Tegria helped us improve our revenue cycle workflows as we transitioned to a different EHR platform. Their guidance, expertise, and willingness to tackle whatever we asked was invaluable.

Arvind Oswal, ARMC Chief Financial Officer

Background and Challenge

Arrowhead Regional Medical Center (ARMC) is a 456-bed teaching hospital in San Bernardino County, California. This busy, urban emergency and trauma care center in Southern California supports many patients with high-quality medical services. 

ARMC’s February 2022 migration from its legacy electronic health record (EHR) to a new EHR was only a month away when they engaged Tegria to support their EHR go-live. Tegria was asked to assess the revenue cycle’s go-live readiness, optimize revenue cycle workflows in the new system, and drive its return to pre-live revenue cycle baseline levels with a road map for future revenue cycle strategy. 

Solution

Tegria’s experts worked swiftly to advise and mentor revenue cycle leadership, stand up a revenue integrity program, and help ARMC stabilize its cost centers. Every ARMC leader received a revenue integrity program playbook, go-live resources, reference guides, and training manuals. ARMC clinical leaders were offered a decentralized revenue reconciliation training program to increase focus on accurate charging. 

During go-live, a Tegria clinical analyst with a medical background worked “at the elbow” with clinical leaders, showing them how to properly record, reconcile, and correct charges. Speaking the same language as ARMC clinicians, the clinical analyst was able to view operational workflows, track charges on the back end, and successfully resolve build issues. Tegria’s revenue cycle experts simultaneously led charge capture stabilization work groups to identify areas where revenue was missing or improperly routed from the legacy EHR. The robust integration between Tegria’s clinical and revenue cycle experts facilitated prompt resolution of go-live concerns.  

Results

“Tegria helped us improve our revenue cycle workflows as we transitioned to a different EHR platform. Their guidance, expertise, and willingness to tackle whatever we asked was invaluable,” said ARMC CFO Arvind Oswal. Tegria ensured ARMC successfully achieved: 

• Recovery of >$5 million from inactive procedure logs and injection charges 
• Recovery of $182,000 in missing blood administration charges and $175,000 in missing dialysis charges 
• 106% charging above baselines with all cost centers stable within 90 days post-live 
• Consolidation of 85 work queues to reduce coding time 
• A close working relationship between clinical operations and the newly established revenue integrity team