Baptist Primary Care Grows Organization—Without Increasing Operational Costs

The Challenge

As a growing organization, Baptist Primary Care’s revenue cycle management (RCM) team wanted to increase operational performance without increasing associated costs.

The Solution

Baptist Primary Care partnered with RCxRules to automatically review 100% of charges entered into their EHR and clinical systems—and automatically fix routine data quality issues while directing exceptions to the correct staff members—before they reached their PM system.

Results

By implementing RCxRules software, Baptist Primary Care:

  • Increased Productivity: Baptist’s RCxRules system automatically corrects approximately 30,000 issues every month, reducing the hours staff spends working on backend PM edits by 50% and empowering team members to play active roles in other key initiatives. Baptist now plans to add 14 new locations and grow monthly claim volume by 30%—without hiring additional RCM staff.
  • Boosted Efficiency: Front and back office communication became stronger. The ability to create individual electronic tasks eliminated manual note-tracking. And the advanced visibility and reporting capabilities of the integrated RCxRules dashboard increased employee ownership and performance.
  • Improved Financial Results: By enabling over 350 automated rules, Baptist dramatically increased claim accuracy and slashed denials by 12% in just 90 days, leading to faster payer payments.

About Baptist Primary Care

Baptist Primary Care is a for-profit subsidiary of Baptist Health, an organization with over 150 primary care providers and more than 250 multispecialty providers. Founded in 1955, Baptist Health is currently ranked as the “most preferred” healthcare provider in the Jacksonville, Florida area.

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