Revenue Cycle ManagementEfficiently track and optimize healthcare revenue from pre-visit through account resolution

  • Do your current RCM workstreams leverage your analytics for optimization?
  • Is staffing a challenge and/or is remote performance optimal?
  • What is your area of focus to increase staff productivity?
  • Do you have RCM and HIM standard work in place?

Challenged with maintaining profit margins, health systems, hospitals and physician practices must adapt to accountable care/value-based and alternative reimbursement models to maintain and/or increase net revenue while continuing to provide high quality care to their patients. Healthcare organizations are faced with increased risk under current and future reimbursement models, new technologies, increased regulatory demands and changing work force environments and skills.

In response to the financial complexities associated with these challenges, JTS Health Partners specifically developed a best-in-class Revenue Cycle Management (RCM) model that tailors and supports strategies that align with our clients’ operational and business goals while maneuvering the changing healthcare reimbursement landscape.

What are JTS' RCM Services & Solutions?

  • Analysis, Process Improvement & Workflow Management
  • Standard Work Development
  • Staffing Optimization + Analytics
  • System Optimization
  • Accounts Receivable (A/R) Management
  • Denials Management
  • Claims Quality Management
  • Legacy A/R Workdown

Pre-bill Review + Auditing

  • Revenue Integrity
  • Cash Optimization
  • Denials Management
  • Staff Productivity + Auditing
  • A/R Management

Consulting

JTS consultants identify key processes and indicators based on the value at stake to isolate major workflow and system gaps. Working together with your organization’s cross-functional team and drawing on in-depth analysis of your ‘current state’ based on operational data, JTS will build, guide and solidify a roadmap that will produce optimal performance results for future state.

Our consultants can help you improve cash flow, decrease denials, reduce bad debt and improve the operational viability of your organization by implementing business redesign strategies and solutions around the revenue cycle regardless of the application and/or patient accounting system currently being used.

Analysis, Process Improvement and Workflow Management

We help clients analyze, identify and implement operational improvements to revenue cycle work streams, systems and processes to facilitate maximum cash collections.

Standard Work Development

We help clients develop best-in-class policies and procedures + workflows across the entire revenue cycle management operations.

Consolidated RCM Strategies with Optimization

Our team helps client’s with operational strategies (short-term and long-term), establish standardization, development of centralized billing and systems processes and redesigned workflows and procedures across the enterprise.

System Optimization

Our consultants assist clients with optimizing their workstreams, master files and profiles (such as charge description master, work group profiles, etc.) by optimizing key profiles to enhance the data capture regarding all appropriate charges, promote more accurate, timely billing and facilitate effective patient account follow-up.

Operational Support

Even after identifying the factors that contribute to decreased revenue and despite the decline in resources, healthcare organizations and physician practices are seeking solutions that will do more for less. Clearly understanding the revenue cycle and identifying areas that will afford your organization greater efficiency and the ability to recover revenue and drive margins is paramount.

Our RCM operational model helps your organization address growth, reduction of operational costs and increase operational efficiency across specialties – enterprise model design, business services, co-sourcing and/or outsourcing and strategy, helping you develop and implement your strategic vision to improve overall business performance.

Designed and implemented an RCM Sustainability Plan that achieved multi-year milestones

Extended Business Office Solutions

A large portion of our Revenue Cycle Management service is through Extended Business Office (EBO) solutions. Our EBO solutions focus on providing healthcare revenue cycle expertise, support and staff augmentation including:

  • Pre-Registration and Patient Access Eligibility
  • Eligibility and Payor Authorizations
  • Billing and Accounts Receivable Management
  • Denial Management and Master File Support

JTS can support a particular interim goal or partner with to drive greater efficiency and outcome for your revenue cycle organization by partnering to reduce accounts receivable inventory.

Extended Business Office (EBO) »

Analytics as a Service

JTS created RCM Analytics, a proprietary, predictive analytics solution for enhancing operational performance. JTS applies RCM Analytics to consulting, operational support and/or EBO solutions for clients to enable greater productivity, focus with precision and revenue goals.

How Can JTS Help?

Achieving and sustaining profitability requires expertise in patient access, billing, coding, analytics, revenue integrity and accounts receivable (A/R) management. That is why JTS developed an RCM model with professionals that can operate at any level within the revenue cycle continuum with in-depth application and workflow knowledge. Our RCM services and solutions combine healthcare consulting and professional services with creative, experienced advisors who work side by side with our clients for individualized strategies that result in operational health, efficiency and profitability.

JTS serves as a trusted advisor to healthcare systems, hospitals and physician practices in promoting revenue cycle optimization through best-in-class methodologies to enhance people, processes and technology throughout the entire revenue cycle experience.

Client Feedback

See how JTS can optimize your RCM

processes to increase revenue + workflow + cash