Revenue Cycle: Addressing the Talent Gap While Improving Performance

Over the last three years, healthcare systems (hospitals + medical groups), specifically within the Revenue Cycle function, have seen a dramatic shift in the standard for Talent and Performance.  Reimbursement changes, consumer demands / expectations, the breakdown of silos and the centralization of key functions has demanded more sophisticated and higher quality talent who can deliver top notch results – financial, operational and cultural performance.  Many health systems throughout the country, and more specifically in smaller but competitive markets, have struggled to fill key Revenue Cycle leadership roles with the right level of talent. TALENT. RoundTable’s interim leaders (industry top talent) have lived inside the four walls of a healthcare system for the majority of their careers, leading successful and high performing teams and functions (both Hospital & Ambulatory), and now leverage their strong background and experience to assist organizations in filling Interim Revenue Cycle Leadership roles while also improving performance, centralizing / standardizing key functions, developing [...]

2018-10-26T09:36:36+00:00 October 26th, 2018|Interim Healthcare Executives, Revenue Cycle|

Epic Community Connect: Thinking About Deploying – Five Key Topics to Consider

Deploying a Community Connect Program is a hot topic within healthcare organizations using Epic today. Health system leaders are curious about how other organizations kick started their programs… what was their pricing / contracting strategy, what were the lessons learned, what would they have done differently, what was the biggest hurdle…? As I look back, the common theme or challenge is an organization’s ability to look at an Epic Community Connect Program as a strategic initiative that requires thoughtful collaboration with operational, clinical, financial and revenue cycle leaders. It is more than an IT project. In my experience, health systems are challenged with devising a realistic, programmatic and strategic plan that clearly articulates and aligns to organizational goals, community’s needs, growth plans, financial viability (pricing, implementation & on-going maintenance) and additional management service offerings (i.e. revenue cycle). Below are five key topics to consider and questions to answer BEFORE embarking on your Epic Community Connect Program. Governance [...]

2018-07-25T17:36:30+00:00 July 25th, 2018|Epic|

Coders: A Major Puzzle Piece in The Revenue Cycle

Finding all the pieces of a puzzle is sometimes difficult.  One thing in healthcare that is clear-- coders are a big part of the Revenue Cycle puzzle.  After attending the AAPC HealthCon 2018, two concepts are extremely evident: 1. Coders own a critical piece of the revenue cycle puzzle. 2. Coders need to expand their knowledge of revenue cycle operations by engaging in cross departmental discussions that have typically taken place in silos and should be viewed as a strategic resource to help SOLVE the puzzle! The What:  What do they need to know?  Coders’ expanded knowledge is now required to fully understand their role within the revenue cycle.  Their job can no longer be that of just silent coding for hours, day in and day out. Rather, there needs to be an educational component of how they fit into the revenue cycle and how their role, which is sometimes overlooked, is an integral part of optimizing [...]

2018-06-06T14:41:29+00:00 June 6th, 2018|Revenue Cycle, Uncategorized|

Epic Implementation – Plan, Build, Go-Live ….Then What?

How Permanent Resource Placements Yield Greater Budget Savings and Ongoing Support in The Epic Life Cycle For health systems, hospitals, and physician groups, the life cycle of an Epic system can be broken down into two phases: Plan, build and implement in Phase 1, followed by Phase 2 - internal support and optimization.  Unfortunately, as many of our clients have found, once the implementation go-live phase is complete, cost and knowledge retention drastically change due to underestimating the expenses and efforts required when consultants leave. Has your organization experienced budget, staffing, transitioning and maintenance challenges after go-live? Have you lost the best talent on your application teams because they were a contracted consultant? Have you realized that projected post-live support and optimization budgets were significantly under-calculated? Are you recovering from a sub-optimal transition to post-live long-term support? If you answered ‘yes’ to any of these questions, then you understand that resource transitions can get tricky.  They are [...]

2018-05-22T00:16:12+00:00 May 22nd, 2018|Epic, Resource Management|

Building Blocks to a Successful Revenue Integrity Program

According to industry experts and research, 68%* of organizations that implemented a new revenue integrity department increased net collections and gross revenue capture. Alignment between health system CFOs, Revenue Cycle, Physician, Compliance and Operational leadership is critical to successfully launch or enhance a Revenue Integrity strategy and program.  Leveraging outside experts who have designed, implemented and built Revenue Integrity programs inside complex delivery systems can balance the organizational drive to increase revenue with the imperative to comply with legal and contractual rules. Partnerships with health system leadership can assist in creating a strategy, defining an achievable plan to optimize your existing Revenue Integrity program or implement a program that mitigates risk to revenue - ensuring compliance, leveraging existing coding/charge capture tools and technology, and creating a sustainable model to embrace both fee for service and value-based care reimbursement models. Below are 7 Key Steps to Consider When Building Your Revenue Integrity Program Obtain buy-in with Executive Leadership, [...]

