Aug. 1, 2024

Troy Spring is Vice President, Enterprise Revenue Cycle, at Intermountain Health, the health system based in Salt Lake City. Spring oversees revenue cycle at Intermountain, which includes the Peaks Region based in Broomfield, Colorado. Kodiak Solutions recognized Intermountain Health—Peaks Region with its 2023 Revenue Cycle Performance Award, presented at Kodiak’s 2024 Healthcare Virtual Symposium.
Nine years
Vice President of Revenue Services
Four
Eight hospitals; 150 clinics
$90 million
1,200
Hybrid
Epic
Nine
In-house
Finance
Payor behaviors, increased denials, and longer time to pay. The Change Healthcare breach also has been a significant disruptor to operations and cash flow.
Working closely with payor contracting and legal teams, where appropriate, to put pressure on payors to address bad behaviors.
Implementing the right technology that will make the biggest impact. Let’s not implement AI (artificial intelligence) for AI’s sake. Implement what’s going to make the biggest positive impact for our patients.
Evaluating the best solutions or building our own technology.
Challenging. To say the least. Historically we valued having good relationships with our payors and, while that is still our aim, denials and claim underpayments make this a real challenge.
Cash versus goal. Everything we do in the revenue cycle should ultimately result in cash.
I love KPIs, and I don't know that I have a least favorite. All KPIs work together to determine where we have opportunities.
We are an Epic shop, so we use Epic native automation functionality. We are also building our own in-house automation as well to support Epic. But we are interested in not just implementing automation for automation's sake but, instead, implementing automation that drives better outcomes and results.
We are a very clinically integrated system, which is key to driving excellent performance.
In a perfect world, we could work more collaboratively with our payors and reduce waste. We spend/waste a lot of resources getting services authorized (and most are approved) and denials overturned (most of which get paid) both on the payor and provider sides.
Learn more about the Kodiak Revenue Cycle Awards, including the list of 2023 award winners and how they're determined here. You can view the other 2023 award winner profiles using the links below:
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