Revenue Cycle Edit Work Queue Optimization

Rev Cycle Work Queue Chart Image

Edit resolution staffing and education to optimize your pre and post-bill edit resolution processes.

e4 has developed an edit resolution workflow that is not only aimed at resolving the edits but training and educating the client’s staff that allows the client to be self-proficient within 30-60 days from our process implementation.

During the conversion and post go-live timeframe, there is inevitably a large number of “edits” that must be worked by an individual to move an encounter to the billing state of the revenue cycle process. Many facilities struggle with the volume of encounters that need moved to the billing state of the revenue cycle process. Furthermore, the education required to quickly resolve these encounters takes time and effort. e4 utilizes homegrown productivity tool, e4sight®, which captures data that enables e4 to offer custom staff augmentation/support services related to revenue cycle operations. Our goal is to provide clients with support services during critical times and get them back to a stable state before ending our engagement. Through e4sight®, users can capture individual performance or productivity by various roles or operations, and adapt operations accordingly. e4 Revenue Cycle can also provide the exact turnaround time and target recovery timeframes based on e4sight® analytics.

With a simple LEAN Engineering People, Process and Technology approach, e4 helped one client reduce the number of encounters in the Insurance Verification work queue from 6,617 to 427, a 94% reduction in 30 days (Download the case study). This innovative approach led to e4 being recognized by Healthcare Innovation as the 2019 Vendor Solution Provider Winner for Revenue Cycle Management.

By helping to train and educate staff on potential errors being made, e4 can help optimize your pre and post-bill edit resolution process.