Prosper – Clinically-Driven Revenue Cycle

Boost Your Clinically-Driven Revenue Cycle

Executing on Clinically-Driven Revenue Cycle (CDRC) initiatives is a top priority for most of today’s senior healthcare executives.

Getting a handle on the cost overruns, duplication, and inefficiencies is impossible without a deep understanding of the myriad transactions, interactions, and actions that make up a clinically driven revenue cycle.

Much of the secret to successful CDRC projects lies beneath the surface—in the depths of organizational culture and complex system integration. Getting clinicians to engage with Revenue Cycle leadership and IT to coordinate workflows, sharing an understanding of the “whys” of necessary activities and changes, and aligning disparate constituencies behind a mission of an efficient clinically driven revenue cycle requires experience and finesse.

The S&P Revenue Cycle InTegrity approach combined with the experience of our consultancy enables the necessary credibility with all stakeholders to execute a successful program. We understand the complex intersections that can confound the smooth journey from care delivery to claims delivery, adjudication, and payment. Our InTegrity framework will align your people and technologies resulting in the best possible clinically driven revenue cycle workflows.

Considering a Revenue Cycle Implementation?

Strategic Planning, Contracting and Organizational Readiness

  • Assessment and Planning
  • Vendor Alignment and Contract Negotiation
  • Phase Zero – Organizational Readiness

Implementation Services

  • Implementation & Vendor Oversight
  • Multi-site/Multi-organization Coordination
  • Front, Middle and Backend Revenue Cycle Solution Expertise
  • Transactional Services and Third Party Vendor Integration
  • Reporting and Extracts
  • Complex workflow automation and claims management
  • Go-live Facilitation
  • Post Go Live Stabilization

Struggling to Implement a Revenue Cycle System?

Go Live Readiness Assessment

Are you scheduled to go live but are not yet confident or sure that you are ready? S&P’s Revenue Cycle Go Live Readiness InTegrity offering can all but guarantee a successful go live. Through a comprehensive analysis of your build leveraging our one of a kind database auditing technology and vast expertise of our consultants, we can ensure 100% success of your charges and general ledger at go live. And if getting claims out the door on day 2 after go live and a clean claim rate of 99% sounds appealing, our Claims Validation services are your key to success! Have you attempted to test integration with your third party vendors but do not see the integration level you are expecting, S&P can provide extensive experience for any and all necessary systems.

  • Charge Validation
  • General Ledger Validation
  • Claims Validation
  • Revenue Cycle Go Live Readiness Assessment
  • Operational Plans for Chargemaster administration
  • Go Live Planning and Support
  • Staff Augmentation
  • Multi-site/Multi-organization Coordination

Live but not getting the return on investment anticipated?

Optimization Services

Achieve Desired KPI’s with InTegrity optimization services:

  • Decrease DNFB
  • Reduce AR Days
  • Enhance Gross Charge Capture
  • Eliminate Bad Debt
  • Reduce your total cost of care
  • Improve Patient Satisfaction

Unable to Recruit and Retain Revenue Cycle Talent?

S&P Managed Services

  • Outsource some or all of your revenue cycle system support
  • Short Term/Permanent Services
  • Tier 2 Change Management
  • Upgrades
  • Special projects

S&P Revenue Cycle Analytics

Our clients constantly struggled with getting meaningful and actionable information out of their Cerner Millennium Revenue Cycle system. Reports were slow, inaccurate and often lacking the ability to drill down to meaningful data. With S&P’s Revenue Cycle Analytics platform we have given our clients real-time access to accurate, meaningful and actionable information. If you want to slice your DNFB down check out S&P’s Revenue Cycle Analytics solution now!

  • Standard and Customizable Dashboards
  • Position and User Level Preferences
  • Extensive drill down capabilities, graphing and analytics
  • All data can be extracted for local analysis
  • Reports can be scheduled for distribution
  • Flexibility to meet your reporting needs

Mosaic Life Care and S&P Consultants Complete a Full EMR/Patient Accounting Merger in Just 97 (Intense) Days

Watch the Mosaic Life Care team discuss the fast-track project and their experience working with the S&P team to get the job done.

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