Healthcare Consulting Services

Expert efficiency for front-end, back-end, and RCM processes to boost revenue and patient experiences

Inefficient methods and systems bottleneck staff and slow patient care, resulting in frustration, patient leakage, and lost revenue. Identifying the overlaps and gaps, along with implementing proven solutions lead to improved patient experiences, financial health, and operational efficiencies.

Maintain focus on patient care through streamlined procedures, keeping patients and revenue streams healthy

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
Location
Nationwide
LYP helps a fast-growing urology system scale their operations and processes to match their growth.

The Challenge

A 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 Data

When 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 & Results

LYP 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
Location
Texas
LYP’s team identified and implemented solutions for a prominent orthopedic and sport medicine client’s call center, turning it into a revenue boosting profit center.

The Challenge

The 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 & Results

After 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

Client
Multi-Specialty Client
Location
New Jersey
LYP makes one-call resolution a priority for an oncology system, dramatically improving patient experiences and the care patients receive.

The Challenge

Oncology 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.
In most examples, the call center would take the call then transfer the patient to triage due to urgent symptoms. Triage would then transfer the patient to the front desk for a same day appointment.

Solutions & Results

After 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%

Client
Ambulatory Surgical Services
Location
Nationwide
Revenue Cycle Management is one of the most impactful areas in healthcare operations. LYP has a team of experts in RCM tasks to make the most of your revenue generating activities.

The Challenge

Eight 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.
Through targeted system intervention, efficient workflow redesign, and proactive revenue cycle support, the consulting team helped the client restore and surpass its financial goals for the ASC. The collaboration not only resolved critical system and billing issues but also laid a strong foundation for sustained revenue growth.

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

Intro to Consulting

Front-End Improvements Breakdown

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:

  • Referral Management
  • Insurance Verification
  • Prior Authorization Verification
  • Call Center Scheduling
  • Patient Registration & Check-in

Back-End Improvements Breakdown

Procedures for patient care once the patient is seen offer additional opportunities for improvement in patient experience and financial health of the organization.

  • Clinical Processes
  • Triage
  • Surgery Scheduling
  • Macro MIPS Reporting
  • EMR Integration
  • Workflow Deviation

RCM Improvements

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.

  • Improper Coding
  • Prior Authorizations
  • Denial Management & Follow-up
  • Payment Posting & Reconciliation
  • Workflow Process Improvements

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.

We’re here to help you help your patients.

Learn how LYP Health Management shows your patients how much you care.