Challenges Facing the Health System: Hospitals and health systems are continually challenged with finding the best approach to manage their self-pay patient populations. Strategies can include managing the process with in-house staff, outsourcing the function to a third-party vendor, or some combination of the two. In 2016, this multi-facility health system in the midwest faced several financial challenges, specifically relating to the management of their self-pay patient population. The challenges included cash short of target, accounts receivable hosted across multiple accounting systems, and no visibility into Medicaid conversion rates or financial assistance program data beyond the general ledger. In summary, they had few tools in place to evaluate the performance of their revenue cycle organization and to measure their financial results
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