Windham Health differentiates itself in the marketplace in many ways.  Our engagements are strictly "hands on" as our consultants work side by side with client staff to dissect the revenue cycle, build the best workflow solutions and implement proactive and focused new business processes which can be successfully sustained and improved upon for years to come.

Most of our clients engage Windham Health for pure financial reasons of reducing writeoffs, decreasing accounts receivable and collecting more cash for clinical services.  Our engagements, however, yield side benefits that many organizations place a high value on but were not expecting from our projects.  As we have consistently found, optimizing the revenue cycle impacts patients, providers, payers and employees in a positive way.

Progressive healthcare institutions are not interested in purchasing solutions that are merely a one-time benefit.  They value engagements that yield sustainable results that can be improved upon over time.  Windham Health consultants work side-by-side with client staff to develop and implement solutions.  We have unique experience on both the payer and provider side that is invaluable to our clients.

Billing & Collections

Most of our clients have been through major re-engineering projects or consulting engagements that have not yielded the desired results or met the stated goals.  At Windham Health, we have experts in every point of the revenue cycle that will produce successful engagements at any healthcare provider.  We strip apart our clients revenue cycles to identify the major issues and resolve them with proactive solutions, unique technology tools and improved employee performance.  We treat billing and collections as one part of the whole picture and integrate all of the steps into one synergistic workflow that includes all involved departments such as Scheduling, Admitting/Registration, Medical Records, and Patient Financial Services.

Account Sponsorship

Most healthcare organizations do not maximize their available resources to secure eligibility for patients who qualify for special funding programs such as Medicaid or special county programs.  Windham Health consultants educate providers about existing programs and establish or re-engineer Financial Counseling departments to ensure that all patients who qualify for programs are linked to them and ushered through the eligibility process.  The net result is that our clients ultimately collect more cash for these patients and can provide actual charity care to those who do not qualify yet cannot pay for services.

Technology

Windham Health has invested significant resources in developing proprietary state-of-the-art technology for our Revenue Cycle Optimization projects.  Our software is compatible with all major information systems and augments their existing functionalities.  We provide more informative management report capabilities, improved billing and collecting workdrivers, and accountability reports that highlight problems such as coding backlogs that negatively impact the revenue cycle.  Our technology is built on the principle of proactive response to alert managers and executives to small issues before they become problems.

Measurability

In most business environments, measuring results is an integral part of employee compensation and organizational success.  On the business side of healthcare, results are often measured collectively, but there is no individual benchmark of success or failure.  Windham Health introduces new measures of individual and collective performance at its clients.  While most organizations have some sort of measures for workload or throughput, they rarely have robust measures for quality.  We work with client management to develop quality benchmarks and review processes that allow staff to receive feedback and work toward improving performance.  The net result to the organization is faster and more accurate billings and collections.

Education

Most hospitals and health networks focus on employee education for their clinical staff, yet they often ignore the importance of ongoing education for their administrative and business staff.  The face of healthcare has changed significantly in the past decade, but for operational staff, their education has not kept pace.  Windham, as a company, believes that educating people about the job they perform and the overall healthcare environment increases their job performance and their satisfaction.  We have found that knowing how to do a job is much easier when you know why you do it.

Financial

• Yearly net income statement benefits of 2 or more percent of net patient revenue

• Increase in "sponsored" accounts by linking eligible patients to healthcare payers

• Accounts Receivable reduction with positive cashflow impacts

• Improved monthly cash collections over historical levels

Writeoffs

• Reduction in bad-debt writeoffs

• Reduction or elimination of past-statute writeoffs

• Reduction or elimination of misapplied charity writeoffs

Satisfaction

• Increased clinician and patient satisfaction

• Educated and focused workforce

• Overall improved customer service

• Reduced patient complaints about billing and collections

Windham Health does not focus on the revenue cycle as a "back end" or business office issue.  We focus our efforts through the entire revenue cycle to improve the entire operational workflow and create a synergistic patient account lifecycle that ensures the highest reimbursement in the shortest timeframe for services rendered.  Our process helps our client organizations to improve efficiency, increase cash collections, reduce writeoffs and improve staff and patient satisfaction.