athenahealth, a leading provider of network-enabled software and services for medical groups and health systems nationwide, today announced that it joined forces with CaduceusHealth, a New Jersey-based managed services organization, to enable Englewood Health to expand its business four-fold, as well as make a rapid pivot to COVID-19 protocols. Englewood Health, one of New Jersey’s leading hospitals and healthcare networks, is leveraging the two companies’ integrated billing solution to improve real-time insight into revenue performance, increase collections, and enable providers to focus on delivering high-quality and sustainable care.
Using athenaCollector for revenue cycle management (RCM), along with CaduceusHealth’s technology that includes robust reporting capabilities, Englewood can offer easy remote management and user-friendly interfaces for real-time, always-on insight into the performance of its physician network. This allows Englewood’s providers and leadership to assess daily operations and monthly trends and pinpoint areas that need optimization; it has also enabled Englewood Health to grow from $30 million to $120 million in annual collections, and from 50 to more than 500 providers, between 2011 and 2020.
“Revenue performance is top of mind for practices across the country as they look for ways to enhance efficiencies and their bottom line to secure their futures, especially due to the financial implications of the COVID-19 pandemic,” said Bret Connor, chief customer officer, athenahealth. “Through our robust and seamless technology, we are proud to help networks like Englewood sustain long-term business growth by improving RCM integration across locations, providing real-time visibility into financial data, and enabling them to effectively collect patient pay responsibilities.”
Additionally, athenahealth’s Billing Rules Engine, which proactively scans claims to catch errors before they are submitted, has enabled Englewood to ensure its claims are as complete and accurate as possible, significantly reducing denials and improving first-pass resolution rates. Together, athenahealth and Caduceus have given Englewood’s staff the data visibility they need to advise patients what they owe before they arrive for a visit and then collect the appropriate amount. This has resulted in patient self-pay changing from Englewood’s eighth-largest revenue source to its third-largest, behind only Medicare and Blue Cross. When looking at the same set of providers year over year, Englewood saw an 18% increase in collections.
“When we began thinking about expanding our network, we knew we needed to identify the right business and technology partners that aligned with our mission to sustain and bolster our growth,” said Dr. Stephen Brunnquell, President of Englewood Health Physician Partners. “From day one of our partnership, athenahealth and Caduceus have provided us with RCM support that includes valuable technology and data and that is better than outsourcing. They have helped us centralize our network’s approach, support our team members on the front lines, and strengthen our financial outlook. As we look to pursue ventures with new groups and expand access to care, we depend on the insight and support of athenahealth and Caduceus to ensure every new practice is a seamless onboard.”
Most recently during the COVID-19 pandemic, athenahealth and Caduceus helped Englewood quickly and seamlessly scale its telehealth offering from three to 45 service department practices in five days. Through the partnership, the organizations also implemented a remote patient payment application, allowing text-to-pay from a patient’s phone, which fully integrates with athenahealth’s credit card processing functionality. athenahealth and Caduceus were able to keep Englewood’s revenue stable in March and reported it only decreased by 10% in April (compared to April 2019), during the peak of stay-at-home directives. Due to its ability to maintain incoming revenue and efficient billing processes during the pandemic, Englewood is in a strong financial position to move forward with its long-term growth plans.
To learn more about Englewood Health’s results from partnering with athenahealth and CaduceusHealth, please view our case study: https://www.athenahealth.com/case-studies/englewood-health-and-caduceushealth.
About athenahealth, Inc.
athenahealth partners with medical organizations across the country to drive clinical and financial results. Our vision is to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all, and we are pursuing this through our medical record, revenue cycle, patient engagement, and care coordination service offerings. Our expert teams build modern technology on an open, connected ecosystem, yielding insights that make a difference for our customers and their patients. For more information, please visit www.athenahealth.com.
Since 1997, CaduceusHealth® has helped physicians and healthcare providers analyze their business processes and discover new ways to create efficient and compliant workflows within their practices. An early adopter of the athenahealth platform, CaduceusHealth® provides fully outsourced revenue cycle, staffing, coding, and analytic solutions for over 3,500 providers nationally, operational in hospital owned, affiliated or private equity backed, single and multi-specialty practices. We partner closely with our clients to achieve better outcomes.
About Englewood Health
Englewood Health is one of New Jersey’s leading hospitals and healthcare networks. Composed of Englewood Hospital, the Englewood Health Physician Network, and the Englewood Health Foundation, the health system delivers nationally recognized care in a community setting to residents of northern New Jersey and beyond. The hospital, founded in 1890, consistently earns high marks for clinical excellence and patient safety. It is among the top 10% of hospitals in the nation to earn the 2019 Healthgrades Patient Safety Excellence Award. The hospital is also nationally recognized for nursing excellence, earning a fourth consecutive designation by the Magnet Recognition Program® in 2016. Areas of clinical excellence include cardiac surgery and cardiac care, cancer care, orthopedic surgery, spine surgery, vascular surgery, and women’s health, as well as bloodless medicine and surgery. Englewood Health is an affiliate of Hackensack Meridian Health. The hospital offers an internal medicine residency program affiliated with Hackensack Meridian School of Medicine at Seton Hall University, as well as a vascular surgery fellowship, pharmacy residency program, and a radiography training program. Englewood also serves as a training site for surgery, pathology, emergency medicine, anesthesiology, critical care medicine, and other medical and surgical subspecialties. Englewood Health is continually expanding services and enhancing access through the Englewood Health Physician Network, a coordinated network of office-based and hospital-based providers at more than 100 locations in six counties in New Jersey and New York. Through the main acute-care facility, physician network, hospital outpatient departments offering imaging services in local communities, and a variety of community health and wellness programs, Englewood Health delivers a healthcare experience that puts patients at the center. For additional information, visit www.englewoodhealth.org.