Peak Vista is a nonprofit federally qualified health center in Colorado with 188 providers serving over 94,000 patients through 27 outpatients centers. Prior to working with RCxRules, they needed nine full time employees to process charges from their EMR to their PM system. In order to generate clean claims, staff had to manually review charges. As part of their review process, staff used Excel and Word documents as a reference to check for payer requirements. In need of a more streamlined solution, Peak Vista turned to our Revenue Cycle Rules software.
With automation provided by RCxRules, the evaluation process achieved a whole new level of efficiency.
“Now out of 3,000 tasks a day, we probably have to manually review about 100. Everything else automatically posts. Clean claims go out the first time without the need to review them,” explains Christi Garriott, Senior Vice President of Business Intelligence and Review and Peak Vista.
Additionally, the Revenue Cycle Rules software:
- Ensured clean claims without the need for 100% staff review, resulting in faster payer reimbursement.
- Reduced the number of full-time employees to review pending charges from nine to four, freeing up five employees to work in other important areas.
Find out how other large medical groups use RCxRules software to boost efficiency by exploring these success stories.