2018-05-03T11:10:39+00:00 April 12th, 2018|Revenue Cycle|

Accelerating Change with Interim Healthcare Executive Leadership – Part 2

An Interim Healthcare Executive Leadership strategy can help healthcare organizations and medical group practices to: 1. Accelerate change, 2. Catalyze operational initiatives, and 3. Keep the organization moving forward.  In addition to knowing who the Interim Healthcare Executive can be to your organization, you must know the right time to search and for whom you are searching.  When to Hire and What to Look for in Your Next Interim Healthcare Executive? When Full Plates Become Overflowing Platters - In the C-suite, we often feel that we are running out of time – health care is changing so rapidly.  Financial and reimbursement uncertainties, for example related to the Accountable Care Act, coupled with daunting budget challenges often pressure senior leaders to cut needed executive roles and skimp on leadership development training of promising administrative and physician managers, which could fill the senior leadership gap. The result is a chronically overwhelmed leadership team with an endless cascading list of [...]

2018-03-21T17:40:54+00:00 March 21st, 2018|Interim Healthcare Executives|

Never Stop Learning and Leading – HIMSS18 Takeaways

Each year, the RoundTable team book their flights for the annual HIMSS conference, and 2018 was not any different.  We were eager to get to the conference to meet new industry leaders and hear more about one of the conference’s main themes centered around the patient experience, which aligns perfectly with our Management Consulting service lines – Healthcare Customer Experience & Relationship Management (HCxRM) and Revenue Cycle Growth & Integrity. As we attended multiple sessions and walked the show floor, we saw several trends and had six major takeaways: 1- Interoperability The industry is experiencing interoperability issues which have spawned a whole host of middleware and interoperability vendors and consultants. The true solution relies upon creating and enforcing healthcare standards within the software frameworks themselves instead of allowing health records companies to continue to develop proprietary software. 2- Technology, Data and Analytics...and what to do with it? In the early days of the internet, websites had the [...]

2018-03-15T17:58:13+00:00 March 15th, 2018|Conferences, HCxRM, Management Consulting, Revenue Cycle|

Improving the Provider and Patient Experiences Do Not Need to Conflict With Each Other

In today’s healthcare environment, providers are faced with a multitude of tasks that go beyond simply diagnosing patients. Their day-to-day work efforts span from refilling prescriptions and reviewing lab results to the copious documentation requiring digital storage in the EHR. All this work results in shorter visits, fewer patients being seen, and longer work hours catching up on the documentation, notes and inbox messages - leading to provider fatigue and a lack of satisfaction. The challenges that providers face is a domino effect that results in difficulties for patients to schedule appointments at the time of need, at a convenient location and with their provider of choice.  When patients end up getting an appointment, they find themselves waiting in the office long after their scheduled appointment time to be seen. Worst of all, when they are finally seen, the provider briefly speaks to them and is forced to rush off to try to stay on schedule or [...]

2018-02-07T17:10:56+00:00 February 7th, 2018|Access|

HIT Direct Hire Recruitment Best Practices

Healthcare IT talent - specifically Epic certified and Cerner experienced - is a limited and complex commodity, making the recruitment and retention process for these experts equally complex in a tight, candidate-driven market. The majority of HIT FTE roles are crucial in keeping optimal clinical and operational workflow. If the roles are not filled with the perfect talent, there will be a significant and immediate impact on care delivery, revenue cycle, operational and fiscal performance, HIT internal team retention, and stakeholder satisfaction.  This scenario is daunting for hiring leaders, many of whom feel like they are not in control of the recruitment process. Through many decades of healthcare direct hire recruitment success paired with deep healthcare industry expertise, RoundTable has identified key areas where hiring leaders can take control of the complex recruitment process, while making all the difference in identifying, recruiting and retaining the right talent: Make hiring a top priority. Many daily “fires” distract from [...]

2017-12-20T21:28:08+00:00 December 20th, 2017|Cerner|

Accelerating Change with Interim Healthcare Executive Leadership – Part 1

An Interim Healthcare Executive Leadership strategy can help healthcare organizations and medical group practices to: 1. Accelerate change, 2. Catalyze operational initiatives, and 3. Keep the organization moving forward. During the often 6-month plus process for recruiting a replacement for a key executive role, or during a time of leadership transition where the long-term value of the role is being assessed, the deployment of an Interim Healthcare Executive Leader can give senior leaders and their board of trustees a much-needed boost in these very challenging times. What Roles Do Interim Healthcare Executive Leaders Play? Interim Healthcare Executive Leaders are highly experienced, adaptable and reliable professionals.  They are enthusiastic and intrepid change agents who can quickly assess operational performance gaps, existing management strengths and weaknesses, and opportunities for improved physician alignment and integration. They provide senior leadership and/or the board of trustees the time they need to focus on other pressing issues during a prolonged leadership transition. More [...]

2017-12-20T18:24:20+00:00 December 7th, 2017|Interim Healthcare Executives|