BRG has a longstanding partnership with an academic medical center (“AMC”) that has $4.2 billion net revenue, over 36,000 staff members, and 1,500 physician members. The 1,200+ bed system includes three hospitals, university–affiliated physicians and community private diagnostic clinics. The system provides over 60,000 inpatient admissions and over 1.3 million outpatient visits a year.
AMC manages its revenue cycle through the Patient Revenue Management Organization (PRMO). At the PRMO, revenue cycle leadership oversees many centralized functions for hospital and physician visits, including Pre-Registration, Insurance Verification, HIM/Coding, Billing, Follow-up, Denials and Patient Balances. Most workflows and data are housed in Epic, following AMC’s system-wide conversion to Epic in2013.
One year post-Epic go-live, AMC was experiencing a growing accounts receivable and identified a need for tools and reporting to effectively manage staff and inventories. AMC leadership brought in BRG for a dedicated A/R clean-up and sustainability engagement.