Revenue Cycle Business Process Outsourcing (BPO)

Contrary to popular belief, the highest cost associated with revenue cycles is not labor, but rather, the unrealized net revenue from insured business. This unrealized revenue can be up to 20% of revenues, and even well performing revenue cycles often have total opportunities of 12-15% of insured net revenue that remain un-realized. By outsourcing your revenue cycle operations, your organization can receive up to 7% of additional operating margin previously not captured.

This large opportunity has continued to reside in most provider revenue cycles despite efforts to implement additional technology, and despite the implementation of traditional means of “revenue enhancements”. Our approach to revenue cycle management differs vastly from traditional approaches by using a holistic approach that is based on Toyota Production Systems (TPS). This philosophy and methodology is the benchmark worldwide across industries for producing superior results for lower costs. The specific business model has been developed by adapting Toyota Production Systems to healthcare revenue cycles over the course of several years, arriving at a business process outsourcing solution that provides all the benefits of a TPS based organization in addition to the benefits associated with outsourcing. By outsourcing the revenue cycle, your organization will benefit from the financial results that will be delivered. All learning our organization and our partners have achieved can be directly transferred to your processes, and all future research and development benefits will be overlaid onto your organization immediately.

Our business process outsourcing solution differs from traditional offshore solutions. Since Toyota Production Systems is the key methodology in use, the revenue cycle resources in our solution are kept locally, off shore services are explicitly not used as part of our business process outsourcing solution. Superior results, compared to off shore solutions, are achieved by providing a continuous improvement infrastructure and local flow based processes. Our processes have been proven time and time again to outperform off shored solutions.

This combination of delivering superior financial results, reaping the benefits of business process outsourcing and keeping employment in the communities your organization serves presents a unique solution greatly benefiting your organization.

For more information please contact us.

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