Many consulting engagements come with a myriad of issues that often require an approach seemingly in conflict with the client’s current environment. This was the case recently where the client’s goal was to optimize the denial management challenges faced by the health system, while not committing to any system upgrades. The reason? This client, in the not too distant future, is considering a change of vendors to manage the revenue cycle.
So what is a consultant to do? As often is the case, thinking outside of the box can provide the short term solution needed to optimize revenue cycle tasks while staying focused on the long game of a new system implementation. The trick is to be open to all possibilities until that eureka moment strikes. For this engagement, the game plan was to recommend a system upgrade to address the denial management issues at play. The “aha moment” came when mapping out the system upgrade benefits. As it turned out, by upgrading the denial management application, the client would need to re-design the operational workflows.
The new operational workflows will not only support the much needed upgrade but will place the client in an optimal position as it migrates to the new system platform. So as Archimedes, the Greek mathematician, came upon his “Eureka” moment, the moral of this blog is to work at that puzzle until the optimal solution is found!