A critical access hospital dedicated to providing compassionate, community-centered healthcare to residents west of the Brazos in Brazoria County, Texas. The hospital offers a comprehensive range of services, including emergency medicine, inpatient care, primary care, diagnostic imaging, physical therapy, assisted living, laboratory services, general surgery, cardiopulmonary care and wound care.
Challenge
Sweeny Community Hospital (Sweeny) was confronting significant operational and financial pressures. The organization was experiencing a noticeable decline in cash reserves, while key revenue cycle positions were undergoing turnover and transition, creating instability in essential processes. Emerging payor requirements highlighted the need for new reimbursement and contract strategies. At the same time, the hospital’s electronic health record (EHR) system relied heavily on non‑standard, highly customized workflows that hindered efficiency and consistency. Additionally, charge services productivity required substantial improvement, including streamlined processes and the development of clear, standardized workflows to support accurate and timely charge capture.
The Accomplishments
- Developed a comprehensive RCM Sustainability Roadmap outlining targeted strategies to improve cash collections, reduce contractual allowances and establish long‑term financial stability.
- Analyzed patient accounting data leveraging JTS’ nCREAS™ RCM Intelligence Engine, supplemented by focused sampling of patient access and follow‑up data to identify systemic issues and performance improvement opportunities.
- Evaluated cash collection processes against industry best practices, producing actionable recommendations that supported reductions in days in AR and enhanced cash collection rates using nCREAS™.
- Reviewed end‑to‑end RCM workflows with a clinically-driven approach—from patient access through patient financial services—identifying and remediating workflow duplication, bottlenecks and productivity inefficiencies.
- Conducted detailed analyses of top payor reimbursement strategies to improve the charge reconciliation processes to strengthen financial accuracy and performance.
- Assessed Oracle Health | Cerner system configuration and integrated processes, developing a sustainability plan to optimize automation, standardize workflows and strengthen technology‑enabled RCM performance.

