We invest in developing a variety of proprietary tools and databases to assist in provider-revenue excellence.
Referral-mapping insights: We help health systems improve care continuity and overall experience for patients and providers through improved physician-network integrity, including use of insights on physician-to-physician and physician-to-facility referral patterns to identify gaps in access and gaps in knowledge of relevant options within the health system.
Physician prioritization tool: We partner with health systems’ business-development teams and use a tool to facilitate prioritization and alignment of team capacity to physicians in a market, including the use of a data-driven approach to implement call logs and ongoing tracking to understand the team’s impact.
Denial prevention suite: We use a suite of tools to automate denial-prevention workflows, with transparent sharing and reporting of the root causes of denials and potential solutions. In conjunction with these tools, we have developed proven processes and training materials that complement the technology.
Rapid revenue-cycle diagnostic: We developed a detailed analytical tool that helps assess revenue-cycle opportunity across six priority levers highlighted based on our experience in revenue-cycle transformation and achieving near-term operational results.
Comprehensive benchmarking insights: We deploy our benchmarking tool to assess the competitiveness of negotiated rates at varying levels of granularity (by market, payer, provider, and service) and identify underlying drivers of variability by using market data and proprietary benchmarking algorithms.