Every. Claim. Counts.
Optimizing hospital yield is an everyday battle that requires submitting clean claims for swift and efficient reimbursement. At Guidehouse, we understand there’s no one-size-fits-all solution for utilization management and review (UM/UR) issues. Our dedicated team of smart, experienced, and determined individuals works alongside you to achieve lasting yield optimization and lets you get back to business.
When every claim matters, it matters who you partner with.
We have enabled our clients to achieve:
- A final denial rate below 1%
- A/R days below 50
- RCM staffing vacancy rate below 5%
We can help you, too. Let’s talk.
Connect with an expert and see how much your current RCM gaps are costing you.
Our impact: Leading southeast academic health system
Challenge
Despite maintaining a high-functioning revenue cycle team, the health system was experiencing significant revenue cycle challenges that manifested throughout the front-, middle-, and back-end, resulting in an A/R build-up
Approach
End-to-end revenue cycle outsourcing with utilization management to improve efficiency and increase overall yield
Impact
< 1% write-offs
28% decrease in A/R days
$17.8% | $324M increase in net collections in 12 months
When it comes to our revenue cycle, Guidehouse is part of the team, and that is how people see it internally and externally. We have a true partnership with Guidehouse. They go above and beyond.— Health System CFO
See where you can take UM/UR.
Talk with our experts about the effectiveness of your current UM/UR approach.
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