GPS: Revenue Cycle Workflow and Analytics
Providers across the country are facing the financial impacts of the economic shift, compliance / regulatory changes, increased competition, advancing managed care, and technology requirements. In order to be successful, they are looking for ways to:
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Accelerate Cash
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Manage Margin
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Reduce AR
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Improve Charity Processes
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Reduce Denials and Bad Debt
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Protect Tax-exempt Status
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Enhance Reserve Calculation
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Increase Worker Productivity
Services
Navigant has a proven track record of successfully enabling providers to move beyond the relentless challenges they face. Our revenue cycle solutions specialists have worked with providers to increase cash flow, improve net revenue, reduce denials and empower organizations to take control of their financial health. By merging this knowledge with the technical expertise of Benchmark Revenue Management, we created the GPS Health Revenue Cycle Solution – a powerful web-based tool suite that supports the next class of revenue cycle management.
GPS Health is a web-based, revenue cycle workflow and reporting tool that combines leading industry experience and results-oriented technology, consolidates data from disparate systems and reduces the cost and time necessary to manually produce dashboards and reports.
It provides one access point, one log-in, one contract, one price, one support team and one comprehensive solution. Used independently, each solution promotes effective workflow and increased accountability. Utilized together, the program provides seamless integration across the revenue cycle. As an integrated web-based platform, it enables you to streamline your operations, increase productivity, and ultimately improve performance and financial outcomes.
If you’re considering tools to help you manage your revenue cycle, look beyond single point or standalone solutions, and implement a comprehensive set of tools that span the Revenue Cycle from front to back office.
Performance Tracker – Revenue Cycle Dashboards and Reports
Performance Tracker is a performance management and reporting tool that monitors and trends key performance indicators, goals and benchmarks in dashboards and reports to enable quick and actionable decisions.
QA Auditor – Data Quality Assurance
QA Auditor is a real-time, front-end quality assurance tool for proactively determining the accuracy of information captured by Patient Access. This tool facilitates the identification of accounts with data quality errors prior to the bill drop so errors can be corrected at the time of service and effectively reduces bill errors and denials. It also calculates errors rates by registrar.
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GPS Health
Revenue Cycle Solution
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GPS Health
Denial Avoidance Solutions
Access Coordinator – Financial Clearance Management
Access Coordinator is a real-time front-end workflow management and reporting tool for financial clearance / pre-access staff and point of service staff. This tool can help providers to effectively centralize pre-service activities or support a decentralized structure. With comprehensive workflow for pre-registration, insurance verification / benefit eligibility, pre-certification / authorization, patient liability estimation and pre-service collections, this tool allows users to automate the management of the financial clearance activities. Rules can be established to identify and prioritize accounts that require authorization or financial clearance activities. It also provides a checklist function in the form of dashboards to prompt registration staff to complete all financial clearance activities are complete prior to service.
Financial Counseling Management
The Financial Counseling Management tool is a real-time front-end workflow management and reporting tool for managing self-pay, charity and Medicaid qualification processes. This tool automatically routes self-pay accounts to financial counselors and utilizes custom checklists and automated reminders to facilitate the financial counseling process. Custom letter templates, payment plan assessments, and financial qualification algorithms and questionnaires are some of the tools that assist with driving effective tracking and performance reporting for this function.
AR Accelerator – AR/ Follow-up Management
AR Accelerator is an accounts receivable management tool that provides workflow, reporting and productivity tracking for Patient Financial Services. It combines data from disparate systems and applies rules logic to effectively prioritize accounts appropriately based on dollar, timely filing thresholds or other key account factors. Staff set activity and root cause codes as they work accounts to allow for later reporting and trending. By allowing staff to focus on the most important account, cash flow is increased.
Denial Investigator – Denial and Payment Variance Management
Denial Investigator is a denial and payment variance management tool that provides workflow, reporting and productivity tracking. It enables staff to have a comprehensive view of account activity and prioritize the most important accounts as well as send information to other areas of an organization. Using root cause codes allows for extensive trending and reporting. This enables facilities to not only track appeal results, but also to resolve issues that are leading to denials.
“GPS Health sets a new standard for denial management and collections that provides real bottom- line impact and sustainable ROI.”
St Joseph’s Healthcare System, Paterson, New Jersey
“After a six week implementation, we experienced total data integration and intuitive workflows. This helped to resolve account inventory issues and organize denial strategies, helping us realize a 20 day improvement in AR days. The entire team is excited about its potential."
St Joseph’s Hospital, Atlanta, Georgia
Learn more about the GPS Health Revenue Cycle Solution results.
See Navigant's Health System Performance Improvement services.