Agility and Flexibility for Meeting Growing Demand
The agency represents the nation’s second-largest municipal health system, which processes more than 800,000 inpatient visits, 260,000 emergency room visits, and 2.5 million outpatient visits annually. It employs 21,650 resources and an operating budget exceeding $5.6 billion, while integrating 19 health centers, four hospitals, and a vast network of community partner clinics.
Over time, the county’s population growth – and most recently the COVID-19 outbreak – put greater demands on the agency’s older, inefficient mainframe-based system. Its unscalable and labor intensive structure was creating costly obstacles for processing payments, insurance billings, and payment credits and refunds. There were also complications in processing clinical and administrative appeals, along with medical coding and auditing.