Life is one continuous negotiation process. Every day we make decisions by looking at the pros, cons, and risks that may accrue by choosing to do or not to do something.

A dejected executive at a conference reported how much she's spending on technology and how little benefit her team extracts. "We need technology that works." Her points hit home as she chronicled her experiences, stating that: Expensive software prevents effective processes, Fragmented systems don't integrate and integrated systems aren't flexible, KPI improvements diminish investment returns

The smart money always stays long on the value of interpersonal communications. Client stay long on partners who understand that. Arguably no division of business within a company holds more client responsibility than the call center.

A large hospital system from the east coast was concerned about poor documentation and its effect on their RAF (Risk Adjustment Factor). The data for the hospital system’s geographical location indicated a sick patient population of 44%, however, their hospital system data recorded the sick patient population at 35%

Traditionally, Accounts Receivables (A/R) work was a manual process leveraging callers attempting to track down owed monies. But our clients want to receive cash faster, reduce losses, identify and correct issues that delay payments, and move to a more prescriptive denials management process.

Healthcare is undergoing significant change. The shift from fee-for-service (FFS) to value-based healthcare payment models demands out-of-the-box thinking to meet new challenges. Leading organizations are beginning to leverage technology by shifting resources from back office support to patient-facing positions.

Assessing an Outsourcing Option for Robotic Process Automation: Bots, the end-product of Robotic Process Automation (RPA), are currently all the rage in health care. Working without breaks nor needing shift changes, and without requiring sick, personal, or vacation days, bots streamline manual repetitive processes across multiple user interfaces.

An academic hospital system from the East Coast was struggling with their oncology, infusion and interventional radiology (IR) medical coding management. Their incumbent coding vendor had been delivering poor quality and was failing to manage case volume. The group that had acquired the hospital system placed a high emphasis on running lean and efficient operations.

Although health plans annually perform both Risk Adjustment reviews and HEDIS quality abstractions, there is significant duplication of efforts when obtaining the charts needed for both programs because there is often little communication between them. Imagine the frustration at a provider’s office while they fax the same records to the same health plan, but to two different fax numbers.