Methodist Health System, medical billing services, revenue cycle management, outsourcing medical billing, medical billing company, QPP participation, MIPS reporting services, clinicians, Healthcare service providers, MIPS program, Improvement Activities, practice management software, healthcare professionals, Medical Billing Process, medical billing companies, healthcare industry

Methodist Health System Remedied Revenue Cycle Management

Healthcare service providers and medical billing services in the USA have always rooted for automation. One thing is there is a lot of administrative loads that are attached to this industry.

Even when the clinicians have to send claims to payers, a third-party intermediary outsourcing medical billing company has to assist their needs. And how can we forget their QPP participation? MIPS reporting services are altogether another avenue.

How A Healthcare Facility Managed to Counter Revenue Cycle Problems?

Methodist Health System, a facility headquartered in Omaha also faced such issues that resulted in gaps in RCM. They, therefore, decided to automate their revenue cycle management implemented in2019.

How Did They Work?

They amalgamated with the AKASA to automate the revenue cycle as per the Cerner EHR.

Jeff Francis, vice president of Finance and CFO for Methodist Health System, states that they started with the considerable problematic areas that led down the revenue cycle. Their teams worked until the automation filled in manual errors in any capacity.

In retrospect, they say the automated revenue cycle was a systematic guide where all stakeholders learned about the pain points.

What Was the Outcome?

The outcome was quite fruitful that gelled well for medical billing services and the performance category of the MIPS program, Improvement Activities (IA).

They managed to:

  • Reduce healthcare cost delivery
  • Improve the patient financial experience
  • Empower patients likely in the billing

Ultimately, the team started educating the staff members about how automation can improve their roles in the capacity. Moreover, they started a debate on what jobs should be permanently eliminated to move forward with efficiency.

Having said that, it doesn’t mean that healthcare professionals lost their job! Revenue cycle management people now have more complicated jobs to handle.

How Automation Helps Expedite the Medical Billing Process?

The thing is automation has overtaken repetitive tasks. In all honesty, what is the need of a staff member to spend their time checking the status of each claim and ticking it in the practice management software?

With their Methodist’s automation method, their medical billing services now don’t have to send updated denied claims to payers.

With all the considerations, it was estimated that automation is simply required to add value to the staff’s time.

The Facility Wishes to Go with the Futuristic Approach

Now, the healthcare facility wants to broaden its perspective by adding machine learning and robotic process automation along the way.

Their team worked majorly on the new use cases in the front-end and mid-cycle. However, they are looking for new ways to automate the process.

Can We Completely Rely on Automation?

The truth is we are slowly reaching the pinnacle of automation of the industry where there are dead ends. For instance, some complex claim compilation cases could be handled only with manual knowledge. Automation or machine learning fails there.


Now not just this healthcare facility, but many others are also moving towards technology innovation. The idea is to reduce the manual overhead that takes away precious working hours. In the end, medical billing companies and the overall healthcare industry will be improved. We now have a case study in front of us. So, when in doubt, this study will help you stay on the right path.

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