Case Studies

Sentara Healthcare streamlines workflow
In 2008, Sentara decided to leverage the internal IT expertise of Optum™ in conjunction with Sentara staff to develop an entirely new interface to allow Sentara to optimize use of its Epic software and the Optum LYNX ED Charging Application to maintain critical consistencies in revenue, documentation, and compliance without a duplication of effort.

CHRISTUS Health attains profitable outpatient charging compliance
Capturing ED facility evaluation and management (E/M) visit level charge can be a daunting task, and one that required the time of 35 nurses at Medcenter One, a 232-bed hospital in North Dakota. Using the Optum LYNX ED Charging Application, Medcenter One improved charging accuracy, reduced reporting time, and had a significant increase in net revenue.

Medcenter One attains charging consistency and realizes $29 per patient revenue increase
Capturing ED facility evaluation and management (E/M) visit level charge can be a daunting task, and one that required the time of 35 nurses at Medcenter One, a 232-bed hospital in North Dakota. Using the Optum LYNX ED Charging Application, Medcenter One improved charging accuracy, reduced reporting time, and had a significant increase in net revenue.

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.

Case Study on a Physician that has used CareTracker to meet Meaningful Use Requirements
With the Ingenix CareTracker EHR system and its unique Meaningful Use Dashboard, Dr. Foreman has met Phase 1 Meaningful Use guidelines, and qualified for Medicare health IT incentive payments.

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.

Austin Diagnostic Clinic Recovers Underpayments, Improves Contract Modeling, Gains $340,000 in Benefits with Ingenix Contract Manager
Using Ingenix Contract Manager, ADC will gain a projected, cumulative $341,841 benefit over five years as a result of recovering additional revenue from underpayments. The project will have a 74% return on investment and an eight-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.

Coding Consultant Tina Napora Saves Time, Increases Productivity, and Offers Improved Client Services by Switching to Ingenix EncoderPro.com
Napora recommends EncoderPro.com and Ingenix and concludes, “EncoderPro.com is the best tool you can find, and Ingenix really stands behind their product. Their support has been phenomenal — they take your concerns seriously and act quickly on them.

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.

Perspective: Data RichIntelligence PoorCreating a BusinessIntelligence Program That Works

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.

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.

Hattiesburg Clinic Reduces Denial Rates by 32%, Improves Productivity, Gains Nearly $200,000 in Net Benefits with Ingenix ClaimsManager
Using Ingenix ClaimsManager, Hattiesburg Clinic has reduced claim denials by more than 32%, leading to a savings of $420,000 over five years because it does not have to rework denied claims.

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.

Prevea Health Improves Productivity, Handles Increased Claims with Reduced Costs, and Gains $19 Mill
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.

Ingenix Consulting Partners with North Memorial in Epic Deployment, Improves Clinical Outcomes, Improves Efficiency, and Increases Cash Flow by $31.2 Million
Ingenix Consulting provided project management, planning, training, and implementation services for North Memorial’s Epic deployment and ongoing engagement.

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.

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...

St. Vincent Health Reduces Denials and AR Days, Doubles Productivity, and Gains More than $4.6 Milli
Ingenix ClaimsManager is a rules-based, front-end clinical editing tool that offers one of the most customizable rules engines in the industry, and features some of the most robust database editing functionality in the marketplace. With it, St.Vincent Hea