Case Studies

Samaritan Health Services reduces manual work, inefficiency, A/R days and unposted cash using Optum Payment Management
In addition to the financial benefits, "Having on-site teams and operational teams [at multiple facilities] that can access the same data has really fostered a partnership within our business operations. Service to internal teams is incredible now," says Dawnell Buell, vice president of revenue cycle for Samaritan Health Services.

DCH Health System reduces costs, denied claims, A/R days, and more
DCH Health System in Tuscaloosa, Ala., eliminated manual business office processes, automated workflow and gained insight with the Optum eFR Platform.

Optum to Manage Bethesda Healthcare System Revenue Cycle
Optum™ is redesigning revenue cycle processes across Bethesda Healthcare System, using an integrated suite of technology and services, including the electronic Financial Record (eFR®) Platform, computer-assisted coding, patient financial counseling services, and medical necessity consulting. Optum also provides full-time onsite staff to help manage revenue cycle related functions, including scheduling, patient registration, health information management, patient financial services, decision support, and managed care contracting.

HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker
Ingenix CareTracker has dramatically reduced IT and associated costs, increased productivity, reduced downtime, improved the services that HST provides to its customers, and increased revenue. As a result, HST will gain a projected, cumulative, five-year net benefit of $284,251. The project has a 75% return on investment, and a seven-month payback period.

Network Health Plan Deploys Ingenix Claims Editing System to Handle Claims More Accurately and Consistently, Improve Workflow, and Increase Productivity
Network Health Plan could realize an estimated savings of $1.6 million because of iCES’s ability to uncover services or procedures that should not have been reimbursed.

St. Vincent Health Minimizes Underpaid Revenue, Gains More Visibility into Contracts, and Reduces Cost and Complexity with Hosted Version of Ingenix ContractManager
By having Ingenix host Contract Manager, St. Vincent Health eliminates maintenance and reduces staffing requirements, cost, and complexity.

University of Illinois Medical Center Improves Coding Efficiency and Workflow and Prepares for Remote Coding with Ingenix Web.Strat
Ingenix Web.Strat integrates with an existing patient accounting system at the medical center, improving workflow by eliminating a third-party solution and its associated costs.

Argus CareTracker Case Study
Argus Improves Productivity, Eliminates Paperwork, and Saves More than $1 Million over Five Years in IT, Infrastructure, and Personnel Costs with Ingenix CareTracker:  With Ingenix CareTr...

HealthPort Reduces Costs, Improves Coding Efficiency, and Increases its Customer Base with Ingenix Web.Strat
By using the Ingenix Web.Strat Webbased hosted coding tool, HealthPort has saved a substantial amount of money in capital expenses and IT costs, and sped time to market.

Delta Airlines Case Study
Ingenix Helps Delta Air Lines Design Innovative Programs to Improve Employee Health Care While Holding Down Costs:  Ingenix helps Delta understand its health care cost and utilization patterns, to better recognize what is driving health care costs. With aid from Ingenix, Delta uses that information to design improved networks and benefits, and to guide employees toward using the highest-quality care providers, leading to better health care outcomes and reduced costs.

National Retailer Will Decrease Number and Severity of Non-Occupational Disability Claims, Gain $850,000 in Benefits with Ingenix
The retailer will gain a projected five-year net benefit of $850,000 from the Ingenix engagement, due to an acceleration of a projected decrease in the incidence and duration of non occupational disability claims. The retailer will be able to target at-risk employees with appropriate wellness programs, help its group health vendors focus on effective and early return-to-work programs, and educate field management on the importance of absence management.

Comprehensive Health Services Case Study
Comprehensive Health Services Reduces Costs for Its Customers, Improves Health Care for Clinic Visitors, and Exceeds Performance Metrics with Ingenix Solution:  CHS has been using the comprehensive solution from Ingenix, including data warehousing, analytics, benchmarks, and support, to more effectively provide health care services at its clinics, reduce costs for its customers, gauge the performance of its clinics, and provide improved program management.

