At a Glance

Pennsylvania Health System At a Glance

Background and Challenge 

Tegria partnered with a healthcare system in Pennsylvania to perform an in-depth Revenue Cycle assessment. The assessment focused on the hospital system’s contact center, front-end operations, and patient financial services. This highly-ranked over 500-bed hospital system sought technical and operational improvements that would create and maintain a self-sustaining, peak-performing revenue cycle. In collaboration with their leadership, Tegria identified opportunities to increase revenue, ensure patient retention, invest strategically, and improve the overall patient experience.  


Tegria deployed a cross-functional team of experts to assess the organization’s revenue cycle, from a technological and operational perspective. The technical investigation identified opportunities to enhance automation, improve reporting capabilities, and modernize system functionality. The operational investigation identified long-term solutions, which included aligning best practice staffing, implementing and enforcing accountability, and establishing a streamlined governance structure. 

Highlights of Tegria’s recommendations include:  

  • Contact Center:
    • Establish governance structure
    • Optimize phone system and related reporting
  • Registration & Eligibility:
    • Consolidate and automate payer and plan records
    • Implement full EHR functionality
  • Financial Services:
    • Improve follow-up and denials management processes
    • Accelerate CFB and PB claim edits
    • Implement automation to decrease credit liability  

Pennsylvania Rev Cycle Case Study table


Tegria’s comprehensive assessment identified and documented more than 40 themes and findings and presented 98 detailed recommendations with estimated benefits. Highlights include:   

  • $29 million in annual net revenue opportunity 
  • $17 million in cash acceleration opportunity 
  • $5 million in denial improvement opportunity 
  • $1 million in cost reduction opportunity  
  • 14 FTE bandwidth increase with recommended changes  

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