For many health care providers, denials—a refusal of carrier payment for services—are a pervasive feature of the revenue cycle. Tracking the where the when and the why is a daily challenge, but it’s essential to recapture lost revenue.
Ashley Karlen, vice president of revenue cycle at Gillette Children’s located in St. Paul, Minnesota, can attest to that. Her organization, a nonprofit pediatric care facility specializing in brain, bone, and movement conditions, was challenged with consolidating various data streams resulting in hours and hours of report compiling and limited denials analysis. She knew there had to be a better way. She reached out to RSM US LLP for help, and it just so happened RSM had a custom solution just right for Gillette. “This was something we’d never seen before.”