Reducing revenue cycle denial in Critical Access Hospitals

This grant provides funding to cover the costs of implementing a financial/operational improvement project for their Critical Access Hospital (CAH) using federal Flex funding.
Total amount available: $47,693

Applicants shall provide a one-page word document outlining their proposal of how they will achieve the grant requirements outlined below.

Submit your proposals via email to: opcrh@utah.gov 
Subject of email: Reducing revenue cycle denial in Critical Access Hospitals
Deadline: May 24, 2024, before 5:00 p.m. MDT.

Grant requirements:

• Hire a qualified data analytics vendor to manage activities that would streamline the CAH revenue cycle management process
• Based on vendor feedback, create workflow changes to reduce projected denied claims
• Provide the CAH’s insurance claims denial percentage as a baseline measurement at the beginning of the project
• Identify and quantify the reasons for claims denials by provider, by procedure, and by insurance payers
• Update workflows as needed based on the reasons for denials
• Manage these measurable outcomes:

• • create at least 3 workflow corrections to streamline revenue cycle denial management.
  • report anticipated changes that show a projected 25% decrease in forecasted denials.