Lavaca Medical Center Boosts Revenue Cycle
Operational Efficiency Amid an EHR Upgrade
June 4th, 2025
CLIENT
Lavaca Medical Center, located in Hallettsville, Texas, is a full-service critical access hospital delivering imaging, outpatient, skilled nursing, and other healthcare services. As a cornerstone provider in its community, Lavaca serves a dispersed regional population with limited access to larger health systems.
CHALLENGE
Lavaca Medical Center, a critical access provider serving rural Texas, faced a number of revenue cycle hurdles after transitioning through multiple EHR and claim scrubber platforms. The instability introduced by system changes and third-party disruptions (such as a Change outage) resulted in reduced visibility, delayed reimbursements, and inconsistent revenue performance.
Key challenges included:
- Disruption from legacy claim scrubbers
- Clean Claim Rate (CCR) stuck at 74%, with rising denials
- Poor visibility into KPIs due to inconsistent reporting
- Administrative burden from manual enrollment processes
- Lack of standardization across billing workflows
SSI’S SOLUTION
Lavaca Medical Center partnered with SSI to rebuild its revenue cycle operations, replacing fragile legacy tools with a stable, user-friendly claims management solution.
Key improvements included:
- Stability and Simplicity
Replaced multiple claim scrubbers with one intuitive solution tailored to the billing team’s workflows. - Enterprise Reporting
Real-time dashboards and automated reporting improved KPI tracking and transparency. - Rejection Workflow Management
Streamlined workflows addressed denials proactively, especially for Workers’ Compensation claims. - Electronic Attachments
Integrated functionality enabled faster claims submission and reduced lost documentation. - Reduced Customization Needs
SSI’s default edits cut the need for manual intervention or IT customization. - Collaborative Support Model
Lavaca had direct access to SSI experts, accelerating implementation and issue resolution.
RESULTS
Lavaca’s transformation with SSI yielded measurable results, with even more improvements expected as post-implementation data matures.
- Clean Claim Rate: Rose from 74% to 88% after initial implementation with SSI, and continued increases have been seen following the EMR implementation from SSI’s deployment of embedded edits with Oracle and other improvements.
- Enrollment: Streamlined and significantly easier to manage
- AR Days: Decreased, with full stabilization pending recovery from prior system outages
“Don’t be afraid to change your revenue cycle management system before a major EMR/HIS upgrade. Switching to SSI gave our team hope, clarity, and the tools to perform with confidence.”
About The SSI Group, LLC
Since 1988, SSI has been in the business of ensuring healthcare providers are paid timely, efficiently, and accurately. SSI’s product suite provides an enhanced collections process for payers and patients.
For more information about The SSI Group’s suite of claims and billing solutions, request a demo.
Get Started
Make your move toward stronger financial performance.
