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From bottom to top: how one provider retooled its collections
1Sutter Health Sacramento Sierra Region, CA, USA. souzam1@sutterhealth.org
Sutter Health improved its revenue cycle by implementing key performance benchmarks and empowering Patient Financial Services (PFS) staff. This involved pre-registration analysis and comprehensive training to boost point-of-service collections.
Area of Science:
- Healthcare Administration
- Revenue Cycle Management
- Financial Performance
Background:
- Healthcare organizations face challenges in optimizing revenue cycle management.
- Increasing point-of-service collections is crucial for financial health.
- Sutter Health sought to enhance its revenue cycle performance.
Purpose of the Study:
- To detail the strategies implemented by Sutter Health to improve point-of-service collections.
- To outline the methods used to enhance the overall revenue cycle.
- To share best practices in healthcare financial management.
Main Methods:
- Establishing specific, primary performance benchmarks for measurement.
- Empowering Patient Financial Services (PFS) staff with account responsibility.
- Utilizing a rules engine for pre-registration analysis to identify issues.
- Providing comprehensive training for PFS staff on the new system.
Main Results:
- Implementation of key performance indicators (KPIs) for focused monitoring.
- Increased accountability and ownership among PFS staff.
- Proactive identification and resolution of registration-related issues.
- Enhanced staff competency and performance in financial services.
Conclusions:
- A multi-faceted approach involving performance measurement, staff empowerment, and technology can significantly improve revenue cycle management.
- Proactive issue identification and resolution at the point of registration are vital for collection success.
- Investing in comprehensive staff training is essential for adapting to and excelling within new financial systems.
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