Life of A Claim

Revolutionize Your Cash Flow Management

Life of A Claim combines technology and operational methodology to discover opportunities and transform them into tangible cash gains. It begins with the Claim HealthCheck, a diagnostic process identifying the gap between charges and cash flow. Next, Cash Realization optimizes workflow, empowers staff, and harnesses the power of technology to promote cashflow improvements. Finally, with the Cash Legacy™ program, you can continue using Texican’s tools for lasting financial and revenue cycle operational and organizational improvements.

Claim HealthCheck

Texican’s Claim HealthCheck is the initial step towards maximizing cash. It represents an evidence-based reality check to establish the baseline for future evaluation and determine eligibility for revenue cycle transformation.

Claim HealthCheck consists of the following three phases:

    Collect & Connect Data

    Leverage Proprietary Analytics

    Deliver Actionable Insights

    Extract and integrate multi-sourced RCO data streams

    • EHR/EMR
    • 3rd Party vender bolt-ons
    • Payer remits
    • Payment flow
    • Claim analytics
    • Transaction analysis
    • Payer performance

    Cash Velocity

    • Identifies Cash Collection Improvement Opportunities

    Claim Precision

    • Pinpoints the most impactful claim integrity corrections to increase the First Pass Clean Claim Rate

    Redundancies

    • Calculates critical measures of workflow efficiency to identify unnecessary system and staff efforts

    Payer Scorecard

    • Evaluates Payers for timely and accurate payments, denial frequencies, outcomes and comparative analysis on reimbursement, denial rates and overall performance ranking

     

    Increase Net Cash

    Cash Realization

    Combining advanced technology and human intelligence, Texican’s “Secret Sauce” transforms Claim HealthCheck discovery into a strategic plan that closes the charge-cash gap and delivers one month’s additional cash.

    Cash Realization relies on the three following pillars:

    Workflow Optimization

    Creates a series of dynamic work lists that prioritize high-value efforts and facilitates the ability of management to focus on high-impact solutions

    Staff Training and Empowerment

    Our job is to EMPOWER management and staff in every department that touches a claim with training and know-how to approach problem-solving skills developed over three decades of experience.

    Our proprietary software implements 15-minute Review – regular performance evaluations.

    Decision Support through Analytics and Reporting

    • Proprietary Dashboards
    • A/R Performance
    • Claim Evaluation
    • Targeted Opportunities

    Cash Legacy

    Following the initial discovery in Claim Healthcheck and Cash Realization, clients continue to sustain cash gains as a result of the operational improvements implemented and an improved understanding of actual performance.

    To promote sustainable improvement, the Cash Legacy program ensures the inculcation of your new level of excellence that includes continuous access to Texican’s:

    • RCM Consulting expertise
    • Software Tool and Staff Training
    • Methods of performance evaluation
    • Continuous improvement of RCM

     

    Revolutionize Your Cash Flow Management

    Contact us today to make the Life of A Claim a reality for you.

    Client Testimonials

    4
    5

    Louisiana

    Large Regional Health System

    “Texican has exceeded the initial projections of our engagement, achieving a 9 to 1 return on investment.  They have been excellent partners and bring a commitment to their customers at all levels.”

    Florida Hospital

    “Texican helped us achieve great results in the financial turnaround of our business office. Their highly skilled personnel and attention to detail generated significant additional cash flow for our organization”

    Louisiana

    Large Regional Health System

    “Lafayette General Health’s highly successful revenue cycle transformation engagement with Texican was driven not only through operational and technology optimizations but also by their willingness to adopt and embody our “Journey to Excellence(J2E)” culture. Texican leadership continually attends J2E training and then executes and teaches our evidence-based expectations”

    Louisiana

    Large Regional Health System

    “Our revenue cycle operations transformation partner, Texican has played a critical role in strengthening our system, increasing and sustaining our annual cash flow by 10% over baseline, reducing A/R by 25%, and establishing an accurate and consistent revenue forecast model are only a few of the significant Texican contributions. Even during COVID-19 their support and Revenue Cycle leadership afforded us the opportunity to continue to grow cash while mitigating significant financial impacts experienced by other healthcare organizations. Their work helped to position our organization for the recent highly successful merger with Ochsner Health”

    California

    Hospital

    “With the assistance of Texican’s highly knowledgable staff our team was able to focus on recent receivables while they identified issues afflicting past receivables and solved existing problems. It was very refreshing to receive weekly reports on the project status, knowing it would be on time.”

    Senior Vice President and Chief Financial Officer, Louisiana

    Integrated Delivery System

    “Our decision to go with Texican, Inc. and Life of A Claim© has been both operationally and financially rewarding to the organization. The efforts and changes to date have been strategically and tactically effective – resulting in our cash improvement modeling to be on target and our cash projections to be ahead of pace. We’re looking forward to the completion and the long-term sustainable effects from our Revenue Cycle Operations transformation.”