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Revenue Cycle Assessment

In addition to specialized billing services for various medical specialties, TriumpHealth also offers revenue cycle assessment services.

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REVENUE CYCLE ANALYTICS

Transform Data Into Actionable Insights to Optimize Financial Performance

Is your healthcare organization experiencing stagnant or declining revenue despite growing patient volumes? You are not alone. In today’s healthcare industry, understanding where revenue leaks occur, and correcting them, is critical. At TriumpHealth, our Revenue Cycle Analytics solutions give you the data analytics and predictive models needed to improve outcomes, reduce waste, and increase profitability.

What Is Revenue Cycle Analytics?

Revenue Cycle Analytics refers to the use of real-time and historical data analytics to monitor and optimize each step of your billing process, from charge capture and coding errors to claim denials and patient payment collection.

TriumpHealth empowers you with revenue cycle analytics software that delivers:

Data-driven actionable insights
Root-cause analysis of denial trends
Monitoring of days in accounts receivable (AR)

Identification of operational efficiency gaps
Visualization of revenue leaks and financial performance metrics
Enhanced patient experiences through streamlined backend operations

Revenue Analytics

Why Revenue Cycle Analytics Matters

In the fast-paced healthcare industry, guesswork and outdated reports won’t cut it. Our analytics go beyond spreadsheets to offer predictive analytics that identify risk areas before they become problems. By leveraging our platform, you’ll:

Catch costly coding errors early
Understand true payer performance
Compare against MGMA and HFMA benchmarks

Improve patient payment collection timelines
Support value-based care initiatives
Strengthen compliance and reduce audit risks

What We Analyze

TriumpHealth’s RCM experts perform a comprehensive review of:

Patient demographic accuracy & insurance eligibility
Charge capture and CPT coding validation
Claim submission accuracy and denial trends
Days in accounts receivable and outstanding balances

Payment posting efficiency and reconciliation
Patient payment behavior and billing communication effectiveness
Financial performance by provider, service, and payer
Operational efficiency across administrative workflows

We don’t just deliver numbers, we deliver actionable insights backed by benchmarks, trends, and customized performance dashboards.

Features of Our Revenue Cycle Analytics Platform

Our cloud-based revenue cycle analytics platform is designed for medical practices, specialty groups, and hospitals alike. Key features include:

Custom KPIs and dashboards
Automated alerts for anomalies (e.g., claim spikes, sudden denial increases)

Built-in predictive models for revenue forecasting
Drill-down capabilities by provider, payer, and location

Who We Serve

Our analytics services support a wide range of healthcare entities, including:

Independent specialty clinics
Group medical practices
Hospital systems and ACOs

Ambulatory Surgery Centers
Medical office administrators and healthcare executives

Frequently Asked Questions

Q 1: How do predictive analytics help in revenue cycle management?
Predictive analytics help you forecast payer behavior, identify coding or billing issues before they escalate, and proactively adjust workflows to avoid revenue loss.

Q 2: What are the most important metrics to track in revenue cycle analytics?
Key metrics include days in accounts receivable, first-pass resolution rate, denial rate, collection efficiency, and patient payment timelines.

Q 3: How does this service improve patient experiences?
By reducing billing errors and ensuring smoother communication, our tools enhance billing transparency and improve patient experiences.

Ready to See What’s Costing You?

Stop the guesswork and start using data analytics that deliver real returns. Whether you want to reduce claim denials, improve compliance, or boost collections, TriumpHealth’s Revenue Cycle Analytics is your strategic partner for long-term growth and financial clarity. For more information Call us at (888)-747-3836 X0 or Email us at [email protected]

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Revenue Cycle Assessment FAQ

Our Process

1

Data Collection and Analysis

Gather financial and operational data related to the revenue cycle, including expenses associated with billing and collections processes, claims management, denials, payment posting, coding accuracy, and reimbursement rates.

Analyze key performance indicators (KPIs) such as accounts receivable (AR) days, clean claim rate, denial rate, net collection rate, and days in accounts receivable to identify areas where costs impact revenue cycle efficiency and effectiveness.

2

Process Evaluation and Workflow Analysis

Evaluate current revenue cycle processes and workflows to identify inefficiencies, bottlenecks, and areas of potential revenue leakage that contribute to the cost of doing business.

Map out the end-to-end revenue cycle workflow, from patient registration and scheduling to claim submission and payment posting, to pinpoint areas where costs can be reduced or eliminated through streamlining and optimization.

3

Root Cause Analysis and Problem Identification

Conduct a root cause analysis to identify the underlying reasons behind revenue cycle challenges that drive up the cost of doing business, such as coding errors, claim denials, payer issues, or operational inefficiencies.

Prioritize identified problems based on their impact on revenue and financial performance, focusing on high-impact areas for immediate cost-saving measures.

4

Recommendations and Action Plan

Develop recommendations and an action plan based on the findings of the assessment to address identified challenges and reduce the cost of doing business in the revenue cycle.

Prioritize action items and assign responsibilities to key stakeholders for implementation, focusing on strategies that offer the greatest potential for cost savings and efficiency gains.

Establish metrics and benchmarks to track progress and measure the effectiveness of implemented solutions over time, ensuring that cost-saving measures contribute to improved revenue cycle performance.

Provide ongoing support and monitoring to ensure successful implementation and continued reduction in the cost of doing business within the revenue cycle.

Benefits of Working with TriumpHealth

Revenue Cycle Assessment

Experienced Specialists

Benefit from a team of AAPC-certified professionals with deep industry knowledge and experience in various medical specialties.

Data-Driven Insights

Utilize our insights to identify common coding errors, undercoding, or overcoding instances, and areas for improved clinical documentation.

Tailored Recommendations

We provide actionable feedback and tailored strategies to enhance your documentation processes, maximize reimbursement, and minimize the risk of audit findings.

Staff Education

Strengthen your team’s skills with targeted education sessions based on audit findings, aimed at preventing future documentation and coding issues.

Get Started with TriumpHealth Today

Contact us today to learn more about Revenue Cycle Assessment and how we can support you.

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Maximize Your Revenue. With Expert RCM Services

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