Maximize Your Revenue While Reducing Costs
Today’s health systems must grow revenue, reduce costs, and maintain compliance—often with limited resources. We help clients achieve these goals by optimizing their revenue cycle, strengthening regulatory compliance, and aligning technology with financial strategies. Through strategic process improvements and seamless IT integration, we enhance operational efficiency and drive measurable financial gains.
Together, we can optimize revenue cycle performance for lasting financial success.
Trending in Revenue Cycle transformation
Creating Wins by Driving Down Denials
Tegria’s Revenue Cycle Solutions
We provide end-to-end revenue cycle solutions—from assessment and strategic roadmap development to full-scale transformation. By addressing the key components of financial success, we bridge healthcare operations and IT to help organizations enhance efficiency, strengthen compliance, and drive sustainable revenue growth.
Dedicated experts, committed to client success.
The Tegria team goes above and beyond to assist us with our needs, and we share a close relationship. Their exceptional expertise and commitment foster our continued growth.
CHERYL SAATHOFFController, Harlan County Health System
Denials Management + Prevention
We guide you through complex and time-consuming nuances of collections to manage and mitigate denials and ensure proper revenue capture.
- Root Cause Analysis
- Denials Sprint Remediation
- Medically Unlikely Edits (MUE) Automation
- AI-Powered Denial Appeals
- Automated Follow-up With Enhanced Claim Status
- Key Denial Reporting Insights
Patient Financial Experience
Together, we can help patients understand and navigate the financial aspect of their healthcare journey, improving your efficiency and their experience.
- Optimized Prior Authorization
- Patient Financial Engagement Automation + Workflows
- Enhanced Real-Time Eligibility (RTE)
- Accurate + Automated Patient Estimates
- Progressive MyChart Enablement
100% of Tegria’s Revenue Cycle Optimization
clients said they would use our services again
Revenue Cycle Intelligence
Equipped with the latest insight and tools in automation, we help fine-tune your revenue cycle to ensure it is operating efficiently and effectively for financial optimization.
- Maturity Assessments
- Data Analysis
- Workqueue Automation Strategy + Redesign
- Revenue Cycle Automation
Revenue Growth + Integrity
We help clients streamline systems, leveraging automation and utilizing revenue reconciliation tools to prevent uncollected charges and lost revenue.
- Revenue Leakage Prevention
- Revenue Guardian + Charge Review Optimization
- Charge Description Master (CDM) Process Improvement
- Charge Capture Optimization
- Revenue Integrity Program + Training
Operational Readiness
We provide the necessary guidance to prevent negative impact to your revenue cycle metrics resulting from operations or technology changes.
- Change Management Advising
- Risk Identification + Mitigation
- Workflow Analysis
- Go-Live Metric Stabilization
Expert Revenue Cycle Management for MEDITECH
Optimize financial performance with comprehensive revenue cycle services, tailored to improve efficiency, compliance, and cash flow for MEDITECH users.
- Billing + Collections
- Cash Posting + Reconciliation
- Denial Resolution + Management
- Detailed A/R Reporting
- Consulting + Optimization
- Inpatient, Outpatient Coding + Professional Fee Coding
- Billing System + Clearinghouse Optimization
Case Study
Pender Community Hospital Accelerates Financial Gains
Tegria partnered with Pender Community Hospital to provide outsourced revenue cycle management and KPI strategy.
55%
Decrease in gross A/R days
71%
Decrease in denial rates
86.7%
Increase in monthly cash collections
Workday + Epic General Ledger Integration
Tegria’s Workday Financial Management and Epic experts ensure your data structures and
extracts are properly configured for accurate reconciliation.
- General Ledger Mapping
- Subledger Reconciliation Workflows
- Clearing Account Optimization
- Reporting + Governance Strategy
A Proactive Approach to Partnership
Our methodology is comprehensive, uniting people, processes, and technology with a mix of waterfall and agile tactics. This dual approach delivers accelerated results grounded in rigorous methodology and nuanced understanding of your needs.
The Tegria Difference
Healthcare Focus
With deep expertise in EHR systems, we address barriers and friction points to improve care experiences at every step.
Comprehensive Expertise
Our expert teams bring clinical insights, operations experience, and technology acumen to every project.
Collaborative Approach
We bridge operations and technology to break down siloes.
Let’s Connect
Our team is driven by passion, committed to excellence, and united by a shared vision for a healthier future. We’re ready to help you succeed.
Does Tegria offer RCM services?
Yes, Tegria provides outsourced revenue cycle services for MEDITECH. Tegria’s team of revenue cycle experts bring deep MEDITECH expertise to ensure your EHR workflows maximize efficiency to drive ROI. Our services are adaptable to fit your organization’s specific needs, whether small-scale improvements or full outsourcing.
Does Tegria offer healthcare revenue cycle optimization?
Yes, Tegria provides revenue cycle optimization services. Our tailored solutions enhance billing, collections, and A/R management to drive stronger financial performance and sustainability.
How can Tegria help with reducing denials?
Tegria helps prevent and resolve denials with proactive strategies and expert intervention. We identify root causes, optimize workflows, leverage automation, and enhance accuracy to ensure claims are approved the first time.
Can Tegria help with Medically Unlikely Edits (MUE) Optimization?
Yes, Tegria provides Medically Unlikely Edits Optimization. We work with teams to automatically evaluate MUEs at billing to spilt or modify charges within payer thresholds. This automation reduces denials, decreases manual edits, and preserves revenue while ensuring compliance with CMS and payer rules.
How can Tegria improve patient financial engagement?
Tegria’s team of experts can help you identify opportunities, design strategies, and implement data-driven solutions to improve patient engagement, increase payment collection, and accelerate cash flow.
Can Tegria help with data visualization for revenue cycle?
Yes, Tegria develops customized, user-friendly dashboards, data visualizations, and process flow maps that uncover performance gaps and improvement opportunities. These tools are built around your systems, your data, and your goals to yield insights that drive action.