Case study: Assessment reveals $5.7M in physician revenue cycle opportunity
The comprehensive assessment was formulated
through nine on-site office reviews, interviews of key
stakeholders and extensive data analytics. The team
identified inefficiencies throughout the revenue cycle
process, specifically:
• Practice specialties and locations operated in silos
with little operational integration across
the system.
OUTCOMES
The Grant Thornton team identified $5.7 million of
opportunity — approximately 13% of annualized
revenue — across the revenue cycle. The potential
gain encompasses coding/documentation and billing
and collection activity recommendations.
• The revenue cycle process lacked comprehensive
management and many important functions.
Based on the recommendations, Grant Thornton
developed a five-to-seven-month implementation plan
to rectify the inefficiencies, with the full opportunity
realized over an 18-month period.
• Communication between practice locations and
the CBO was limited.
DO YOU HAVE SIMILAR CHALLENGES?
• Front-end processes — including insurance
verification, point-of-service collections, and
scheduling/registration — varied widely
across locations.
• Inefficient and nonintegrated technology
platforms created delays and additional work in
the practices.
Read “Revenue cycle improvements help assure
hospital’s survival” (www.grantthornton.com/
revcyclesaves) and “Academic hospital gains best-ofpractice revenue cycle” (www.grantthornton.com/
sunyrevcycle) to see how Grant Thornton’s revenue
cycle solutions has worked for other health
care systems.
• Avoidable write-offs and bad debt placements
significantly exceeded industry standards.
Have a similar challenge?
Contact:
Lane Jackson
Partner
Health Care Advisory Services
T +1 704 632 3510
E lane.jackson@us.gt.com
David Howard
Senior Manager
Health Care Advisory Services
T +1 212 542 9949
E david.howard@us.gt.com
After finalizing the assessment, the team provided
recommendations and created a timeline for
addressing key initiatives for improving the revenue
cycle processes.
This content is not intended to answer specific questions or suggest suitability of action in a particular case. For additional information about the issues discussed,
contact a Grant Thornton LLP professional.
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