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Revenue Cycle Training for Success and Interim Leadership Planning

2025-06-16T21:01:43-04:00

Implementing a new Electronic Health Record (EHR) system is a complex, organization-wide undertaking that demands careful planning, cross-functional collaboration, and strategic foresight. Ultimately, the transition will affect every level of a healthcare organization. Successful EHR adoption hinges on several foundational elements, but two stand out as particularly crucial: Early, role-specific training and strategic interim leadership. Both play vital roles in supporting change management and minimizing risk.

Revenue Cycle Training for Success and Interim Leadership Planning2025-06-16T21:01:43-04:00

Establishing Revenue Cycle Return-to-Baseline Metrics and Targets Post Epic Go-Live

2025-05-01T22:01:54-04:00

Implementing an Electronic Health Record (EHR) system, like Epic, can significantly transform healthcare organizations, bringing long-term benefits but often disrupting revenue cycle operations. Establishing clear return-to-baseline targets helps track success post-implementation and ensures financial stability. While returning to prior performance is a short-term goal, the long-term objective is to outperform past targets and improve revenue realization rates. This article highlights key metrics to monitor, strategies for surpassing baselines, and expected timelines for [...]

Establishing Revenue Cycle Return-to-Baseline Metrics and Targets Post Epic Go-Live2025-05-01T22:01:54-04:00

Streamlining for Go-Live: A Comprehensive Vendor and Tool Assessment for Epic Revenue Cycle Success

2025-06-16T16:08:37-04:00

One of the most overlooked yet critical components of a successful Epic revenue cycle implementation is the thoughtful evaluation of current third-party vendors and tools. As your organization transitions to Epic, failing to assess which systems should be retired, retained, or integrated can lead to duplicate functionality, poor data flow, and wasted spend.

Streamlining for Go-Live: A Comprehensive Vendor and Tool Assessment for Epic Revenue Cycle Success2025-06-16T16:08:37-04:00

Right People, Right Roles: Staffing and Leadership Strategies During an Epic Implementation

2025-06-16T16:07:46-04:00

Implementing Epic’s revenue cycle suite is one of the most critical undertakings a health system can pursue. While much attention is given to system build and go-live timelines, one of the most overlooked – and often most disruptive – elements is what happens to your people during this transition.

Right People, Right Roles: Staffing and Leadership Strategies During an Epic Implementation2025-06-16T16:07:46-04:00

HFMA Western Region Symposium 2025: Three Key Takeaways

2025-02-21T21:48:21-05:00

Now that the dust has settled, the LinkedIn connections finalized, and the minds expanded, let’s review our key thoughts from this year’s HFMA Western Region Symposium. AI Continues to be at the ForefrontStroll through the Vendor booths of the Symposium and you’ll notice that most are pedaling AI in some way, shape, or form. AI has been top of mind since ChatGPT took the world by storm in November 2022. Automation has been [...]

HFMA Western Region Symposium 2025: Three Key Takeaways2025-02-21T21:48:21-05:00

The Critical Role of a Comprehensive Revenue Cycle Assessment Before an Epic Implementation

2025-02-16T20:47:09-05:00

Implementing Epic is a significant transformation for any healthcare organization. While the platform offers unparalleled capabilities in revenue cycle management, failing to conduct a thorough revenue cycle assessment of your current state before beginning the implementation journey may lead to operational disruptions, financial instability, and missed improvement opportunities. By proactively evaluating existing legacy processes, leadership structures, financial opportunities, and current system integrations (both bolt-on and process partners), organizations can streamline implementation and position [...]

The Critical Role of a Comprehensive Revenue Cycle Assessment Before an Epic Implementation2025-02-16T20:47:09-05:00

The Power of the Unknown: Leveraging AI to Aid Your Revenue Cycle Practice

2024-12-12T10:40:43-05:00

Let me start by saying that while AI (Artificial Intelligence) has been hailed as a game-changer, I approach it with a fair degree of skepticism. It is easy to be swept away by the hype, but AI is a tool that brings several pitfalls. Misinformation is a common byproduct of AI systems, and, without proper oversight, they can easily go awry. The technology often falls short of the grand claims made about [...]

The Power of the Unknown: Leveraging AI to Aid Your Revenue Cycle Practice2024-12-12T10:40:43-05:00

Emerging Payment Models: Value-Based Care and its Impact on Revenue Cycle

2024-09-26T07:30:01-04:00

OverviewOver the past several years, hospitals and health systems have continued to face significant challenges such as rising inflation and staff shortages. These issues have strained many providers' missions to deliver high-quality health care. Emerging payment models, particularly Value-Based Care (VBC), are at the forefront of ensuring positive patient outcomes while addressing these challenges.Opportunities and ConsiderationsValue-Based Care represents a paradigm shift in healthcare reimbursement, moving away from the conventional fee-for-service model towards [...]

Emerging Payment Models: Value-Based Care and its Impact on Revenue Cycle2024-09-26T07:30:01-04:00

Designing and Calculating Your System’s Denial Rate

2024-06-28T18:40:40-04:00

As electronic health records systems and vendor tools have become more and more sophisticated, a myriad of metrics and KPIs are readily available to health systems with the click of a button. Some executive scorecards can have upwards of 20-30 metrics for ongoing reporting! A system’s denial rate is typically one of these metrics but is usually not one that is fully understood due to the complexity of denials data.Since denials touch [...]

Designing and Calculating Your System’s Denial Rate2024-06-28T18:40:40-04:00

Bringing Transparency to Epic Hospital Billing

2024-04-22T21:43:49-04:00

All too often, when ramping up at a new Epic client, PinnacleHCA consultants find ourselves sifting through Excel-based dashboards to validate data, trends, or issues. Additionally, it is not uncommon for a CFO, Director of Revenue Cycle, or functional Team Lead to approach us with questions around how to track down specific account populations for projects such as a Medicare audit or rebill initiative.Epic comes with many bells and whistles that allow [...]

Bringing Transparency to Epic Hospital Billing2024-04-22T21:43:49-04:00
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