- Case Study -

Sauk Prairie Healthcare

SPMH put their trust in OS inc. for a seamless transition to efficientC and experienced an improved denial rates, GDRO and cash.

 

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Overview

Sauk Prairie Healthcare is a 36-bed, not for profit acute care hospital located in Prairie du Sac, Wisconsin. Sauk Prairie Healthcare has been named in the nation's 100 Top Hospitals by Truven Health Analytics and was recently named in the top 5% for patient satisfaction by Press Ganey, thereby earning the prestigious Guardian of Excellence Award. The business office handles the hospital, two surgical specialty practices and four primary care clinics, serving more than 40,000 people in the Prairie du Sac area.

Solution

At the time Sauk Prairie Healthcare partnered with OS inc., the business office was experiencing issues with its claim system. Sauk Prairie Healthcare put their trust in OS inc. for a seamless transition to efficientC. Shortly after, they experienced improved denial rates, GDRO and cash. The staff has also found the automated workflow is beneficial to achieving a higher level of productivity.

OS inc. has provided other services such as:

  • Clearinghouse services
  • Denial management
  • Billing support
  • Backlog clean-up
  • Staffing coverage
  • Special projects

Results

Sauk Prairie Healthcare saw tangible improvements in a short amount of time. In a 6-month period, dollar amounts from denials plummeted from $1 million to $614,000. Revenue Cycle Director Nicole Querio notes that when OS began working an account clean-up project, aging was significantly reduced. "I could immediately tell OS was working the accounts," she says. "It was unbelievable.

"It's been great working with everybody on the OS staff. They are always looking one step ahead when it comes to system enhancements and eliminating denials. The technology is great!"

See The Power of Our Products

efficientC and Insights have joined forces to deliver the industry's ultimate denial prevention product available today. 

Built by revenue cycle experts for healthcare billing specialists, efficientC is a claim management and analytics software product. It combines a responsive clearinghouse and claim scrubber tool with its Insights analytics platform that work together to get you the highest number of claims paid on the very first submission.

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