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 that the cost of fixing and resubmitting each claim averages $63.76 for hospitals, this non-profit hospital aimed to clear claims through payers’ systems with a decreased time to payment.

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Before FinThrive

Difficulty isolating the leading and most impactful reasons for claim rejections

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

Insufficient data for effective payer negotiations

High administrative burden impacting financial performance

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Solution Highlights

Enables data-driven strategy adjustments

Leverages benefits from the implementation of Revenue Capture and Oracle Health claims integration

Identifies lost revenue and payer trends

Improves visibility into claim performance and bottlenecks

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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 A/R days

FinThrive Value

40%

Improved the claim rejection rate by over 40%

↓17

Shaved off an average of 17 days for paid claims

200+

Boosted productivity by over 200 additional claims processed per staff member, 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.