Cycle Up

From Struggles to Success: A proven approach to better RCM outcomes

Written by Jeff Nieman | Nov 11, 2024 8:06:02 PM

A large academic medical center with multiple hospitals was trapped in a cycle of insurance claim denials and a growing backlog of accounts receivable (AR). With a limited RCM staff, no AI capabilities, and a lack of automation tools, the medical center didn’t have the resources to turn its RCM performance around – a challenge many hospitals and health systems face today.

Recognizing the severity of their situation, the medical center reached out to Meduit for help. This proactive step shouldn’t be overlooked. Many hospitals hesitate to seek outside RCM support, unnecessarily losing revenue before realizing they can't solve their issues alone. To their credit, the medical center’s executive team acknowledged the magnitude of their problem and chose to engage with a proven RCM partner, one with a ready-made solution that could be deployed immediately.  

At Meduit, we’ve developed a Denials Playbook, a comprehensive guide that outlines strategies and tactics for managing and reducing insurance claim denials and resulting AR. This playbook has been transformative for our healthcare clients, helping them resolve immediate RCM challenges and laying the groundwork to prevent future issues from arising. 

Our latest case study, Following Our Denials Playbook to RCM Stability, explores our partnership with this academic medical center. You’ll discover how our Meduit team identified the core RCM issues at hand, applied our Denials Playbook, and tackled existing problems head-on, with significant results.

Download the case study to see how we helped infuse short-term stability and long-term potential into the medical center’s revenue cycle. We believe this case study will offer valuable insights to help address your own RCM challenges.