WE CONTINUOUSLY MEASURE OUR IMPACT ON YOUR FINANCIAL OUTCOMES AND PATIENT EXPERIENCES.

THE IMPACT TO YOUR ECONOMICS WILL BE MEASURABLE AND SUBSTANTIAL.

WE’LL HELP YOU ACHIEVE YOUR MISSION THROUGH PERSISTENT WAVES OF MARKET CHANGES.

OUTCOMES

PROVIDER ECONOMICS

  • PATIENT
    EXPERIENCE
  • NET
    REVENUE
  • BALANCE
    SHEET
  • COST TO
    COLLECT
  • REVENUE
    PREDICTABILITY

OUTCOMES

PATIENT
EXPERIENCE

We have your patients’ backs. Whether battling the effect of high deductibles on American families, or navigating access to care for the underserved, our Solution for Every Patient mantra is a philosophy you can wear with pride.

HOW WE DO IT

GAINS

UP TO

55%

UNINSURED PATIENTS CONVERTED TO PAYING COVERAGE PROGRAMS

GAINS

UP TO

25%

REDUCTION IN BAD DEBT EXPENSE

COMPASSION

Our compassionate patient interaction best practices have been widely recognized as best-in-class.

COVERAGE

As pioneers in matching uninsured patients with a myriad of coverage programs, we proudly expand access to care for the underserved every day.

SIMPLICITY

In an industry known for inconvenient, cumbersome consumer interactions, we put the patient in the driver’s seat. We demystify patient access and help them understand their financial obligation.

EFFICIENCY

We eliminate redundancy pre-service and at check-in, offering streamlined access to care, with minimal administrative burden.

TRANSPARENCY

Patients have a right to know the costs for their healthcare — for each visit, each family member, each year. We make this easy with proactive transparency.

INNOVATION

Driving continuous improvement in the patient experience is in our DNA. We are consistently bringing new solutions to improve financial and clinical wellness of patients.

MODERNIZATION

Virtualization of the scheduling and registration processes makes access to care quick, easy, and understandable for your patients.

RELIABILITY

Despite tremendous provider/payer relationship complexity, patients can rest assured we will resolve their insurance claims the first time.

NET
REVENUE

Our highly trained teams, standard methods, disciplined operations and proprietary technologies combine to drive tremendous improvement in your Net Revenue.

HOW WE DO IT

GAINS

UP TO

5%

INCREASE IN NET REVENUE

GAINS

>50%

FINAL DENIAL WRITE-OFF REDUCTION

ACCESS

Denial prevention starts with registration. Our approach to Patient Scheduling and Access ensures complete and accurate data capture. Our methods ensure appropriate plan attribution and coverage benefit levels, all in an automated rules-based process.

DENIALS

Our claims workflow and denials management solution integrates business intelligence with on-the-ground technical and clinical expertise, resulting in increased productivity & a significant reduction in both clinical and operational write-offs.

INTEGRITY

We offer a full compliment of Revenue Integrity services including Charge Capture, CDM Optimization, and Strategic Pricing. Our proprietary predictive modeling typically adds 1% in additional Net Revenue.

UNINSURED

Our highly calibrated screening logic enables collaboration between registrar and financial counselor, creating a seamless and highly supportive patient experience. Our national experience means patients can gain access to little known coverage options.

UNDERPAYMENTS

Our patented technology enabled approach to detecting underpayment and partial pay opportunities ensures efficient and valuable resolution of reimbursement gaps.

PATIENT

We believe the most important factor in patient cash collection is patient responsibility education. Our proactive approach and patient friendly statements increase transparency across the continuum of care, leading to happier patients and more current accounts.

BALANCE
SHEET

Our highly trained teams, standard methods, disciplined operations and proprietary technologies combine to drive tremendous improvement in your Balance Sheet.

HOW WE DO IT

GAINS

UP TO

20%

REDUCTION IN AR DAYS

GAINS

>50%

REDUCTION IN AGED RECEIVABLES >180 DAYS

RECEIVABLES

Our proprietary technology aided approach to receivable segmentation is built on predictive analytics designed to guide the user through the optimal resolution steps and match the most complex issues with expert users.

