Analyzing patient, payer and transaction outcome data to predict claim payments and resolution effectiveness, to guide more efficient work efforts with actionable recommendations embedded directly in Epic work-queues.
Solution: A/R Prioritization with Prism
Partner: Community Health System
Embedded machine learning to process all open claims on a daily basis to automatically assess, predict and score insurance payment risk and collectability while prioritizing follow-up work efforts without the need for manual intervention or analysis.
+9%
1,700 additional accounts closed per week (9% increase), equivalent of incremental 8 FTEs.
+5%
Increase in payment %
+79
Days decrease in A/R
>245
Reduction in worklist complexity
"We're now working the right accounts at the right times to where our timely filing write-offs reduction have drastically reduced and that's great."
AVP RCM
"When you combine amazing technology with folks that know revenue cycle challenges inside and out, you get tremendous results."
Lab Director
" I knew we had denial challenges, but could never uncover them as quickly as Etyon's solutions allows us to without all the effort."
Director Process Improvement