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Dan Murdoch

June 9, 2023
Revenue Intelligence
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Revenue Intelligence Can Help Mitigate The Hospitals At Risk

Revenue Intelligence Can Help Mitigate The Hospitals At Risk

The healthcare industry is facing an unprecedented crisis, with a staggering number of rural hospitals in the United States at risk of closure. According to a recent report from the Center for Healthcare Quality & Payment Reform, there are 293 rural hospitals at immediate risk of closure, and a total of 646 rural hospitals are facing financial issues, which comprise around 30% of all rural hospitals in the US. These alarming numbers highlight the urgent need for innovative solutions to tackle the financial challenges faced by hospitals. Adonis's Revenue Intelligence can be the game-changer that can help mitigate these challenges

Identifying The Gravity of the Situation

Recent news reveals the sheer number of hospitals that are on the brink of closing their doors permanently. This is largely due to financial stressors such as inflation, staffing shortages, and an imbalance between costs and reimbursements. For instance, in Texas alone, 81 rural hospitals are at risk, which accounts for 49% of all rural hospitals in the state. Hospitals facing closure typically have low financial reserves, are buried in debt, and have been losing money on patient services for several years. These closures could have devastating effects on the communities that depend on them.

The Power of Revenue Intelligence

In light of the dire state of these hospitals, there’s a critical need to address the financial leaks that are adding to their burden. This is where Adonis’s Revenue Intelligence can play a pivotal role.

Efficient Identification and Collection

One of the key features of Adonis’s Revenue Intelligence is its ability to efficiently identify missing revenues. Through state-of-the-art algorithms, the system can spot underpayments and reimbursement risks in real-time. This ensures that no potential revenue slips through the cracks and that hospitals can address issues in a timely manner.

Enhancing Transparency

Adonis’s solution not only identifies underpayments but also provides patients with clarity about potential costs upfront. This enhanced transparency improves patient trust and satisfaction, which in turn, can improve payment rates and patient retention.

Customizable Reports to Meet Unique Needs

The ability to customize billing processes is another advantage of Adonis’s Revenue Intelligence. It allows healthcare providers to create custom scrubber edits ensuring accuracy and efficiency in the billing process. This proactive approach significantly enhances the overall efficiency and integrity of the billing process.

Real-Time Insights

The provision of real-time actionable insights and alerts on denials, account receivables, and claim processing issues, enables billing teams to act proactively. Adonis’s system applies thresholds to alerts to avoid information overload, ensuring teams can focus on the most impactful issues.

Case in Point: Protecting Rural Hospitals

Taking Texas as an example, where 49% of rural hospitals are at risk, adopting Adonis’s Revenue Intelligence can help these hospitals identify revenue leaks and underpayments, ensure more transparent billing for patients, and streamline billing processes with customization. Through these strategies, hospitals can build financial resilience, making them less likely to close and leaving communities without crucial healthcare services.

Strengthening The Backbone of Rural Communities

Rural hospitals serve as the backbone of their communities. In Texas, this means that nearly half of these critical healthcare institutions are facing threats of closing. For the inhabitants of these areas, the community hospital might be the only healthcare facility within miles. Losing them can mean longer travel times in emergencies, less access to routine care, and a decline in community health overall.

Adonis’s Revenue Intelligence helps secure these critical community assets by bolstering their financial health. By increasing revenues through efficient collection, rural hospitals in Texas can reinvest in critical services and new technology, attract and retain top talent, and expand to better serve their communities.

Tackling the Unique Challenges of Rural Hospitals

Rural hospitals face unique challenges. They often serve a population with higher rates of chronic disease, and many of their patients might be uninsured or underinsured. Adonis’s Revenue Intelligence is especially beneficial in these scenarios as it aids in maximizing revenues from various payer sources and ensures that hospitals are reimbursed fairly and timely.

Furthermore, by optimizing the billing process, hospitals can alleviate some of the financial stresses associated with serving a potentially underinsured population. This can contribute to the hospital’s ability to offer programs such as financial counseling, payment plans, and charity care for patients who might otherwise struggle to pay their medical bills.

Facilitating Better Healthcare Through Technology

Technology, when used wisely, can be the catalyst for better healthcare in rural settings. Adonis’s Revenue Intelligence, with its ability to provide real-time insights, empowers rural hospitals in Texas to make data-driven decisions that can positively affect both their bottom line and patient care. For instance, by understanding the trends in denials and underpayments, hospitals can negotiate more favorable contractual agreements with health insurance providers.

Moreover, with the streamlined revenue cycle, the administrative burden on healthcare professionals can be significantly reduced. This enables them to focus more on what truly matters – providing exceptional care to their patients.

Cultivating Community Partnerships

As rural hospitals improve their financial footing by adopting deep analytics and intelligence, they can also engage in building stronger community partnerships. By collaborating with local governments, nonprofits, and businesses, hospitals can develop community-based programs aimed at improving public health. These partnerships not only work towards a healthier population but also create a sense of shared responsibility and community pride in supporting the local hospital.

In Summary: The Need for Action

With the sheer number of hospitals at risk of closure, especially in rural areas, action is needed now more than ever. The adoption of Revenue Intelligence, particularly Adonis's innovative solutions, can be the linchpin in safeguarding these invaluable community assets. By optimizing the revenue cycle, enhancing transparency, and acting on real-time insights, hospitals can work toward financial stability and continue to serve their communities. The time for action is now, as every moment counts in the fight to save our hospitals from closure.

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