Columbia Memorial Hospital Case Study
2111 Exchange Street | Astoria, Oregon 97102
HRG Partner from June 2014 to Current
Healthcare Resource Group
Healthcare Resource Group (HRG) was built on years of experience working in the healthcare industry and with facilities of all sizes, engaging in a wide array of challenges and providing solutions.
HRG’s OutPartnering™ Center is equipped with great people backed by superior technology. We produce industry leading services and get the results necessary for our partner’s to meet their individual goals and objectives.
Our growth success has been tied directly to our ability to work with our partners, to provide immediate benefits, long-term results, and exceed expectations. Being employee-owned, HRG focuses on recruiting, employing, developing, and retaining experienced professionals dedicated to providing results.
Columbia Memorial Hospital
Columbia Memorial Hospital (CMH) is a full-service, not-for-profit, Level IV Trauma and Critical Access Hospital located in Astoria, Oregon, one of five independent hospitals remaining in the state. CMH offers inpatient suites, emergency department staffed by Oregon Health & Sciences University (OSHU) physicians, a family birthing center, surgical program, full-service lab, radiology, and an adjacent CMH Health & Wellness Pavilion in which is housed their Women’s Center. CMH also runs a satellite urgent care clinic in Warrenton, and along with OHSU provides rural cardiology and telemedicine.
Origins in 1880 - region’s first hospital
More than 600 caregivers
Cerner System, EHR; 3M Coding, HIS
“HRG is amazing to work with. Their communication is unlike any other partner I’ve ever experienced, and they go above and beyond in consulting us in areas we may have questions. They’ve helped us with several projects over the years resulting in not only reduced account volume, but in expedited cash recovery. Working with HRG facilitated better processing and utilization of resources for us, and allowed our staff to focus more on our community and our patients.”
The Fit
HRG’s relationship with Columbia Memorial Hospital began in the single realization that CMH had a growing self-pay backlog and a looming system conversion from CPSI to Cerner that they did not have the staff availability to manage. This original solution quickly grew into full conversion assistance, supplemental management and AR expert staffing, coding, ICD-10 preparation and education, clinical documentation audits and physician education, prior authorization management,and more. From the original partnership in June, 2014, HRG and CMH have built a healthy partnership of trust and honest communication. CMH knows HRG has their best interest at heart and will do what it takes to help them achieve their revenue goals.
Projects and Statistics
CPSI Legacy System Clean-up: August 2014 - December 2015
HRG partnered with CMH to provide a comprehensive conversion solution for the inventory in the CPSI system.
Total Assignment: 4048 accounts = $4,116,653
Cash Collections: $1,145,863
Cerner AR Follow-up: June 2015 - March 2017
HRG provided flexible, hourly billing support in the Cerner system. HRG began working accounts at 60 days from discharge, then stepped back to 90 days from discharge and finally 120 days from discharge date.
Total Assignment: 42,643 accounts = $86,731,925
Accounts Resolved: 42,016
Cash Collections: $19,972,041
Cerner Commercial & Medicaid Payer Follow-up: July 2018+
HRG provides Safety Net services, by providing a team of experienced professionals to work follow-up on aged AR.
Total Assignment: 11,617 accounts = $86,731,925
Accounts Resolved: 8,216 (71% of assigned AR)
Cash Collections: $7,172,373 (50% from accounts 365 days+)
Denied Claims Collected: 1,279 = $5,006,012
Trusted Partnership value-added solutions:
HIM Coding Solutions
Early Out Self-Pay solution with patient financial care
Temporary provision of a Revenue Cycle and Support Specialist
Ongoing consulting and management services as needed
