Based in Baltimore, Maryland, Mercy Medical Center and Mercy Health Services operate in more than 95 locations with 50 different specialties. In July 2012, Mercy began its implementation of the Epic EHR. With a goal of being ready to attest for meaningful use in 2013, they structured an aggressive 12-month implementation timeframe.

Already an Availity Revenue Cycle Management client, and aware of Availity’s integration and experience with Epic, Mercy notified Availity of the project and aggressive timelines, and engaged us with the Mercy task force and Epic implementation team. Epic provided the overarching model and measures that would guide the team through go-live. This allowed the Availity team to focus on detailed integration points and workflows related to submitting claims and electronic attachments, paper claim conversion, eligibility and remittances, auto-posting of payments, and creating the Epic Claim Reconciliation Database (CRD) workflow outlines.

With the engagement of their Availity client account manager and client services team, Mercy realized tremendous success with their claims submission upon go-live, protecting their revenue stream and helping to keep operational performance high. “We were fortunate to have Availity onboard and acting as a trusted partner throughout our Epic implementation. Without the Availity team running multiple testing iterations, our client account manager being there by our side – running reports as needed and providing training – our go-live experience with claims submissions could have easily gone the other way.”

By giving priority and focus to the revenue cycle during their EHR implementation process, Mercy achieved a near-perfect clean claim submission rate. “At go-live Mercy’s clean claim rate was at 95 percent, within a month that rate climbed to 98 percent,” said Fred Morgan, Mercy Health Systems’ Senior Director of Physician Patient Accounting.

Leveraging Availity’s integration and experience with Epic further simplified the transition, heading off troublesome billing issues and keeping Mercy’s financial performance healthy.

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