Yuma Regional Healthcare Center
A not-for-profit, acute care facility achieves $36 million increase in net revenue.
Like every major hospital, Yuma Regional Medical Center saw opportunities for improvement throughout the revenue cycle. A high priority was capturing missing charges. “Manually monitoring hundreds of thousands of charges was unsustainable and led to significant revenue leakage,” said David Willie, Chief Financial Officer, Yuma Regional Medical Center. “Many of the solutions we saw, however, seemed incomplete, going after low-hanging fruit and one-time results.”
To solve their charge capture problems, David and his team chose Waystar Charge Integrity, largely because it uses predictive analytics to uncover charges that rules-based products can’t find. “Our goal was to address underlying causes so we solve problems on the front end,” David said. This capability also influenced his decision to go with Waystar Denial Avoidance, which identifies root causes of denied claims and prevents them from happening in the future. The solution uses a combination of intelligent workflow, reporting, analytics and advisory services to involve the entire revenue cycle in process improvement.