In 2002, a regional network of healthcare facilities was searching for a more user friendly solution to ensure claims were paid accurately and according to the terms of its contracts. The 1,658-bed health system also sought a more intuitive alternative to its in-house contract modeling system, which required extensive programming. 
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The owner and operator of 15 medical/surgical hospitals relied on various contract management systems at its different facilities across the country until it replaced the individual systems with one fully automated claims review process – and collected more than $7 million in underpayments in just seven months. Download PDF
Massachusetts-based athenahealth provides an array of easy-to-use Web-based tools and integrated practice management and billing services to group practices in 26 states. athenahealth's solutions are so flexible that they support practices with a handful of physicians just as easily as practices of several hundred providers. Download PDF
With more than 24,000 employees, Aurora Health Care is one of Wisconsin's largest private employers. The system is also one of the nation's largest providers of cardiac services, and it has won many prestigious awards. It is the only system to earn the American Nurses Association's coveted Magnet Award for multiple hospitals. Download PDF
With eight hospitals spanning 60 miles in the Tampa Bay area, BayCare Health System needed a solution that would facilitate shared knowledge and resources, keeping BayCare's 250-plus management and coding team on the same page. With CodeCorrect APC Toolkit (editor's note: now called KnowledgeSource®), each team member has access to the same up-to-date information. Download PDF
Cherry Tree Medical Associates, a busy medical practice near Pittsburgh that treats up to 600 patients a week, invested in a practice management system that features a Web-based automatic code-checking tool and hasn't had a claim denied for medical necessity in more than a year. Download PDF
Facing increased competition and a sharper public focus on pricing transparency, CHRISTUS Spohn Health System needed a better way to set rational, yet defensible, prices and determine the impact of potential changes to its chargemaster. Download PDF
Indianapolis-based Clarian Health Partners – Methodist Hospital, Indiana University Hospital, and Riley Hospital for Children – knows exactly what it takes to provide top-of-the-line healthcare. The 1,300-bed system has been ranked as one of the best in America by US News & World Report for the last few years. Download PDF
With thousands of claims to process annually, a more than 500-bed, not-for-profit hospital enaged a powerful contract management solution to identify managed care underpayments and a team of recovery specialists to recapture them. In addition to finding an average of $50,000 in potential recoveries a day, the facility reduced accounts receivable by 20 days over the course of 36 months. Download PDF
In 2001 one of the nation's foremost academic health systems was searching for an alternative to manual claims processing. An automated solution was found that most recently helped recover $5 million in underpayments – an amount which would have never been identified under the manual system. Additionally, the health system was able to defend $1.2 million in managed care refund requests. Download PDF
A 411-bed facility with 2,000 employees, Foote Hospital is a regional healthcare provider serving six Michigan counties. Its comprehensive services include a Joint Replacement Center and Behavioral Health Services, and it is part of the University of Michigan Cancer Care Network.
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A national hospital operator has achieved more success negotiating with managed care payors since replacing its manual contract analysis method with a powerful Web-based system that can instantly evaluate the financial impact of even the most complex contracts. Download PDF
Mad River Community Hospital, a privately owned 78-bed rural facility is located in Arcata, California. Like many other facilities today, it has been struggling with its bottom line. In late 2002, a chargemaster consultant delivered unhappy news to the Business Office Manager Gordon Bigham. "If we were to receive a grade, ours would have been near failing," says Bigham. "We had codes that shouldn't have been in the chargemaster and codes that weren't in the chargemaster but should have been. We had to clean it up but we were overwhelmed. We didn't think there was ever going to be an easy way to fix and maintain our chargemaster." Download PDF
Like many hospitals today, Marietta Memorial was lacking an effective process to manage the chargemaster. The hospital believes it may have been losing a significant amount of revenue each year based on codes that were never added to its chargemaster. Download PDF
The Methodist Hospital, Houston is recognized by U.S. News & World Report as one of the "Best Hospitals in America," and is one of a small group of hospitals around the country awarded Magnet status – the most prestigious nursing award in the United States. This 1,000-bed hospital annually provides care to nearly 38,500 inpatients and 326,500 outpatients. Download PDF
The vision of Nebraska Methodist Health System (NMHS) is to be its region's preferred integrated health system as measured by customer satisfaction, clinical performance and financial performance. Providing patients with accurate, upfront cost estimates is central to that vision.
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San Antonio Community Hospital in Upland, California has been using CodeCorrect ABN Notifier (editor's note: now called ABNManager®) for a little over a year with 100 users of the online service in registration, lab, and radiology. A 329-bed hospital with a 28 percent Medicare population, San Antonio Community Hospital wanted to automate its manual method of checking for ABNs to decrease patient frustration with long wait times and decrease the risk of noncompliance with Medicare. Download PDF
One of Northern California's largest healthcare providers invested in innovative revenue cycle management technology, adding powerful tools that helped reduce its accounts receivable cycle by six days and resulted in the collection of an additional $78 million during the first three months alone. Download PDF
A 347-bed, not-for-profit hospital that relied on labor-intensive manual review of claims switched to a Web-based system and experienced a $2.1 million increase in first quarter cash collections and greater overall confidence in its financial reporting. Download PDF
With a focus on providing high-quality, cost-effective and accessible care, The Health Alliance of Greater Cincinnati meets the healthcare needs of the Tri-state region of Ohio, Kentucky and Indiana. With more than 4,000 beds and 13,300 employees, the Health Alliance leads as the area's largest health system, serving the region through The Christ Hospital, The University Hospital, The St. Luke Hospitals, The Jewish Hospital, The Fort Hamilton Hospital and the physicians of Alliance Primary Care. Download PDF
Trinity Health in Novi, Michigan is the fourth-largest Catholic health system in the country with annual revenues of $6.1 billion. The company owns or manages 45 hospitals and employs more than 44,000 people across seven states. Download PDF
In 2005, Tomball Regional Hospital near Houston engaged IMACS, An Accuro Solution, to provide contract analysis and modeling technology and services. Few providers analyze 100 percent of their contracts 100 percent of the time. But IMACS does, enabling providers to accurately identify, understand and evaluate the effect of contract terms and provisions before they sign a contract. Download PDF
