WPC Helps Large Revenue Cycle Management Organization Streamline Operations

WPC Helps Large Revenue Cycle Management Organization Streamline Operations

Business Challenge

A leading provider of group purchasing, staffing management, supply chain, project management, and revenue cycle operations sought to improve its electronic remittance advice (ERA) processing and extend its use of technology to support integration with disparate health information systems (HIS) to accommodate its expanding revenue cycle operations business.

The revenue cycle management organization was using a legacy ERA solution and any issues requiring customization, such as troubleshooting processing issues and adding new payers, demanded significant time and attention. In addition, the company desired the ability to receive incoming HL7 transactions from multiple health information systems into their centralized patient accounting system.

To address these issues and improve its already best in class operations and revenue cycle offering, the company turned to the healthcare expertise of WPC.

WPC Solution

WPC’s experts worked with the revenue cycle management organization to examine its technology and operations to provide recommendations. To improve ERA processing, WPC deployed a more scalable enterprise integration solution for all ERA transaction processing, providing the company with a more streamlined and extensible system. This upgrade simplified troubleshooting for payment issues and reduced delays adding new payers. The company now adds new payers to its system within weeks instead of months, significantly enhancing revenue cycle metrics, and to date the solution has processed billions of dollars in healthcare payments.

To address the HIS integration challenge, WPC helped the revenue cycle service provider create a system—using the same technology platform— which supports incoming HL7 transactions allowing connectivity to multiple health information systems via mapping tools and adapters.

Results

WPC and the revenue cycle management organization created extensible technology and services solutions to accommodate the ever changing needs of healthcare. The company’s revenue cycle management and technology operations improved, and its industry leading metrics were extended to customers. Its sophisticated and scalable technology removes the burden of revenue cycle services from customers—everything from patient registration to billing and collections—allowing customers to focus on their core business, care delivery.

By making a smart technology investment with WPC’s guidance, the revenue cycle service provider has improved its ability to quickly adapt to industry mandates and changes, such as the recent ASC X12 5010 HIPAA mandate. By increasing its business agility and streamlining revenue cycle operations, the company adds payers more quickly, reducing A/R days and achieving additional cost savings daily.

To learn more about WPC’s Technology Services Solutions, click here.



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