Case Study
Claims Manager

North Oaks Hospital Successfully Switches to FinThrive and Improves Clean Claim Rate

Business issue

North Oaks Hospital faced significant challenges with their prior Claims Management vendor, particularly in reconciliation and customer service. They turned to FinThrive for superior integration with Epic EHR, customer service, Medicare Direct Claims and reconciliation.

Before FinThrive

The previous vendor inaccurately reported that Medicare claims had been sent to the payer when the claims were stuck in a loop within the system. This caused a six-week delay for $26 million.

Poor customer service and lack of accountability. The vendor did not own the mistake.

Solution Highlights

Superior EHR integration to enable staff to work directly from within Epic to avoid using two tools, and to enjoy a single-source-of truth with real-time updates

Reliable reconciliation that accurately reports claim status

Excellent customer service with knowledgeable and experienced staff that are quick to respond and available around the clock

Customer Overview

Public, not-for-profit healthcare facility offering a wide range of medical services, including emergency care, surgery and specialized treatments in Hammond, Louisiana

Uses Epic’s EHR system

↑12.65%

Improved clean claim rate from 84% to 96.65%

1.34%

Achieved a rejection rate of only 1.34%

18

Reduced average pay date from commercial payers to 18 days, despite 30-day payment terms

“We switched to FinThrive because of their superior integration with Epic EHR, customer service, Medicare Direct Claims, reconciliation, analytics and reporting, as well as compliance and auditing. Many of FinThrive’s staff are industry experts. FinThrive holds themselves accountable if a mistake occurs. Unlike our previous vendor, we can rely on FinThrive for accountability, communication and customer service.”

Lynn Toler
Director of Patient Financial Services

Revenue management without limits

FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.

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