Case Study
Claims Analyzer

Southeastern Health System Leverages Data to Improve Collections

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Business issue

Administrative costs now account for more than 40% of total expenses hospitals incur in delivering care to patients. Given the cost of fixing and resubmitting each claim costs hospitals an average $63.76, this non-profit hospital aimed to clear claims through the payer’s systems with decreased time to payment.

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Before FinThrive

Challenges isolating top and most impactful reasons for claim rejections

Time-consuming and inefficient processes to prioritize rejected claims for review and resubmission

Insufficient data which hampered effective communication and negotiations with payers

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Solution Highlights

Ability to review data and make strategy adjustments

Added benefits with implementation of Revenue Capture and the embedded claims integration with Cerner

Collaborated with FinThrive resources to identify lost revenue, payer and volume trends

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Customer Overview

A leading healthcare provider in Georgia

Non-profit hospital with advanced medical services

Dedicated to improving health and patient-centered care

Goals were to reduce claim rejections and AR days

FinThrive Value

>40%

Improved the claim rejection rate by over 40%

↓17

Shaved off 17 days to pay

>200

Boosted productivity by over 200 additional claims per person, per month

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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.