At a Glance

maintaining strong revenue cycle performance through transition to new EHR

Background and Challenge  

A large health system in California with more than 3,000 employees, 400 physicians, and 60 specialty services was transitioning to the Epic EHR. Leadership wanted to maintain its strong revenue cycle performance during and after the implementation.  

The organization needed a partner to support and advise their Revenue Integrity and Patient Access teams throughout the transition and during the post-go-live stabilization phase. Tegria was engaged to ensure the organization could continue to impact its communities in a meaningful way by delivering top-notch compassionate care.  


Operational issues on the front end and charging issues on the back end can hurt billing and revenue during an EHR transition. In collaboration with the client’s Revenue Integrity and Patient Access leaders, Tegria experts outlined best practices and provided optimization recommendations based on real-world results.  

Two weeks of on-site “at-the-elbow” support during and after go-live helped forge strong relationships with the Revenue Cycle team members and eliminated the concerns and unease that come with a big transition. Highlights of the overall effort included:  

  • Two-day personalized end user training   
  • 30+ tip sheets and training documents created 
  • 64 cost centers stabilized and signed off  
  • 2,600 appointments manually converted  
  • 85 patient workqueues consolidated 

revenue cycle activities during engagement


Tegria’s expert support and advice resulted in:  

  • $4 million in recovered revenue from inactive location procedure logs  
  • 85 workqueues consolidated 
  • 22% increase in provider utilization and 13% increase in schedule utilization  

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