Dear Reader –

Health care is continuously evolving. Current market forces – from rising patient responsibility to consumerism – are driving the need to go beyond incremental improvement in the revenue cycle to achieve a true transformation. It is our goal to stay ahead of market dynamics in order to help empower your mission and to help you increase patient satisfaction. To do so, we’re looking at the revenue cycle with an entirely new perspective. As the only true holistic Patient-to-Payment℠ offering available in the market, we utilize education, technology, services, advisory and analytics solutions to help your revenue cycle function at its highest level.

Our expert teams are always at the ready to help your organization with myriad revenue cycle challenges. In May, we’re focusing in on both the front-end and the mid-revenue cycle at upcoming events. First, we invite you to stop by nThrive booth #504 at the 2018 NAHAM Annual Conference. Find out how we can help you manage patient responsibility and reduce bad debt.

Then, be sure to visit us at the 2018 ACDIS Annual Conference at booth #219 where we can answer all of your Clinical Documentation Improvement questions, discuss how nThrive can help you mitigate denial risk and improve quality reporting outcomes. If you’d like some one-on-one time with an nThrive CDI subject matter expert, schedule a solution demo and you will even be entered to win a prize. We certainly hope to see you at both events!

While I wish it was possible, I know it isn’t likely that we’ll get the opportunity to speak with all of our readers in person, I have some new resources that I’d like to share with you. First, our new nThrive on-demand webinar, “Practical Strategies for Denials Prevention across the Revenue Cycle,” part 1 of 2, is now available. Listen in to learn about industry trends, best practices in workflow and productivity tracking and much more.

We also have a new case study on eligibility enrollment entitled, “Major US health care system increases Medicaid collections.” Completing the Medicaid application process to qualify self-pay patients can be daunting, especially for internal resources already bogged down by competing priorities and lacking in specialized Medicaid expertise. In this case study, we explore how a major U.S. health care system brought nThrive onboard as a support resource for eligibility enrollment services, netting the organization more than $25 million in Medicaid cash collections, based on more than 778,000 accounts to date. The engagement decreased uncompensated care by 65 percent, with charity costs decreasing by 72 percent since the beginning of the partnership and bad debt to net patient revenue down by 1.5 percent. Be sure to check it out!

Then, in a recent MACRA educational webinar, nThrive experts Moshe Starkman, senior value-based reimbursement consultant and Denise French, senior manager of Solutions Marketing, discussed how data integrity can ultimately affect your Medicare reimbursement. The presenters noted that organizations can be strategic in their choice of metrics to report, focusing on why health information governance and clinical documentation integrity are foundational to any MACRA reporting effort.

And finally, did you know that a typical tertiary care hospital generates about 100 terabytes (TB) of data per year whereas the United States Library of Congress is estimated to contain only about 10 TB of text data? This simple comparison underscores the enormous opportunity health care organizations have to tap into a treasure trove of data, reshaping health care through the creation and enhancement of value. In our nThrive blog, “Value-based care analytics: Leveraging data insights to enhance reimbursement and quality,” we discuss the impact of government legislation such as the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) and why investing in better data analytics is integral to successfully transition from fee-for-service to value-based care.

I hope you are able to gain useful knowledge from this edition of The nQuirer, leveraging ideas to solve challenges in your own organization. Here’s wishing you the best as Spring is upon us.

Joel Hackney, CEO