Case Studies
Northeast Health Systems: Beverly Hospital
Hospital Facts:
- Full service community hospital
- 221 Beds
- Services include maternity, pediatrics, surgical, cardiology, orthopedics and other specialties
- More than 570 physicians serving 13 communities in and around Beverly, Massachusetts
- Large Medicare population
Challenge:
- Significantly improve Medicare claims performance
- Ensure compliance with changing Medicare requirements, especially unpublished edits
- Screen for medical necessity more effectively
Results:
- Reduced days in A/R by up to 3 days translating to $2 million in cash flow
- Decreased labor costs by $100,000
- Significantly decreased overall number of denied Medicare claims
- Streamlined claims compliance process
Solutions: