Lean Processes: Going Digital Without the Waste

With razor-thin margins, ever-increasing healthcare costs, and more regulatory concerns than ever before, medical facilities must optimize business processes to ensure a viable future.

To help healthcare organizations operate at peak-performance, Persistent can design and deploy solutions to help manage payer and revenue cycles, claims and remittance denials, as well as contracts and patient billing. We also offer a wide range of process improvement services to optimize reimbursements, connect business and clinical functions, and provide mobility to non-clinical personnel. We can design financial dashboards to improve your visibility so you can maintain control and improve decisions.

Customer Success Snapshot

Global Healthcare Consultancy
Developed Claims Reimbursement Solution
Challenge
  • Wanted to improve claims reimbursement process
  • Needed to identify underpaid, denied, and erroneous claims
  • Hoped to close gap between actual and expected reimbursements
  • Wanted to streamline collections
Persistent Solution
  • Deployed a secure, web-enabled ASP-based claims platform
  • Developed a calculation engine to pinpoint payment discrepancies and predict revenue potential
  • Designed an advanced workflow engine across departments to overturn denials and increase recovery of underpaid claims
  • Created financial dashboards and reporting tools to illustrate performance trends and identify the root cause of discrepancies
  • Deployed a contract analysis tool to help improve payer contract negotiations and increase yields
Results
  • Streamlined payment recovery efforts and recovered millions of dollars in just one year
  • Increased first-pass clean claims by 11%
  • Improved net accounts receivables financial reporting

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