State University Health System Implements Innovative Cost Stabilization Approach, Increases Cash Reserves by More than $42 Million over Three Years with the Help of Ingenix Employer Advisory Services
With the help of Employer Advisory Services, the state university health system and a managed care company implemented a unique medical management approach carved out from their medical claims administrator. They created a select network, providing care reimbursed at 100 percent for those who use select network providers.

National Insurance Plan Recovers More Overpayments with Credit Balance
A case study of how a health plan gained a bigger impact to their bottom-line when working collaboratively with a credit balance vendor to maximize the solution.

Peak Wellness Center Improves Productivity, Reduces Turnaround Time for Payments, and Increases Revenues with Ingenix Transaction Exchange for EDI
Peak Wellness Center staff no longer need to print and manually mail several thousand forms and statements every month, improving overall productivity.

Credentials Verification Case Studies
Case studies: Examples of how Ingenix Credentials Verification streamlines the entire credentialing process for health plans by helping to gather, verify, review, and archive provider credentials.

Dreyer Medical Clinic Team Installs Ingenix Claims Editing System® in Fewer Than 45 Days
Dreyer Medical Clinic faced a daunting task: to mold three teams into a single, harmonious unit in order to meet a 45-day installation deadline. Dreyer’s contract with a previous vendor was ending and the clinic could not disrupt the bill review pro

Rising Medical Solutions Reduces Average Medical Bill Cost by 21% to 55%, Delivers More than 895% Return on Investment with Ingenix PowerTrak®
Ingenix PowerTrak’s automated bill review process and data mining capabilities help Rising Medical Solutions reduce the cost of customers’ average medical bill by 21% to 55% (depending on the state), delivering a return on investment of 28-to-1 for fee schedule and bill review savings, and 4-to-1 on additional value-added savings.

Trumbull Medical Practice Reduces Costs, Increases Revenue per Patient, and Improves Patient Care With Ingenix CareTracker
Trumbull Medical Practice will gain a cumulative, projected five-year net benefit of $224,655 from the use of Ingenix CareTracker, due to savings in licensing costs and revenue increases.

Alpha Review Improves Productivity and Gains $4.7 Million in Benefits with Ingenix PowerTrak®
Alpha Review Corporation (ARC) has provided flexible, customized, expert medical bill auditing services to insurance and self-insured companies since 1995. Since its inception, it has been growing steadily, and by 2004 had outgrown its software partner.

The WEA Trust Improves Productivity, Increases the Number of Cases Handled per Employee, and Gains $1.1 Million in Benefits with OptumInsight Impact Pro
The use of OptumInsight Impact Pro has enabled WEA Trust to increase the average number of new cases per month per full-time employee from 6.5 to 14.5.

Providence Case Study
Providence Property & Casualty Insurance Company Improves Productivity and EDI Compliance Rates, Gains Nearly $375,000 in Benefits With Ingenix WorkComp.NET and EDI Auto Triggers

Web.Strat Increases Productivity, Reduces Coding Backlog at DuBois Regional Medical Center
DuBois Regional Medical Center (DRMC) is a 214-bed, two-facility hospital in DuBois, Penn. The organization began its evaluations of encoding solutions in early 2005. DRMC’s goal was to transition away from manual, book-based coding, improve productivity and reduce coding backlogs that impacted cash flow.

Ingenix ERA Manager Implemented at Colorado Otolaryngology Associates, PC
The Colorado Otolaryngology Associates (COA), PC facility was struggling to post payments in a timely fashion. Its manual payment posting process took an experienced billing administrator about 30 minutes per page of a voucher, and a typical voucher recei

Medica Partners with OptumInsight and Gains $8.6 Million in Benefits from OptumInsight Subrogation Services
Using OptumInsight Subrogation Services, Medica will see a cumulative five-year net benefit of $8,617,818, with a return on investment of 51%, and a payback period of 13 months

Directories Online A Case Study – Client: A large national health plan
Case study: A large national health plan offered provider information to its members in the form of hard-copy provider directories. Creating, producing and distributing the directories was an expensive, time-consuming process that often resulted in outdat...