The use of multiple systems with limited tracking capabilities hindered performance monitoring, while manual processes led to low staff productivity.
Surgical Information Systems (SIS) offers ASCs a smarter, more tech-enabled approach to managing surgery centers, from ASC software to Revenue Cycle Management (RCM) services. Delivering outsourced RCM across multiple client practice management (PM) systems made it difficult to monitor performance in one centralized location, and manual processes led to decreased productivity, leaving SIS Revenue Cycle Services (RCS) with significant challenges in optimizing their revenue cycle. Key obstacles included:
Lack of Confirmation for Successful Insurance Appeal and Records Submissions
Without reliable confirmation and tracking of appeals and records submissions, SIS RCS experienced delayed reimbursements, which further led to missed opportunities for timely follow-up and issue resolution.
Limited Visibility into Team Performance
SIS RCS struggled with the lack of visibility into staff performance surrounding denial management at both the individual and team levels, which made it challenging to manage efforts effectively and optimize productivity.
Implement a single technology solution that streamlines the process of creating and sending appeals, and track performance and productivity of AR staff.
To address these challenges, RCS implemented Appealio, DocVocate’s comprehensive denial management platform, providing full transparency into which appeals and records have been submitted, detailed submission tracking, and appeal generation automation. Key components of the solution included:
Delivery Tracker Updates and Status
Appealio offered real-time submission tracking for appeals and records, allowing staff to monitor progress and confirm successful delivery. This eliminated uncertainty in the submission process, enabling timely follow-ups, leading to faster resolutions and payments.
Payer Forms and Letters
Appealio automated the preparation of payer-specific forms and appeal letters, reducing manual effort while saving time. This ensured that all payer requirements were included, improving the likelihood of success and reducing delays due to incomplete submissions.
Team Performance Tracking
With Appealio’s built-in performance tracking, management gained real-time insights into the denial management productivity and effectiveness of their staff. The solution provides metrics on individual and team performance, allowing for immediate adjustments to maximize efficiency.
Appealio, a single, standardized and transparent solution, helped optimize and automate workflows, leading to a more productive, satisfied team.
Streamlined Workflow
Appealio has significantly streamlined the SIS RCS AR team’s workflow, enabling staff to be more productive by spending less time on manual tasks. With these efficiencies, staff can now allocate more of their time to higher-priority tasks, boosting overall productivity.
Increased Staff Satisfaction
The introduction of automation reduced the burden and stress of doing everything manually, allowing staff to save time and focus on work they found more meaningful.
Improved Visibility
With full transparency and detailed tracking of submitted appeals and outcomes, management and agents are better able to prioritize their work, leading to more timely follow-ups and faster payments.
6-10 minutes to build and send each appeal package vs. 15-30 minutes previously
40 days in AR vs 49 days previously
