{"id":4022,"date":"2025-02-27T11:00:12","date_gmt":"2025-02-27T11:00:12","guid":{"rendered":"https:\/\/medical-article.com\/?p=4022"},"modified":"2025-02-27T11:00:12","modified_gmt":"2025-02-27T11:00:12","slug":"patient-access-curator-delivers-100-million-boost-to-bottom-line-for-exact-sciences","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=4022","title":{"rendered":"Patient Access Curator delivers $100 million boost to bottom line for Exact Sciences"},"content":{"rendered":"

\u201cYou know when the Patient Access Curator<\/strong><\/a> went live because you can see it in our stock price. It helped us drive a $100 million bottom-line improvement within two quarters.\u201d <\/em><\/p>\n

\u2014Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences<\/em><\/p>\n

Challenge<\/strong><\/h2>\n

Exact Sciences is a prominent cancer diagnostics laboratory with an annual net revenue of around $2.6 billion, that\u2019s best known for its flagship cancer screening test, Cologuard. After a period of rapid growth demand for its test, Exact Sciences faced the difficult task of collecting accurate patient data and verifying insurance eligibility at scale. Anticipating a 25% growth in annual testing volumes, Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences, says the organization \u201cneeded an automated, real-time solution\u201d to capture accurate data from the start.<\/p>\n

The company had four specific objectives:<\/p>\n

Improve the accuracy of patient insurance data to reduce errors and denials.<\/p>\n

Streamline processes to handle rising testing volumes without increasing headcount.<\/p>\n

Reduce claim denials to bring in more revenue (especially those related to eligibility and timely filing).<\/p>\n

Ensure accurate identity verification in lab settings, where patient, physician and lab data aren\u2019t unified within a single data management system.<\/p>\n

Watch the webinar: Hear our pre-recorded session from our annual Experian Health High-Performance Summit 2024 (HPS), featuring Exact Sciences and Trinity Health, as they reveal how Patient Access Curator helped their organizations automate eligibility, reduce denials, and more, all with a single click.<\/a><\/strong><\/em><\/p>\n

Solution<\/strong><\/h2>\n

In need of a single solution to solve multiple challenges, Exact Sciences turned to Experian Health\u2019s Patient Access Curator<\/a><\/strong>. This new product provided the team with a way to run inquiries for eligibility, Medicare beneficiary identifiers, coordination of benefits, insurance discovery and demographic data with a single click. Instead of juggling multiple products and vendors, registrars would be able to capture and verify patient data in a single transaction.<\/p>\n

Through automation and machine learning, Patient Access <\/a>Curator<\/a><\/strong> could deliver results in less than 30 seconds and help submit clean claims the first time \u2013 reducing the risk of denials even as volumes increased. Experian Health\u2019s implementation experts configured the tool to Exact Sciences\u2019 needs, integrating over 4,000 payer plans nationwide and customizing parameters for real-time eligibility checks and data validation. Experian Health also delivered staff training to support the transition to the new system.<\/p>\n

Watch the video: See how Experian Health\u2019s Patient Access Curator streamlines patient access and billing, addressing claim denials, data quality and real-time corrections to boost your business\u2019s bottom line. <\/a><\/strong><\/em><\/p>\n

Outcome<\/strong><\/h2>\n

Thanks to Patient Access Curator<\/a><\/strong>, Exact Sciences achieved the following results:<\/p>\n

15% increase in revenue per test due to accurate eligibility and fewer denials<\/p>\n

4x business volume without increasing headcount<\/p>\n

50% reduction in denials and major improvement in timely filings<\/p>\n

$100 million added to the bottom line in 6 months<\/p>\n

Ken Kubisty, VP of Revenue Cycle at Exact Sciences, shares how Patient Access Curator improved eligibility processes, reduced errors and more.<\/em><\/strong><\/p>\n

<\/div>\n

Overall, Kubisty credits Experian Health\u2019s Patient Access Curator for helping Exact Sciences overcome critical pain points resulting from data errors and eligibility issues. Solving for bad data quality with real-time data correction freed staff from tedious manual work, ensuring faster, more accurate claims processing \u2013 all without growing headcount. After implementing Patient Access Curator, the company is ready to scale and handle growing volumes efficiently, say goodbye to late filing denials and scale smarter. For Kubisty, this highlights how technology drives efficiency and sustainable growth.<\/p>\n

Learn more about how <\/em>Patient Access Curator<\/em><\/a><\/strong> helps patient access teams prevent claim denials by solving for bad data quality with real-time data correction.<\/em><\/p>\n

\nLearn more<\/a>\n

Contact us<\/a>\n<\/p><\/div>\n

The post Patient Access Curator delivers $100 million boost to bottom line for Exact Sciences<\/a> appeared first on Healthcare Blog<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

\u201cYou know when the Patient Access Curator went live because you can see it in our stock price. It helped us drive a $100 million bottom-line improvement within two quarters.\u201d \u2014Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences Challenge Exact Sciences is a prominent cancer diagnostics laboratory with an annual net revenue of…<\/p>\n","protected":false},"author":0,"featured_media":4023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-4022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/4022"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4022"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/4022\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/4023"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}