Revenue Cycle Services

Improve your bottom line with ROI’s comprehensive assessment and optimization capabilities leveraging industry best practices.

Revenue Cycle Objectives

At ROI, we not only identify issues – we provide solutions. We work with you to ensure your people, processes and technologies are functioning in concert to maximize the value of your investment in your core systems, improving patient safety, patient satisfaction, and ultimately your bottom line.

Objective #1

Producing an accurate, complete, and timely claim to be reimbursed in the shortest timeframe

Objective #2

Getting it right the first time

Objective #3

Ensuring patient safety, quality, and financial governance

Health Check Starter Survey for Revenue Cycle Leaders

ROI’s Revenue Cycle Health Check scorecard provides healthcare leaders with an objective/rapid assessment of performance while identifying targets for deep dive, root cause assessment. Take this quick survey to get started.

ROI Revenue Cycle Health Check & Optimization Services

Wherever you are at in your revenue cycle journey, ROI can quickly add value and help you grow your bottom line. Our revenue cycle health check capabilities address all key revenue cycle pillars through cost-effective engagements that drive savings and efficiency. Recommendations from the health check set the stage for revenue cycle optimization, leading to benefits such as improved patient safety and satisfaction, reduction in denials, better data capture, increased cashflow, and reduced accounts receivable.

Health Check Scorecard

  • Provide CFOs with objective, rapid assessment of performance
  • Determine need for full assessment and identify priority areas
  • 30-day timeline

Comprehensive Assessment

  • Target key areas based on scorecard results
  • Vendor-specific approach
  • Targeted assessment, gap analysis, and optimization recommendations
  • 6-8 week timeline

Optimization

  • Gap remediation
  • Requires other ROI services such as technology and vendor-specific SME involvement
  • Lead-in to potential phase 3 recoupment
  • 9-15 month timeline

Real Results

Our team has deep experience in improving the revenue cycle for hospitals and health systems across the nation. Here are a few highlights from engagements that ROI employees have led during their careers.

Central Georgia Health System

Through focusing on areas identified during initial assessment, and then efforts to ensure appropriate coding based on improved documentation, the client turned a $40,000 investment into a $400,000 improvement in net revenue the first year.

Southern California Medical Center

Focused efforts on admission processes identified as not best practices during assessment saw a reduction in denials. The focused project of $20,000 showed a return on investment of $60,000 in the first three months with an annualized one year return of $240,000.

Rural New York Hospital

Focused efforts on ABN process ($30,000 investment) resulted in immediate return of $10,000 per month in reduction of medical necessity denials. One year return of $120,000.

Benefits of ROI’s Revenue Cycle Service Offering

  • Enhanced Patient registration processes to ensure accurate data capture
  • Improved insurance eligibility verification and validation
  • Additional screening for medical necessity, with focus on appropriate ABN discussion, policies and procedures
  • Improved patient safety
  • Identify clinical documentation improvement opportunities
  • Reduction in denials
  • Appropriate coding that is supported by complete and appropriate documentation
  • Reduced accounts receivable
  • Increased cashflow and one-time cash acceleration
  • Improved patient satisfaction
  • Enhanced ability to report on data
  • Established best practice KPI metrics to manage the business of healthcare
  • Additional capital to invest in healthcare quality initiatives
  • Established adherence to regulatory compliance
  • Bottom line improvement
  • Improved employee satisfaction

Cerner Preferred Collaborator

ROI is a Cerner Preferred Collaborator with multiple resources certified through Cerner’s Revenue Cycle Certification Program (CRCP).