Claims adjudication and patient billing have long been arduous, labor-intensive processes for hospitals and health systems. As the industry continues to seek ways to improve care delivery and cost-effectiveness, revenue cycle inefficiencies have often been cited as areas for major potential improvement.

Hawaii’s Queen’s Medical Center (QMC) was recently able to make large strides in improving its revenue cycle efficiency by turning to a third-party vendor that helped it automate its claims to insurance companies and speed up its billing cycle.

Using a bot-based system, QMC was able to reduce its write-offs by approximately 66% and reduce its average accounts receivable time by 2 days — both significant improvements. As a result, QMC grew its cash flow by a projected $5 million and avoided tapping into its endowment for emergency funding.

“Since implementing new automation billing services last August, QMC has experienced a drop in candidate for billing from 6.1 days to 3 days by the end of May,” reported HealthLeaders‘ Jack O’Brien.

“This means hospital was able to distribute final bill claims to patients with an account beyond the hold period,” he wrote.

Curious to understand how QMC’s automated billing system speeds up final claim dispositions from health insurance companies?

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