Case Study

Planning and implementation strategy for a complete revenue cycle transformation program to include billing system implementation, operating model re-design and financial metric improvement

University of Chicago Medical Center

Falcon Consulting's revenue cycle experts partnered with a leading Midwest academic delivery system to define and plan a holistic Revenue Cycle Transformation Program, which included the implementation of Epic's resolute suite of products

The Situation

Non-Profit Integration Delivery System

  • Little integration between medical center and physician group

  • Using multiple system vendors for EHR at varying levels of maturity

  • Limited documentation-based charging triggers

  • Complex billing processes and complicated payer contracts

Large academic medical center, affiliated physician group and ancillaries

550+ Beds

11,515 Admissions
11,329 OP Surgeries
76,000 ED Visits

The Falcon Solution

Falcon's "Rapid Implementation Planning Solution

  • Align stakeholders and leadership behind a single vision of the future operating model

  • Determine scope, resourcing, budget, funding and support plans for end goal

  • Measure financial impact of implementation and develop a comprehensive business case to measure ROI

  • 3rd Party Vendor Consolidation strategy for improved integration

Increase integration through centralization and consolidation

Complete organizational buy-in for a single patient statement

Improved claims processing workflows and load balancing of edit volume

Automated charging plan for improved revenue capture

  • Fully defended and budgeted 22 month transformation program with executive approval and stakeholder buy in

  • Complete TCO which included licensing fees, 3rd party support, internal FTE requirements, and technical infrastructure

  • Identification of quick wins that will improve operations prior-to transformation program go-live

  • Full buy-in for the programs successes, and identification of key performances indicators, and how to "define success"

  • Initiations of Governance structure and expanded program oversight

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