Case Study

The Problem

After years of battling razor-thin profit margins, a 250-bed rural hospital had losses from operations of over $4 million dollars. The situation was compounded as its uninsured patient volume grew when the area's number one employer cut hundreds of jobs. In the hopes of avoiding layoffs of their own, hospital management looked for ways to maximize Net Revenues and return to positive operating margin.

The Process

Through a rapid revenue cycle review The Crito Group was able to identify several opportunities for process improvements, identifying significant cash flow and annual net revenue opportunities. These recommendations were brought to senior management for immediate approval and implementation.

With strong executive sponsorship from the CEO, CFO and other senior management, The Crito Group began implementing process changes across all aspects of the revenue cycle, automating workflows and performance monitoring where ever possible. To accomplish these tasks, Crito worked closely with the existing staffs in Patient Access, Medical Records, Utilization Review and The Business Office. Resources were added as needed to reduce backlogs and accelerate revenue.

The Result

The hospital experienced a one-time cash infusion of $7 million and a return to profitability with an annual Net Revenue improvement of over $6 million. The hospital executives and department managers were left with the tools in place to maintain and monitor the organization's performance on an ongoing basis.



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