Efficiently 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?
Pre-bill Review + Auditing
- Revenue Integrity
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.
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.
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.
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.
"JTS Health Partners came highly recommended and after a site visit, we were convinced their client-focused approach, their deep revenue cycle expertise and experience working with Soarian supported with some proprietary tools would be a great fit for Shepherd Center. JTS’s interaction with my team was professional and very organized from the very start. They were able to integrate themselves and adapt to our processes with ease. Their performance from start to finish was first-rate."
Ms. Pat Alford
Director, Revenue Cycle
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"JTS Health Partners was instrumental with providing the support and back up we needed to eliminate our back log, allowing our staff to take a breather and focus on current cases. They have operated as a highly professional organization with openness and honesty. Their project management and expertise within our clinical system were excellent."
Mr. Ron Evans
Director of Revenue Integrity and Reimbursement
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"University of Utah Health Care recently underwent a change to the patient billing system, an implementation that encompassed both facility and professional billing. We partnered with Tom Stewart and JTS Health Partners to perform a risk mitigation analysis and create an action plan. JTS Health Partners was instrumental in helping us project the impact this implementation would have on our key performance indicators and create an action plan which would allow the organization to be proactive in dealing with billing/AR related issues."
Mr. Clint Reid
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"JTS Health Partners has provided us with high quality service and outcomes related to our Siemens Soarian Financials Implementation and optimization efforts. JTS has been a consistent and dedicated parter/group of revenue cycle and health information management professionals through our journey so that we can maximize our technology investment."
Ms. Joanna C. Weiss
Vice President of Revenue Cycle
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"JTS Health Partners is a highly professional organization with honesty and integrity. Their change management and informatino technology leadership and expertise within our Siemens Soarian Clinicals, POE, and Physician Adoptions projects were excellent. They truly operate as a ‘Trusted Advisor’ to our organization."
Ms. Pam Austin
Senior Vice President and Chief Information Officer
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“JTS brings solid talent, expertise and professionalism to our engagements. Tom Stewart is in frequent contact with executive sponsor as engagement proceeds. JTS is punctual and timely with deliverables and meetings, yet very flexible to the clients’ needs.”