Case Study: Large Pediatric Hospital reduces denials and unlocks revenue gains with Tegria analytics dashboard

Top Pediatric Hospital Uses Data Analytics Dashboard To Reduce Denials

A large pediatric hospital in the Northeastern U.S. was facing a higher-than-average denial rate and needed to better leverage data from its Epic patient billing and payment system to prevent revenue loss. The hospital engaged Tegria, whose experts in Epic revenue cycle optimization and data analytics, to identify process improvements and develop enhanced reporting tools.

Tegria implemented a solution by conducting in-depth interviews to build requirements and then extracting key performance data to create a custom analytics dashboard for denials management. This solution provided the hospital with a potential $1.5 million in annual net revenue gain, reduced first-pass denials by 2.5%, identified 6,000 specific denied claims, and saved hundreds of hours in internal development and weekly reporting time.