“Rivet gives an inclusive view of all of our claims in one place, at one time. It truly is the one-stop shop for revenue analytics. I can do it all on an easy-to-use platform that I can turn to at any time.”
Amanda has spent the last 14 years in healthcare; the last ~6 of which as Generations Family Practice’s RCM Specialist. She oversees data analytics and Revenue Cycle Management teams. Hager is one of Generations Family Practice’s primary Rivet users.
When Generations Family Practice acquired existing businesses, they also acquired completely different contracts with individual issues. "We needed technology that makes our lives simpler when it comes to contract amendments," said Amanda Hager, RCM specialist at Generations Family Practice. "We need to know if amendments are good for business, but they can show up at any time; even when my team is busy with other work."
Hager oversees contract management, but saw that since acquiring existing businesses their contracts sat in multiple locations and needed to be not only centralized, but analyzed and maximized. “We needed something that helps us manage all our contracts across EMRs and prepare for timely contract amendment pushback and negotiations through contract analysis and modeling.”
Generations Family Practice also wanted a software that helped with the backend of revenue cycle.
“We know that denials and underpayments are happening," Hager said, "but it’s difficult to know systemic areas of opportunity if we aren’t manually analyzing the data. But manual analysis takes time that sadly, we just don’t have."
Hager continued: “We needed something that can tell me why I’m being denied overall and at each location so we can properly train staff and recover lost revenue. Furthermore, we needed something to fight underpayments. Underpayments are common, but incredibly hard to prove for payment. Unfortunately, that means my team and I weren’t prioritizing underpayment recovery, but that means I was leaving money on the table, and I was tired of that.”
That's where Rivet changes the game for Generations Family Practice.
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“Rivet gives an inclusive view of all of our claims in one place, at one time. It truly is the one-stop shop for revenue analytics. I can do it all on an easy-to-use platform that I can turn to at any time.”
Hager said multiple EMRs weren't an issue. In fact, “Rivet allowed us to funnel all our data from multiple platforms into a single software that gave us the insight to empower our revenue cycle. We couldn’t be happier with the result.”
The result, as it happens, is that Generations Family Practice has discovered (and mostly recovered) $250K in underpayments and recovered over $90K from denials using Rivet.
“Having a deep visibility into underpayments and denials and knowing where to push back on appeals has been crucial in getting paid what we deserve. We were able to discover and recover thousands of dollars of what would have been lost revenue because of Rivet.”
Hager couldn't say enough about how Rivet's "one-stop shop" has influenced her team.
“There are a thousand reasons to use Rivet, but the main one that we enjoy is the transparency into our claims. In seconds we’re able to deep dive into our denials, underpayments, overpayments, and claim trends. The data is all there and I can analyze it without having to spend any manual effort.”
Learn more about Rivet's robust underpayment and denials tools now: Schedule a Rivet demo
