Case Study: Large Massachusetts Health System streamlines claims management with FinThrive

Large Massachusetts Health System cuts claims headcount 75% with FinThrive

A large Massachusetts health system faced significant challenges in managing claims across its six different electronic health record (EHR) systems. The organization relied on a 12-person team for manual, labor-intensive processes, which led to inefficiencies and system flaws. To support its transition to a single Epic EHR and streamline operations, the health system sought a solution from FinThrive.

FinThrive implemented a claims management solution that integrated across systems with extensive payer connections. This reduced manual processing errors and claim delays. The results were substantial: the health system achieved a remarkably low claims rejection rate of only 0.7%, improved its clean claim rate by 4%, and decreased its required headcount by 75%, from 12 FTEs down to 3. FinThrive's proactive support was credited for seamlessly managing the EHR transition and automating processes.

Large Massachusetts Health System