
Whether you need help identifying operational improvements or need a plan for increasing efficiencies, most organizations have opportunities to enhance patient experience through updates to their operations processes.
Client
Urology System
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Location
Nationwide
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The ChallengeA national urology system’s administrative staff were struggling to catch up with their rapid growth. The LYP team interviewed team members and observed operations in action. They discovered a lack of defined referral workflow with untouched referrals dating back more than 6 months, resulting in very low new patient revenue; faxing and medical records not being properly indexed in a timely manner, leading to slower processing and patient treatment; triage and scheduling workflows were inefficient and poorly managed, putting extra pressure on clinical staff, poor patient experiences, and late cancellation of procedures; and workflows were not being accurately followed, which also caused patient leakage and procedure cancellations. The DataWhen the LYP team started their fact finding, they discovered a number of opportunities to transform operations and course-correct processes to accommodate their growth:
• No defined referral workflow resulting in 6,000+ referrals in backlog, with no reporting or tracking on the referring physician.
• Faxing and medical records were taking 5 business days to be indexed.
• Triage and surgery scheduling was experiencing a 60–70% abandonment rate, with almost 50% of voicemails not being returned.
• Staff needed to work with 6 different systems to schedule a patient for surgery, causing delays and prior-authorization issues.
Solutions & ResultsLYP delivered an assessment, recommendations, and a project plan to address the challenges the organization was experiencing. With the roadmap in place and LYP to assist in execution, the collective team worked to address the challenges, closing the loop on the gaps in the referral process (6 months of back-referrals were brought current in 45 days), redesigning workflows to take over indexing, implementing LYP systems and retraining staff, and establishing more efficient processes to improve patient satisfaction, decrease late cancellations in schedule, reduce stress on clinicians, and increase revenue streams. |
Related Services
Inbound Scheduling
Patient Access (Care Connect)
Back Office Services
Revenue Cycle
• A referral process that processes a new referral in under 24 hours.
• Medical record indexing is current and in most cases handled in real time.
• Triage & surgery scheduling teams now achieve an 85% call handle rate.
• Voicemails no longer go unanswered.
•Patient satisfaction ratings for:
Call center: 4.6 stars/5.0
Triage & surgery scheduling: 4.2 stars/5.0 |
Client
Large Multi-Practice Orthopedic Client
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Location
Texas
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The ChallengeThe client was experiencing: • High-Call Volumes
• Agents Under Duress
• Inconsistent Scheduling
• Breakdown in Managing their Concierge Line
The Data
• Average Speed of Answer (ASA) was 394 seconds at discovery
• 22% abandonment rates
Solutions & ResultsAfter LYP’s team completed its initial audit, they worked to develop a comprehensive, tailored solution to address the client’s challenges and objectives. Among the recommendations, LYP offered outsource contact center services including scheduling, triaging symptom calls & routed them appropriately, medication refill requests, medical records tasks, etc. LYP removed the administrative burden of maintaining a productive call center and raised the bar on call center functionality. Outsourcing those tasks to LYP’s contact center meant the client no longer must recruit, hire, and train call center associates. LYP implemented their customized workflow software (PatientSync) which allows their associates to work in tandem with the client’s EHR to verify and record all necessary information to help medical personnel be better prepared for treatment. |
Related Services
Inbound Scheduling
Patient Access (Care Connect)
Back Office Services
• 10,000 calls/month handled
• ASA was reduced 74%
• 13% reduction in abandonment rates
• 87% of patients gave their experiences a 5-star rating
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Client
Multi-Specialty Client
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Location
New Jersey
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The ChallengeOncology patients were being transferred from person to person, having to repeat information about diagnoses, treatment, symptoms, and questions, feeling frustration and exhaustion because they felt unheard and without help. Call abandonment rates were high, and patient and provider satisfaction levels were low. The Data
80% of calls were transferred at least once. The practice noticed a decline in patient volume due to the caller’s inability to complete their reason for calling. Solutions & ResultsAfter completing the initial audit, our team created a remediation plan to streamline the workflow and delegate appropriate responsibilities. The contact center teams are empowered to help resolve issues for patients, making them feel heard and valued, and improving the experience for patients and employees alike. Associates are scheduling new patient appointments, handling urgent reasons for call, and addressing patient needs while they are on the phone. |
Related Services
Inbound Scheduling
• 70% of calls are now resolved in the first phone call (no transfers)
• Abandoned calls are down to 1%
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Client
Ambulatory Surgical Services
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Location
Nationwide
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The ChallengeEight months after launching an ambulatory surgery center (ASC), the client observed a substantial gam between their projected and actual revenue performance. Solutions & Results
LYP’s RCM leaders conducted a thorough assessment, reported detailed findings and recommendations, and implemented corrective measures to address the operational inefficiencies and revenue cycle challenges. The team performed validation and testing, including releasing a controlled batch of claims to ensure that the system corrections were functioning as intended. Finally, they established a structured process for submitting both the backlog and current claims to ensure timely billing and sustained performance improvements. |
Related Services
Back Office Services
Revenue Cycle Management
Claims Charge Results:
•112% increase in Q1, 2025 over Q4, 2024
•24% increase in Q2, over Q1, 2025
Revenue Results:
•82% increase in Q1, 2025 over Q4 2024
•123% increase in Q2 over Q1, 2025
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A loyal patient roster is vital to a successful medical practice and maintaining a healthy referral pipeline is the key to achieving sustained growth. LYP evaluates current processes using new patient audits to ensure patient referrals are handled quickly and efficiently, prioritizing patients, and maximizing revenue. Front-End Audits include evaluations in the following areas:
Procedures for patient care once the patient is seen offer additional opportunities for improvement in patient experience and financial health of the organization.
Ensuring RCM systems are accurately capturing and processing patient treatment for billing and collections can make the difference in practice growth and failure. If you are relying on staff to multi-task these duties with other responsibilities without solid systems in place, the risk for errors and non-payment increases significantly.
LYP’s strategic advisory services combine clinical and revenue cycle expertise to uncover challenges, refine workflows, and ensure patients receive the right care, at the right time. Our team will optimize processes and eliminate inefficiencies, helping you enhance access, improve financial performance, and drive sustainable operational improvements across your organization. Let’s talk today.
Learn how LYP Health Management shows your patients how much you care.