The work of the healthcare revenue cycle team makes quality care possible. But getting paid for services is harder than it should be, and there’s a lot of stress on your resources.
We know what you’re up against.
You might not be able to control the payors, the government, the regulations, or any of the dozens of other factors that make the healthcare environment so complex.
But you can take steps to close the gap between clinicians and your revenue cycle team, improve your revenue cycle systems and processes, and put in place more effective reporting and monitoring capabilities. We can help you with all of it.
Quickly increase net revenue
Leverage automation of non-value-add activities
Make sense of my data
Evaluate revenue cycle performance
Stop worrying about credit balances
Credit balance management
You have more important things to worry about. Using data and automation, our solutions can handle credit balance management for you.
Credit balance solutions
Clinical revenue management
Get clinicians and your revenue cycle team working together to help realize all the revenue you’re entitled to.
Clinical revenue solutions
Crowe Account Resolution AI
Machine learning can reduce cost to collect by valuing accounts receivable more efficiently. Find out which accounts are most likely to pay, which can be removed, and more.
Account resolution solution
Revenue cycle intelligence
Finally visualize data analytics, metrics, and benchmarks that are accurate, complete, and reliable.
It can be difficult to measure revenue cycle performance, let alone see what’s coming. Get the tools and data you need to make sure your team is hitting the right milestones and metrics.
Revenue cycle intelligence solutions
Quickly remove 1/3 of your credit balances with the push of a button.1
Achieve a minimum 7-to-1 return on investment (ROI) with full deployment of our revenue cycle program.2
Gain up to 2% in net patient revenue within 18 months.3
I lead our revenue cycle team. With nearly 20 years of experience in revenue cycle, I strive to exceed revenue expectations every time I help a client address a revenue cycle gap. We've helped our clients achieve significant ROI in many different scenarios.
Do an easy self-assessment.
Complete a self-assessment in the areas of the top five critical revenue cycle performance metrics.
Review revenue opportunities
After reviewing the inputs from your self-assessment, we’ll contact you and point out any revenue opportunities we’re seeing.4
Start maximizing revenue.
Once you engage us, we can start executing on your revenue cycle transformation.5
The healthcare revenue cycle market is constantly evolving, so identifying and quantifying revenue cycle opportunities can be difficult.
A data-driven approach that compares your data to market performance using revenue cycle benchmarks can provide valuable context that helps you set the appropriate revenue cycle performance goals. These kinds of revenue cycle comparisons also offer insights into what the top healthcare revenue cycle performers are doing operationally.
Best practice couples a data-driven approach with deep healthcare revenue cycle expertise. Historically, revenue cycle areas that have presented the most opportunity have included charge capture, level-of-care monitoring, coding and compliance, and denials management.
Yes. Healthcare revenue cycle leaders are consistently focused on improving operational performance. The ability to compare your organization’s revenue cycle performance to that of peers provides leaders with an understanding of what is possible in the context of the market.
For example, reducing aged accounts receivable (AR) is a common goal of revenue cycle leaders. But having zero AR over 90 days is nearly impossible. Revenue cycle benchmarking data helps revenue cycle leaders set realistic AR goals in relation to a constantly changing market.
Aged credit balances are a challenge for many revenue cycle leaders who are battling resource constraints. In many states, a business-to-business statutory exemption exists that can allow aged credit balances owed to a third party to be written off after a specific period of time. However, it can be helpful to talk to a credit balance management specialist before taking this step.
To confirm clinicians are correctly capturing all charges, it’s important to develop a robust charge reconciliation framework that compares trends across clinicians and uses historical benchmarks to identify real-time anomalies.
Establishing reconciliation and quality assurance processes regarding revenue cycle, coding, and clinical leadership can help identify missing charges and trends to support ongoing education based on repeat areas of opportunity. Outpatient charge capture specialists can help your team establish effective processes in these areas.
To reduce the impact of clinical denials, it’s important to develop a robust clinical denials program that includes both revenue cycle and clinical stakeholders to monitor revenue cycle performance trends, understand root causes, establish best practices, and implement escalation measures to reduce net revenue leakage.
Let’s talk about where we can create significant, sustainable improvements in your revenue cycle performance.
1 Based on historical results, Crowe Revenue Cycle Analytics platform, Sept.15, 2022.
2 Based on historical results, Elite, Sept. 15, 2022.
3 Based on historical results, Elite, Sept. 15, 2022.
4 Results not guaranteed. This is a high-level review based on preliminary assessment.
5 Qualified candidates only. All final terms are subject to executed engagement contract. Restrictions may apply.
Healthcare finance and reimbursement
For numbers you can trust, turn to Crowe. Crowe RCA is just one of our finance and reimbursement solutions that provide clarity and confidence.
Healthcare risk and compliance
Do more with your risk investment, drawing on our unique blend of specialized healthcare risk expertise and applied technology.
Revenue Cycle Virtual Symposium
At this annual event, hear how healthcare executives and other revenue cycle thought leaders are addressing revenue cycle challenges.
See event details
Featured insights in healthcare
KPI benchmarking report: Who's picking up the check?
Jump-start a strong vendor performance management program
Hospital double whammy: Less cash in, more cash out
Best of the 2022 Crowe Healthcare Summit
Best of the 2022 Healthcare Revenue Cycle Virtual Symposium
Is your revenue cycle performance sustainable?
Healthcare revenue cycle vendor oversight with Crowe RCA solution