Case Study Results

With TRACE VoiCert, authorization transactions completed by phone are captured in a database for access by the Collections staff using DCR Tracker. With this information, staff can overturn denied claims and keep claims out of the appeals process, thereby increasing net revenue and cash flow.

This is why TRACE VoiCert was recognized in the Health Care Advisory Board's publication "Capturing Lost Revenues: Best Practices for Minimizing Managed Care Denials."

		A Case Study of a Large Primary Care Facility in Texas Texas Hospital Case Study-April 07 [.pdf | 174kb] A primary care facility with nearly 900 beds launched an effort to improve efficiency and productivity of patient access staff by reducing the time staff members spent securing authorizations and pre-certifications, while decreasing insurance denials and improving communication with payers. Since December 2001, the hospital has saved over 3,300 hours in hold time and used the TRACE system to overturn nearly $1.4 million in denied claims.
		Lessons Learned by Children’s Hospitals in Managed Care Communications Children's Hospital Case Study [.pdf | 338kb] A case study of four children’s hospitals that implemented systems to manage communication with payers, save staff time and overturn a combined total of more than $2 million in denials.
		Simplifying Managed Care Communications HMT Deaconess Case Study [.pdf | 970kb] A case management department implements time saving technology that overturns nearly $700,000 in denials.
Click for larger image		Erlanger Medical Center, Chattanooga, Tennessee A Review of Long-Term ROI From Using Voice Technology in Payer Communications Management - A case study examining the role of TRACE VoiCert at Erlanger Medical Center. [PDF] This 2005 case study measures long-term results of TRACE VoiCert in a level-one trauma center, with an average daily census of 321. Both improvements in staff productivity and denied claim management are analyzed over a 4-year period from May, 2001 through March 2005. The study demonstrates the initial reduction in the rate of denied claims and measures the sustained results over the 4-year period.
Click for larger image		LaPorte Hospital and Health Services, LaPorte, Indiana Prevention: The Key to Denials Management, A Case Study Examining the Role of TRACE VoiCert in Reducing Denials as LaPorte Hospital and Health Services [PDF] This 2004 study examines the role of TRACE VoiCert in reducing denials at a mid-size (225-bed) hospital in Indiana, and the results of reduced denials and time savings are impressive. The LaPorte study documents the fact that the hospital realized payback of its investment in VoiCert in only 13 months, and the hospital realized a 200% payback in 17 months.
Click for larger image		A Large Primary Care Facility in the Southwestern United States The Financial and Logistical Benefits of Combining a Denials Management Unit and Authorization Tracking Technology: A Case Study from a large, Primary Care Facility in the Southwestern United States [PDF] This 2003 study documents that by using TRACE VoiCert, this 750-bed hospital experienced a 55% reduction in denied claims during a 10-month period, and a whopping 70% decrease in the total dollar value of denials during a 9-month period. Payback of the hospital's initial investment in VoiCert occurred in only 7 months.

Features & Benefits