Transforming Provider Enrollment Processes with PhyMed HealthCare Group
About the Customer
PhyMed Healthcare Group is a physician-led and owned anesthesia services leader with a focus on redefining perioperative partnerships.
Overview
When Director of Revenue Cycle Michelle Vaughnreached out to Echo for a consultation, severalproblems were evident that were holding thecompany back from growth, including pushbackagainst the system, reluctant providers, and poorprovider enrollment practices.
Key Challenges
Reluctant Providers
Many providers were hesitant to provide copiesof their social security card for enrollmentprocesses simply because it wasn't required attheir previous place of employment. This createddelays in getting providers enrolled, both ofwhich led to increased write-offs and a loss ofrevenue opportunity.
Long processing times
Despite tremendous growth, a single individual is responsible for overseeing Vera'scredentialing and privileging processes - this person needed a way to automate functionsbeyond credentialing.
Resistance to Going Paperless
Information was put into EchoOneApp very minimally, and there was pushback againstusing enhancements that would help streamline the provider enrollment process.The software was being used more like a database, and the team was still populatingapplications and provider enrollment forms by hand.
Why PhyMed Trusts HealthStream to be their Source of Truth
PhyMed realized that they needed someone withexperience in credentialing, provider enrollment,and EchoOneApp to review their use of thesoftware, make recommendations on how theycould better utilize the software, and create aprocess improvement and implementation plan tohelp them achieve those goals.
"We have had very few write-offsdue to provider enrollment timingissues for the past 9 months,which we attribute to followingthe recommendations from ourconsulting engagement andHealthCheck with EchoOneApp."
Michelle VaughnDirector of Revenue CyclePhyMed Healthcare Group
Why EchoOneApp Appeals to PhyMed
EchoOneApp's library contains over 3,800 mappedpayer forms that will automatically populate datafrom a provider's or group's record. Using thesepayer forms allows for the applications to pullinformation stored in the system, cutting out hours of populating forms by hand.
Anticipated Financial Outcomes
Taking advantage of HealthStream's HealthCheck program; this program monitors theadoption, set-up and utilization of the EchoOneApp software against benchmarks andbest practices to identify opportunities to increase efficiency, effectiveness, and returnon investment. The HealthCheck process generates a tailored scorecard of assessmentresults for dozens of data elements, rates each evaluation metric and provides actionablerecommendations. PhyMed discovered they were not using EchoOneApp to its fullpotential.
How EchoOneApp Increases Efficiency and ROI
Without a complete overhaul of their processes, PhyMed's provider enrollment teamwould not have been able to keep up with the company's drastic increase in providersover the past several years. Breaking out of a cycle of low system utilization, excessivewrite-offs, and inefficientprocesses, PhyMed's providerenrollment team has made itselfa valued and effective contributorto PhyMed's advances as acompany.