Partner Spotlight:

Rural hospitals face unique challenges. Financial uncertainty and isolated data often hinder the ability to provide quality care. This is the heart and soul of REDi Health. Founded in 2021, our mission is to break down data silos and address financial issues across rural facilities head-on. By driving and documenting immediate financial stability, we enable rural communities to begin the data-driven journey of enhanced clinical workflows and strategic population health efforts for improved healthcare quality. 

How We Work with Our Rural Partners
It’s simple – we quickly integrate disparate clinical and financial data sources, utilize our extensive expertise in healthcare analytics, and apply this to a rural system’s specific needs. Many of us have invested heavily in technology but often struggle to leverage those investments effectively. That’s where our healthcare experts come in. 

Initially, we zero in on three key areas to help rural hospitals establish financial sustainability: 

1. Chargemaster Accuracy and Compliance
Keeping chargemasters accurate is crucial, yet over half of hospitals nationwide struggle with this task. Your hospital is likely no exception. By leveraging available technology, national and local data sources, and REDi’s data and workflow experts, we’ve helped many critical access hospitals generate significant new revenue quickly. It’s all about making sure every service and procedure is correctly listed and priced. 

2. Denials Management
Is claims denial a persistent headache for your hospital? This problem won’t be solved by simply applying AI or outsourcing the revenue cycle – it requires understanding where the data flows are getting disconnected and how to improve workflows. Our analytic experts document and integrate these data flows, making it easier to spot where claims are falling through the cracks. Once we have a clear picture, our process experts will work side-by-side with hospitals to quickly address and resolve workflow challenges and drive additional revenue into the organization. 

3. Expected Contractual Payments vs. Actual Receipts
Do contracts with insurers promise certain payment terms, but it feels like your hospital isn’t receiving what it’s owed? REDi brings transparency to this process, ensuring that hospitals track and receive the funds stipulated by their contracts. It’s a game-changer for financial stability. 

How Hospitals Benefit
Embracing these solutions means immediate financial improvement. By addressing chargemaster accuracy, managing denials, and ensuring correct payments from contracts, hospitals can stabilize their finances this year. The exciting element of financial stability is it allows a focus on driving quality care across communities. 

Why State Offices Should Care
Imagine solving rural facilities’ biggest challenges without massive investments. These projects are a smart, cost-effective use of Flex and SHIP funding. With the right design, these projects will be completed within available funds, helping rural healthcare facilities maintain financial stability and continue serving our communities effectively. 

Call to Action
“Let’s discuss how we can help your community thrive. It is possible.” — Jeff Grandia, Co-founder of REDi Health. 
Contact Jeff directly at 801-891-9579.