Case Study
RCM Technology Adoption Model

UC San Diego Health Significantly Improves RCM Outcomes with RCMTAM

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Business issue

UC San Diego Health faced mounting financial pressures, including increasing inflation, poor payer rates and challenges with patient collections. To address these challenges, the health system needed a way to assess and enhance their Revenue Cycle Management (RCM) technology without deviating from their existing strategic road map.

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Before FinThrive

Point of service (POS) collections percentage of net patient service revenue was at a low 0.8%

Clean claims rate was also suboptimal, standing at 93%

The organization had difficulty prioritizing and adopting RCM technologies that would deliver the most significant positive impact

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Solution Highlights

Utilized the RCMTAM (Revenue Cycle Management Technology Adoption Model) as a benchmarking assessment to identify wins and shortfalls in their RCM performance

Engaged in a comprehensive evaluation of the most valuable and mission-critical areas within their organization, ensuring resources were realigned towards areas that would yield the most significant improvement

Fostered team collaboration by bringing everyone together to focus on the areas needing improvement

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Customer Overview

Public, not-for-profit academic health system

San Diego, California

Uses Epic’s EHR system

1,101 beds

FinThrive Value

$2M+

Increased POS collections $2M+ in one year; net patient service revenue went from 0.8% to 1.1%

↑4.6%

Increase in clean claims rate from 93% to 97.6% and reduced denial rates

“The RCMTAM tool provided us with the clarity and direction we needed to either improve our metrics considerably or maintain transparency on stable KPIs. It’s been invaluable in helping us pivot resources and realign strategies.”

Miguel “Mike” Vigo, IV
Chief Revenue Officer, UC San Diego Health

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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.