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The largest healthcare system in California needed to consolidate its revenue cycle back operations into one location.
Client Profile:
Largest healthcare provider in California and the fifth largest health system in the United States.
Revenue Cycle
Case Study Challenge:
Dignity Health needed to consolidate four disparate revenue cycle back office operations (CBO’s), representing 16 hospitals in California, into one centralized location in Sacramento.
The organization needed a standardization of operations and a go-forward revenue cycle infrastructure. As a result, it was determined that it needed:
(a) new staff and continuing training programs;
(b) to transition from eight disparate systems into a singular new Patient accounting system;
(c) to standardize KPIs and a new financial package model;
(d) to liquidate old receivables;
(e) and introduce automation workflows.
Action
Nio went to work by providing oversight for consolidating the four central business offices, and analyzed, reported, and gained approval to integrate four disparate systems into one system’s MedSeries 4.
New Revenue Cycle policy and procedures were implemented with a dashboard tracking program – presented and adopted by the Board and Executive Team with weekly and monthly reporting.
Nio managed a right-sizing model creation, implemented for staffing and the transition of the staff for the future state of the organization. Additionally, she identified cash acceleration, net revenue, and expense reduction opportunities, and created baseline and benchmark reporting – yield of $10 million positive income to the organization.
Result
The results of Nio’s efforts were substantial:
- Liquidation yielded over $15 million over target (120% result)
- Eliminated six (36) temporary staff and reduction of redundant leadership reducing labor costs by 28%
- Impacted net revenue and expenses, resulting in a bottom-line impact of $10 million
- On-time delivery of integration of the four CBOs to one central operation