"We’re breaking down all of the barriers to payment. When a patient receives a bill, any obstacle that leads them to not pay the bill must be overcome."
"Southern Prairie Community Care (SPCC) is a 12 county collaboration in southwestern Minnesota. SPCC has 26,000 attributed members and saved taxpayers more than $10 million dollars in projected State spending. Fuse reduces interoperability implementation time and provides aggregated data from across multiple EMRs and data systems for care coordination and analysis."
“We are now able to process claims daily and obtain faster reimbursement, and claim denials are less than two percent. We can also provide our clients web-based access to all their data while still complying with HIPAA.”
“Right now, we’re reporting the basic stats to the management team. The next step is to formalize a program where we use this trend data and meet with specific departments on a regular basis to discuss their performance and have a discussion about changing internal processes.”
“We’re out there taking these leaps, and we’re far ahead of the curve in getting where healthcare needs to go. RelayHealth is likewise trying to stay ahead of things. It’s a strong partnership and we’re both benefiting.”
“Because the edits are in place before the effective date, we can let our coding department know what’s coming, and they can make the change."
“We’re looking at the kind of edits we’re seeing, and we’re working with Health Information Management and other departments to get errors cleaned up so that when we get it, it’s virtually a clean claim, and it goes out the door.”
“Based on other software I’ve used, this is more user-friendly and flexible. It can place specific rules around a claim, instead of just getting a claim from point A to point B."
“RelayHealth is a strategic partner who understands the business needs of today’s health plans. RelayHealth PCS is a game-changer that will allow us to be more agile with regulatory changes and to deliver new electronic services to our providers.”
“Communication was the number one success factor between [UHS and Change Healthcare].”
“Having Change Healthcare come in and provide an independent voice was a great experience for many reasons. Of course, the end result – getting through a CMS audit in the same year with the score we achieved – I think that really reflects what Change Healthcare was able to help us accomplish.”
"We’ve all heard horror stories about practices that change billing vendors. So naturally, there was a lot of concern. But Change Healthcare has the process down to a science, and we couldn’t be happier with how it all turned out.”
“Physicians were happy not to have the patient get inappropriately admitted. The patient’s need was met. The caregiver’s need was met. Improving inpatient utilization is for the good of everyone — ultimately it’s for the good of the community."
"By making evidence-based, objective criteria an integral part of the conversation we were able to reduce denials and lower our average daily census. We have improved the quality of care and the value that we deliver to our community."
“The purchase of that software was minimal compared with the $3.1 million we were losing.”