Exact Sciences Corp., a prominent molecular diagnostics company known for its revolutionary product, Cologuard, sought to streamline its order entry process to enhance efficiency and reduce operational backlogs. Access Healthcare was chosen to implement a robust order entry system, aligning with Exact Sciences’ vision of delivering seamless and timely patient care
Exact Sciences Corp. is a leading molecular diagnostics company known for its groundbreaking product, Cologuard, which transformed colorectal cancer screening. As the company expanded its product offerings, it encountered significant challenges, including escalating administrative expenses and mounting A/R backlogs due to a high volume of unresolved claims.
In the vast realm of molecular diagnostics, Exact Sciences Corp. shines as a trailblazer in the early detection of cancers. With a primary focus on preventing colorectal cancer, the company made headlines in 2014 with the groundbreaking launch of Cologuard, the world’s first stool DNA test for this fatal disease.
One of the largest providers of revenue cycle services to hospitals and healthcare systems contracted with Access Healthcare Services for inpatient DRG Coding, Inpatient CDI services, and DRG Validation from 2021. As a first step, while embarking on the transition of IP DRG coding & CDI processes to our global delivery locations, Access Healthcare established a multi-level governance and transition team. This team included the Client’s HIM leaders, facility-specific hospital staff/ HIIM team members, Access Healthcare’s team of medical coders, and clinical documentation specialists.
One of the largest providers of revenue cycle services to hospitals and healthcare systems contracted with Access Healthcare Services for delivering multi-specialty acute coding, professional coding, revenue integrity, coding audits, and coding denial management since early 2021. This case study describes how Access Healthcare enabled the customer to grow its coding operation from 0 to 500 coders.
Our client, one of the nation’s top medical billing companies, provides revenue cycle solutions to hospitals and physician groups across the country. As one of their hospital clients faced increased days in AR, high denial rates, and increased A/R in the 120+ day aging bucket, Access Healthcare implemented an iterative program to improve metrics quickly and shift focus to denial prevention. Please read the case study for solution details.
In today’s healthcare landscape, the need to do more with less has never been greater. Those companies providing services to the healthcare industry are being asked to streamline processes and increase efficiency at every step. Sometimes this results in a breakdown of quality and trust. Even a company that places a very high value on the quality of their services and maintaining a positive relationship with their customers may not keep up with the rapidly growing demands of the industry and are forced to outsource part of their business. Unfortunately, sometimes those partners don’t have the same values.
Outsourcing medical coding has become a common practice among healthcare providers and medical billing companies. The ability to scale effectively, provide a highly educated workforce and a dedicated team of coders has led to cost savings and more efficient processes. However, many companies still struggle with finding the right, trusted partner for this critical discipline of revenue cycle management.
Accounts Receivable backlog is not uncommon, particularly in consideration of the ever-increasing complexities of Revenue Cycle Management. While somewhat understandable, the negative impact on the business can be severe. Not only does overall financial health suffer, but for both billing companies and healthcare systems, reputations and the opportunity for growth will be compromised.
Our client, a leading national provider of information solutions and revenue cycle management services in the outpatient space, faced a substantial loss of revenue stemming from workflow-related problems with their offshore revenue cycle partner. Management of the workflow was inconsistent with little communication between departments. "Things" were falling through the cracks, most notably, revenue. As the software provider looked to rebuild its value proposition, improving customer satisfaction was a priority, its leadership team asked Access Healthcare to resolve these issues.
