paired with MediRevv’s knowledgeable and tenured staff has been the formula for success. Since the first engagement in 2012, we continue to reshape the relationship and dynamically adjust to the changing revenue cycle environment in order to fit our client’s needs.

 

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The Challenge

Our client manages results in real time with preferences of no more than one or two days of inflow in the work queue. The team discovered a growing number of backlogged insurance claims at day 90 along with a large influx of claims being touched but left in unresolved status. MediRevv quickly worked to resolve the backlog and prioritized work queues that needed immediate attention. Unfortunately, the backlog quickly returned; the challenge became identifying why current status could not be kept.

The Solution

Managing in Real Time

The MediRevv team made an immediate impact by reviewing historical data, assessing claim inflow and outflow, cross-training staff, and strategically staffing to the work queues that needed immediate attention.

Working together, teams quickly discovered a bottleneck in the process which led  to the reoccurring increase of aged claims. By leveraging the functionality of Epic we began managing the work queue by routing logic, volume and implementing segmented workflows to represent claims that team members could impact.

 

Strategic Staffing

The biggest impact made came with the daily real-time change management of staff.

In total, 12 cross-trained MediRevvers quickly responded as needed to increases of claims in the work queue. By adding three team members, two days a week we decreased work queue volume and kept claim status current.

Testimonial What Our Client Said

Director Patient Accounting, Physician Services

Chicago, IL
MediRevv has done a tremendous job responding to my concerns with work queue management, as they are nimble and strategic with staffing — continuing to manage to my expectations. They are a trusted partner I can go to again and again to get the job done. 
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The Results

By strategically staffing to real-time work queues, MediRevv dramatically decreased the number of outstanding claims and decreased the volume by 25% over a 4-week period. Staffing on this team has decreased by 50%, resulting in a significant cost savings for the client and increased revenue per FTE, while maintaining work queue expectations and avoiding backlogs.

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