White Papers, Case Studies and Reports
Case Studies
Fast Focus
MRO White Papers & Reports
Case Studies
Healthcare Providers Explore Payer Direct Access to EHRs, but Most Are Still Awaiting the Benefits
Healthcare providers are increasingly required to provide clinical data to payers to justify claims and get paid for the care they provide. In one recent study, nearly 15% of all claims submitted to payers for reimbursement were initially denied, including many that...
Navigating the Complexities of Clinical Data Exchange: A Survey-Based Analysis by MRO
Earlier this year, MRO and CHIME surveyed more than 180 leaders at health systems to better understand the challenges of bidirectional exchange of clinical data with payers across seven common use cases: prior authorization, risk adjustment, care management, quality...
Case Study: CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield Clinical Data Initiative Program Improves Quality Measures on Average by 63%
Case Study: Banner Health
Background Summary Banner Health’s large in-house release of information (ROI) operation sought guidance on how to optimize their ROI. They also recognized the need for a new technology platform to manage ROI requests. Essential priorities to meet this need included...
Use Case: Audit Manager
Background Summary Leverage technology to automate repetitive and duplicative tasks, ease the burden of volatile staffing levels, and drive a positive financial impact of claim monitoring and adjudication with MRO Audit Manager. With a nearly 58% increase in...
Case Study: Large Multi-Hospital and Clinic System
Case study done by MRO for large multi hospital and clinic system release of Information Standardization Across Large Multi-Hospital and Clinic Health System
Case Study: Carilion Clinic
Read the Casse study of Carilion Clinic Realized Astounding Efficiency and Quality Improvements in Release of Information, Streamlining Full-Time ROI Specialists
Case Study: Ochsner Health System
Ochsner Health System is multi-specialty healthcare delivery system read case study Mitigating Breach Risk with an Enterprise-Wide Release of Information Solution
Case Study: Saint Luke’s Health System – How MRO Services Helped SLHS Improve Turnaround Times and Customer Experience
Background Summary Saint Luke’s Health System (SLHS), based in Kansas City, Missouri, includes hospitals and campuses across Missouri and Kansas, home care and hospice, behavioral health services, physician practices, the College of Health Sciences, and more. As the...
Case Study: Lancaster General Health/Penn Medicine
Case study of LG Health/Penn Medicine and how they saw immediate improvements after implementing MRO’s technology and service saving time and efficiency
Fast Focus
Fast Focus: Payer Direct Access to Provider EHRs
Health system leaders face challenges in exchanging patient data due to CMS regulations requiring broader data sharing, while privacy concerns mount from recent security breaches. Additionally, third-party payer requests for clinical data are increasing. Although...
Fast Focus: Clinical Data Registries and the Compilation of Databases
Clinical data registries work as databases to hold and organize healthcare data. They are tasked with evaluating and improving clinical outcomes for a patient population within specific defined measures. Professional associations, specialty societies, research and...
Fast Focus: Provider-Payer Data Exchange
The relationship between healthcare providers and payers is filled with decades of finger pointing and administrative burdens. From payer denials to telephone tag, both sides of the healthcare reimbursement process experience unnecessary operational abrasion and...
Fast Focus: ROI Staffing
ADP Research Institute recently conducted a 17-country survey to determine what workers love (or hate) about their jobs¹ . ADP’s report is the most timely and extensive research available. The Institute concluded that workers in today’s economy value flexibility over...
Fast Focus: Information Sharing
The 21st Century Cures Act aims to improve access to health information and a connected healthcare ecosystem by establishing interoperability and anti-information blocking requirements. What started nearly two decades ago with regional Health Information Exchanges...
Fast Focus: Revenue Cycle Compliance
Compliance officers and auditors today are tasked with responsibility for monitoring and auditing hundreds of rules and regulations that impact healthcare. More than ever before, a team-based approach is needed to manage the burden and ensure regulatory compliance....
MRO White Papers & Reports
Audit Manager Return on Investment
Over the past few years, the number of government and commercial audits has skyrocketed, and hospitals are struggling to keep up with the influx of requests for documentation, denials, and downstream appeals. For a decentralized hospital system, there is often a lag...
Points of Light 2023 Case Study
White Paper: Data Optimization: Technology to Support Health Information Workflows
An expert panel of health information professionals, assembled by AHIMA and MRO, explore best practices in clinical data workflows to ensure timely response and optimal data exchange methods to provide for the confidentiality, integrity and availability of a patient’s...
HIM Director’s Guide to Driving New Efficiency in ROI
Technology Rises to Meet Release of Information Needs