A lesson in resource optimization from Northwestern Medicine

Northwestern Medicine RCM

Discover how EnableComp’s specialty revenue cycle platform, e360 RCM®, enhanced Northwestern Medicine’s workforce and increased annual workers’ comp uplift by 17%. 

The challenge 

With award-winning facilities across Chicago, Northwestern Medicine is known for its commitment to superior quality, academic excellence, scientific discovery, and patient safety. Like all hospitals and health systems, their ability to meet the mission depends on the financial wellness of their organization. 

Even at Northwestern’s scale, though, they didn’t have the expertise or technology to effectively manage the ever-changing specialty claims reimbursement process. The Solution 

For the financial leaders at Northwestern Medicine, innovative technology plays a key role in overcoming the staffing and reimbursement challenges that stand between them and financial wellness. Never content to let money sit on the table, they looked to EnableComp and the e360 RCM® intelligent automation platform to streamline and optimize their specialty revenue cycle management (RCM) 

The solution  

Successful RCM depends on strategic resource optimization. When it comes to specialty RCM claims – the most  challenging claims with the most elusive returns – knowing how and when to leverage a vendor partner is key to maximizing in-house capabilities for the best results. 

By partnering with EnableComp on Day One claims, Northwestern Medicine was not only able to avoid underpayments, delays, and denials, they also could keep their staff focused on what they do best. 

“As a leader in specialty claims, our partnership with EnableComp continues to be a valuable asset to Northwestern Medicine.” -John A. Orsini, CPA, Executive Vice President and Chief Financial Officer 

The bottom-line impact  

By reallocating full-time employees (FTEs) from workers’ comp to higher-dollar commercial claims, Northwestern was able to cut costs, improve employee satisfaction, and maximize revenue across payer classes.  The health system also saw a $10M+ annual uplift, representing a 17% increase in collection yield. 

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