“ With Rivet we were able to collect $1.7M in surgery pre-collection — 3.5x what we did before Rivet. According to athenahealth reports, we collect 90% of patient responsibility prior to scheduled appointments.”
Sherri Lewis, director of revenue cycle management at Boulder Centre for Orthopedics & Spine uses Rivet to accelerate Boulder's pre-collections and collect underpayments from payers.
Boulder Centre for Orthopedics & Spine did as much pre-collection they could manually.
“While we lacked an effective process, we did have a full-time employee who was solely responsible for pre-collections,” said Sherri Lewis, director of revenue cycle management at the BoulderCentre for Orthopedics & Spine.
“The job required many manual steps and the navigation of multiple portals and software. Because of the operational inefficiencies inherent in our technology, this employee averaged five orders per day, according to our reports in athenahealth.
“To compound the challenge, the pre-collections our office did garner were never based on a contractual rate,” she explained.“The CPT codes were not matched up with our payer contracted rates and subtracted from the deductible and coinsurance to come up with an accurate estimate. Ultimately, this meant our process was very unstructured and tended to be inaccurate.”
"But," Lewis said, "generating estimates for complex insurance plans is streamlined with Rivet. Select the appropriate carrier, input billing codes or use a Rivet template, and deliver precise patient estimates effortlessly."
The results found by Lewis' strong team were game changing.
“Rivet has significantly increased our revenue, offering ROI in less than a month. We’ve ensured accurate payments by utilizing Rivet’s robust platform."
Lewis' team not only found ROI, they also captured more patient prepayment than they thought possible and love how it integrates with their athenahealth EHR.
“We use Rivet with athenahealth every single day and it saves us a ton of time and manual effort. With Rivet we were able to collect $1.7M in surgery pre-collection — 3.5x what we did before Rivet." Lewis continued: "According to athenahealth reports, we collect 90% of patient responsibility prior to scheduled appointments."
But Rivet helps with more than pre-collection.
“We know payers don’t want to pay us,” Lewis said. “We know we aren’t getting paid with a denial, but it’s difficult to determine if insurance consistently pays you less than you deserve. “Furthermore,” she said, “it is also difficult to audit claims for partial denials and downcoding because that would mean that I have to literally pull every claim for each payer and see what I come up with. “It was a waste of my time and my team’s time,” Lewis continued. “I needed results that only a tech solution could give me.”
That's where Lewis and her team began using Rivet.
"We immediately saw ROI through time savings with Rivet through the automation of numerous manual processes, resulting in reduced accounts receivable days and the identification of underpayments. And Rivet integrates seamlessly with Athena, making Rivet a platform our team could never live without."
Lewis continued: “Medical contracting often feels like a convoluted enigma. Rivet demystifies this process, providing clarity on contract performance and ensuring alignment between provider and payer.
“Not to mention, Rivet automatically collects your underpayments into projects so you can attack high dollar value projects. That way, we can bring the fight to the payer and confidently get paid what we deserve; which has amounted to approximately $100K we've recovered using Rivet.”
Learn more about Rivet's robust patient cost estimates and payer performance tools now: Schedule a Rivet demo