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Acute CareEHRRCM

Turning Revenue Cycle Insights Into Measurable Performance Improvements

Down East Community Hospital

About the Client

Located in Machias, Maine, Down East Community Hospital is a 25-bed acute care facility and Critical Access Hospital serving communities throughout Washington County. In August 2005, DECH officially received its “Critical Access Hospital Designation” with twenty-five licensed acute care beds. Over the past ten years, in addition to the offering of exceptional primary care services such as Family Practice, Pediatrics, and Obstetrics/Gynecological services, DECH has specialty care services such as Podiatry, Urology, Otolaryngology (ENT), General Surgery including minimally invasive laparoscopic surgery, Orthopedics, and Pain Medicine.

Project Summary

After implementing Oracle Cerner CommunityWorks, Down East Community Hospital engaged Avarion, now part of Med Tech Solutions, to assess and optimize its revenue cycle operations. The engagement began with a comprehensive review of revenue cycle workflows, system configuration, performance metrics, and operational processes to identify gaps impacting financial performance and align operations with industry best practices.

Building on the initial assessment, MTS-Avarion provided continued advisory support focused on payer contract compliance, revenue cycle staffing alignment, operational governance, and Revenue Cycle Director mentorship. Through a combination of data analysis, stakeholder interviews, workflow reviews, and strategic guidance, the team developed prioritized recommendations and an actionable 30/60/90-day roadmap to help strengthen revenue cycle performance and drive sustainable improvement.

Key Project Deliverables

  • Delivered comprehensive findings and recommendations across revenue cycle operations and technology workflows.
  • Identified remediation opportunities related to CommunityWorks processes, staffing, compliance, and operational performance.
  • Provided a prioritized action plan and leadership guidance to support ongoing revenue cycle improvement initiatives.

Download the PDF for the full Case Study


Gain a clearer view of revenue cycle risks, staffing needs, and performance opportunities with healthcare-focused advisory support. Med Tech Solutions helps healthcare organizations assess current operations, prioritize improvements, and develop practical action plans that strengthen financial and operational performance.

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