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CASE STUDY

AGS Health Successfully Navigates Obstacles to Achieve RCM Excellence for Texas Health System

A large not-for-profit health system in the state of Texas is committed to making quality care more accessible, convenient, and affordable through its integrated delivery network. Through more than 50 hospitals and more than 1,200 access points, the system offers the full continuum of care to more than 3 million Texans.

The health system and AGS formed a strategic relationship to augment internal coding and revenue cycle management teams to optimize resource utilization, streamline and accelerate workflows, and reduce expenses.

Opportunities

  • Streamline RCM to reduce costs and maintain performance.
  • Fully optimize existing investments in RCM technologies, like computer-assisted coding (CAC), and continue to expand automation and artificial intelligence (AI).
  • Protect the patient financial experience.

Solution

Already a high-performing organization, health system leadership was nonetheless seeking opportunities to reduce costs, accelerate and streamline workflows, and enhance the patient financial experience by augmenting its revenue cycle management (RCM) teams. It undertook an exhaustive, multiround review of RCM vendors before ultimately engaging AGS Health to augment RCM and coding teams to service key financial clearance elements including insurance and benefit verification and authorization, prebill account maintenance, outpatient coding, charge integrity, billing edits, cash posting A/R follow up, collections, and credits functions.

  • Consistently achieves performance and quality KPIs in multiple areas.
  • Delivered on turnaround times, efficiency, and quality.

Governance and transparency

Overcoming early turbulence

Partnering for the future

“It took longer to ramp up because of the initial nervousness, but we were very confident and comfortable in our decision to work with AGS Health. They were the best fit for our culture, our values aligned, and AGS has delivered on turnaround times, efficiency, and quality.”

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