Case Study

Revenue Cycle Blueprint Elevates Future-State Operations

  • Customer: CHRISTUS Health
  • Challenge: Design a top-performing revenue cycle organization to be created in conjunction with an EHR conversion

Results

A robust revenue cycle blueprint for optimized future-state operations with key opportunities for improvement, including:

  • Consolidation and standardization
  • Governance and organizational structure
  • Workqueue optimization
  • Reporting optimization

The intention was to ensure that CHRISTUS kept the future state in mind as we began this journey. Consultants from Tegria really listened to us and truly understood the needs of the organization. They were then able to transform those ideas into a framework for our future Revenue Cycle organization.

RYAN THOMPSONSVP of Finance, CHRISTUS Health

A system conversion offered CHRISTUS Health, a leading healthcare provider in the southern U.S., a unique opportunity to improve patient experience and revenue cycle performance as part of the effort. “CHRISTUS chose to address this opportunity by reaching out to Tegria, and they provided us with the chance to collaborate and design a CHRISTUS vision for a top-performing Revenue Cycle ahead of the EHR conversion,” said Ryan Thompson, CHRISTUS Health SVP of Finance. Leaders envisioned a one-stop patient access experience that would enable CHRISTUS patients to have a more consistent, intuitive financial experience, no matter where they received care.  

CHRISTUS wanted to ensure sustainable operational excellence with standardized, systemwide change control and decision-making. They knew a more efficient revenue cycle would resolve and avoid bottlenecks to help decrease days in A/R and increase cash flow. Most importantly, CHRISTUS leaders wanted revenue cycle workflows and processes to be grounded in robust industry best practices and informed by the organization’s long-term strategy. 

Solution 

Working side by side with operational and technical leadership, Tegria experts created a comprehensive revenue cycle blueprint to optimize revenue cycle operations for CHRISTUS patient access centers, revenue integrity and patient financial services. With more than 75 best practice recommendations for successfully transitioning to the Epic EHR platform and maintaining momentum, this long-term vision for the CHRISTUS revenue cycle operation helped leaders map a path to their goal in realistic, achievable steps. The revenue cycle blueprint included workflows that made sense and a strong revenue cycle operations design that would allow the organization to continue providing outstanding healthcare experiences to their patients.  

Tegria also provided a focused list of near-term recommendations with actionable guidance for quick, sustainable improvements for: 

  • Remittance codes  
  • Workqueue assignment 
  • Remittance splitting 
  • Candidate for billing (CFB) days 

Results

Tegria delivered quick wins and a robust blueprint for improvement featuring:  

  • Consolidation and standardization to minimize errors and rework and provide a consistent experience for patients 
  • Governance and organizational structure to standardize change control and decision-making  
  • Workqueue optimization for optimal revenue capture and error prevention  
  • Reporting optimization to increase A/R flow by pointing out lags and areas of concern 

Ready to create your blueprint for revenue cycle success?