As hospitals and health systems work to streamline operations and increase the impact of collections efforts in an increasingly challenging environment of patients, payers and regulations, transforming the performance of a provider’s outsourced vendors is more critical than ever. The challenge In 2009, Geisinger worked with a network of nine vendors to support both hospital and clinical revenue collections. The vendors were in place to provide overflow support for active A/R, when volume might exceed internal capacity, and for all bad debt collections. The volume and timing of accounts sent to vendors would fluctuate based on internal capacity and patient volume. While the vendors were connected to Geisinger systems, each connection was unique in terms of what data was exchange

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