BILLING

Our billing methods are differentiated through intelligent quality control. We implement same-day error resolution, reconciliation, and collaboration across the revenue cycle and clinical department to present the best chance for a clean claim and effortless payment.

SERVICE

Our approaches to customer service differentiate the patient experience, while minimizing uncompensated care. Disciplined and efficient call center operations and a focus on helping patients resolve their inquiries drives our proprietary process.

CODING

Effective physician engagement and support are necessary to ensure a patient’s health information is complete and accurate. In addition, the staffing of top talent and a constant focus on analytics drives more than improved productivity, it also improves quality.

ACCESS

Seamless integration with any host EMR minimizes staff disruption to maintain a patient focus while constantly monitoring compliance with a rules engine designed to minimize downstream impacts.

POSTING

Automation, quality assurance and transparency are the key approaches to our payment posting philosophy. Our methods are in 100% alignment with our customers’ transaction posting policies and procedures.

COST TO
COLLECT

Our highly trained teams, standard methods, disciplined operations and proprietary technologies combine to drive tremendous improvement in your Cost to Collect.

HOW WE DO IT

GAINS

UP TO

30%

REDUCTION IN COST TO COLLECT

GAINS

>$200MM

SINGLE CONTRACT SAVINGS

SCALE

Founded on standardized operating practices, our network of global Shared Service centers specializing in every area of the Revenue Cycle provide our customers with a diverse and readily accessible talent pool and unprecedented economies of scale.

AUTOMATION

We match active skills and roles, eliminating non-value-added manual steps associated with errors, lower productivity, and data security exposure.

REDESIGN

Using benchmark data as a guide, we apply a centralized approach combined with structured problem solving to redesign labor intensive tasks such as pre-service, and chart assembly.

VENDORS

We will take this burdensome step over for you, often replacing more than 10 individual vendors with an integrated technology enabled service offering. Our clients can see up to 30% cost savings on these actions.

BENCHMARKING

The breadth of our experience across our customer portfolio is combined with deep healthcare and cross-industry expertise. Processes are assessed against market leading performance indicators and local customer policies.

CONTROL

We optimize the use and application of overtime, together with appropriate staffing and coverage needs. Through disciplined management of staff resources, vendor capabilities, and attrition, we develop staff effectiveness to keep pace with the needs of your evolving reimbursement models.

REVENUE
PREDICTABILITY

We rigorously monitor health policy and market developments, keeping you informed and proactively working with you to respond to those trends.

HOW WE DO IT

READINESS

Our offerings are designed to address profound market forces including bi-partisan government legislation (MACRA) and payer and provider consolidation that are stimulating demand for more efficient and innovative solutions.

EXTENSIBILITY

Our human capital and technology are fully flexible to ensure that your revenue operations are flexible and effective in adapting to emerging payment models.

CONTRACTING

With sophisticated analytics driven by years of experience and troves of data, we can help: leveling the playing field with current payer contract negotiations, driving alignment of terms and incentives across contracts, and supporting the creation of next-generation contracts.

CODING

As risk-adjustment becomes more prevalent in both reimbursement and methodologies for calculating savings, our ability to support appropriate documentation and coding becomes an increasingly critical success factor for providers.

REPORTING

Our access to multi-payer administrative data provides a critical success element with new (MACRA) and existing “value-based” payment models that often begin with a significant emphasis on the collection and reporting of quality metrics.

FUTURE

Our solutions around quality reporting and documentation and coding support early/first-step strategies to succeed with new reimbursement methodologies, but also lay the foundation for care delivery improvement and subsequent outcomes of higher quality and lower costs.

PARTNERSHIP

Our ability to help you succeed now and in the future depends on a continuing commitment to assess and understand your organization and the local environment in which you operate, such that your journey becomes our journey.

WANT TO ACHIEVE THESE OUTCOMES?

Contact us to learn more.

CONTACT US