effy insights

Many, if not most, health systems are undergoing expansions that result in massive sets of disparate data to be reconciled and reviewed. This often means facing significant complexities to the health system’s RCM processes throughout the enterprise. Read how to address this and other challenges with actionable analytics from EFFY Healthcare.

Exhibit and presentation highlighted the Bon Secours experience with a Case Study presentation featuring EFFY and RAID Healthcare on the Bon Secours Outpatient Infusion Center (OPIC) provided attendees with valuable lessons on how to make their revenue cycle run smoothly with minimal intervention.  Feedback from the audience was excellent.

EFFY is pleased to release its first animated video designed to engage and inform hospital, hospital system and Integrated Delivery Network leaders about actionable "real time," or near real time, data analytics platforms and more specifically EFFY´s RAID Healthcare tool.

Actionable Analytics, Improve Revenue Cycle Management, Ensure Clinical & Operational Efficiency. EFFY Healthcare, an efficiency platform that overlays existing systems to help healthcare organizations compare massive amounts of data across their total enterprise, detect exceptions and problems, and guide interventions to improve efficiency, announces to be working with Bon Secours Hospital System, a not-for-profit Catholic health system, to bring efficiency levels at their Revenue Cycle Managemnt area, into further levels.

A growing number of hospital leaders understand the value of real-time data analytics versus the limitations of operational data analytics to address and solve problems in virtually every aspect of operations. One new platform fine-tunes an existing Revenue Cycle Management (RCM) operational system, and eliminates the need to replace any existing system, even if that system is not ideal. Costs are reduced because RAID HEALTHCARE — an end-to-end software platform used worldwide by leading healthcare systems, telecom companies, utilities, retail and other complex industries — costs less than a replacement system, and is more powerful.   No disruption costs or need to play “catch up.”

“Real time” or near real-time data analytics in a hospital enterprise has the ability to audit massive amounts of data very quickly, automatically testing data against norms, algorithms or pre-determined values. In this way, issues that jeopardize the capability to put out a clean claim, identify non-compliance with contractual requirements, or threaten clinical performance can be quickly identified and rapidly addressed.

One key challenge that hospital leaders struggle to overcome is claim denials based on treatment authorizations. These denials occur primarily when there is a deviation in the plan of care, and they burden clinical and operational teams to secure authorizations for treatment necessitated by a change in the patient's health status.

Among the various types of data that hospitals rely upon, only (near) real-time data enables hospital leaders to take action and follow up on that action to correct inefficiencies, denials and revenue leakage. In fact, key trends in hospital analytics are shifting toward (near) real-time analytics as an important step beyond problem definition. EFFY’s efficiency platform that overlays existing operational systems to help healthcare organizations compare massive amounts of data across their total enterprise, detect exceptions and problems, and guide interventions to improve efficiency that optimizes financial, clinical and operational performance.