Case Study

Case Study: Advocate Health Care - The Value Of A Revenue Cycle Partnership

Source: Passport Health Communications, Inc

Advocate Illinois Masonic Medical Center and Nebo Systems, a member of the Passport family of companies, partnered to develop and implement tools to provide the following benefits to the hospital: consistent and accurate patient payment estimates, improved time-of-service collections, streamlined workflows for insurance verification and real-time alerts for registration accuracy. The project produced many positive results in line with the hospital's pursuit of pricing transparency, data integrity and increased productivity.

Advocate Illinois Masonic Medical Center

  • 354-bed acute care hospital Level 1 trauma center located in Chicago
  • received Magnet designation in 2008 for excellence in nursing
  • total annual revenue: approximately $1B
  • diverse payer mix: 44 percent managed care, 26 percent Medicare, 23 percent Medicaid and 7 percent other

The new patient payment estimator tool was linked to an updated CDM to pull payer contracted rates and integrated with Nebo's front end platform for patient eligibility and benefits data. It allowed staff to quickly look up price estimates and evaluate discounts for self-pay and prompt-pay patients. Equipped with accurate information, the hospital's front end personnel bought into practices that had a significant financial impact.

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