Case Studies 2017-06-15T12:17:59+00:00

Large Academic Health System

The client is one of the nation’s most comprehensive, integrated academic health care delivery systems and is ranked among the top health systems in the U.S. It engaged ARxChange to:

  • Establish baselines for current patient receivables performance
  • Improve patient collections
  • Recapture missed insurance opportunities
  • Improve the accuracy of patient/guarantor data
  • Identify accounts that meet the criteria of the client’s Financial Assistance Policy (FAP)
  • Build a centralized data repository containing patient financial performance information for the client’s strategic use
medical billing experience
0%
Increase in Patient Collections
0M
Total Patient Collections Increased
0M
Captured Insurance
0K
Saved in Employee Expenses
0%
Data Accuracy Improvement

Two-Hospital Community Health System

The client is a of 282-bed community healthcare system with two fully accredited acute care medical facilities. It engaged ARxChange to:

  • Recapture missed insurance opportunities
  • Improve the accuracy of patient/guarantor data
  • Improve Presumptive Charity Care Identification
  • Measure baselines for historical patient receivables performance
0M
Captured Insurance
0K
Presumptively Identified Charity Care
0%
Data Accuracy Improvement

Critical Access Hospital

The client is a 130-bed critical access hospital in a rural community. It engaged ARxChange to:

  • Measure baselines for historical patient receivables performance
  • Presumptively identify accounts that meet the criteria of the client’s Financial Assistance Policy (FAP) in order to ensure that the client was able to qualify for uncompensated care reimbursements
  • Recapture missed insurance opportunities
  • Improve the accuracy of patient/guarantor data
0M
Presumptively Identified Charity Care
0K
Presumptively Identified Medicaid
0K
Captured Insurance
0%
Data Accuracy Improvement

Metropolitan Ambulance Service

The client is a large for-profit ambulance company. It engaged ARxChange to:

  • Recapture missed insurance opportunities
  • Increase patient collections
  • Improve the accuracy of patient/guarantor data
  • To outsource its secondary bad debt on a guaranteed, non-recourse basis in order to monetize accounts that would otherwise just be written off as uncollectable
0%
Increase in Patient Collections
0M
Captured Insurance
0K
Clearinghouse Proceeds from Secondary Bad Debt
0%
Data Accuracy Improvement

Performance Assessment Example Results

ClientsTotal Annual OpportunityPatient Collection LiftInsurance Discovered
Large Academic Health System$11,525,562$8,676,035$2,849,527
Large Faith-Based Health System$50,552,255$44,381,305$6,170,950
Large Multi-State Health System$24,718,678$20,787,130$3,931,548
Mid-Size Community Hospital System$14,569,102$9,265,652$5,303,450
Small Community Hospital System$1,392,561$1,068,957$323,604
Large Physician Practice Group$4,117,466$3,913,608$203,858
National Physical Therapy Chain$29,320,685$21,873,819$7,446,866

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