Through its Global Corporate Payment Group, American Express offers a suite of payments solutions that helps hospitals streamline payment process and transform them into opportunities for savings. Working with American Express can help hospitals optimize working capital; increase days cash on hand; achieve their goals around savings, control and efficiency; and strengthen relationships with suppliers.
Capio enables healthcare organizations to complete their revenue cycle. Our PatientComplete accounts liquidation program, leveraged at any point after accounts have been written off to bad debt, provides organizations with immediate cash flow and confidence knowing patients will be managed by our experienced healthcare focused team. As the Patient Financial Wellness® company, Capio treats patients as trusted, respected consumers by providing appropriate financial options in a compassionate way.
FEATURES Guaranteed exclusive buy-back rights No interest or fees charged to patients No legal action against patients Accounts are never resold Contract opt-out clause Exclusive to healthcare 100% compliant
ClearBalance® is the leading provider of patient financing and patient pay services. We’ve been in business for 27 years, the longest of any patient financing company, and we specialize in providing a seamless patient pay experience that reduces bad debt, improves patient satisfaction and encourages consumer loyalty. Our ROI Value Model is HFMA Peer Reviewed, and serves as the only nationally recognized calculator for patient financing performance benchmarks.
Now more than ever, a healthy revenue cycle is essential to survival, requiring innovative approaches and impeccable coordination. At Ensemble Health Partners, we've assembled a team of talented and passionate operators who know our field firsthand. We partner with our clients, rolling up our sleeves to build real relationships, dig deep into the details and find solutions that deliver results that last. Ensemble specializes in full revenue cycle outsource solutions, denials and underpayments, analytics and workflow optimization, Epic optimization and management services designed to identify immediate wins and create sustainable solutions that ensure long-term results.
FMA Alliance, Ltd. (FMA), founded in 1983, is a national collection agency headquartered in Houston, Texas. FMA's services include: Early Out, Insurance Resolution, Bad Debt Collections, and On-line payment portal FMA is privately owned by its two original founders, Jeff Spiegelhauer and Doyle Burkett. FMA has long-term relationships with several well known hospitals and hospital systems because of its ability to collect money without generating complaints and protecting your reputation in the community.
Flywire Health (formerly OnPlan Health) elevates the patient financial experience by empowering providers and patients to engage, interact, and settle balances on mutual terms. With the continued rise in patient responsibility and consumerism, Flywire's responsive payment solution leverages predictive analytics to automate and tailor each financial interaction to the patient's ability to pay -- increasing patient satisfaction and optimizing financial performance. Flywire's fully-integrated solution connects all the advanced tools that you need to succeed: consolidated statements, online/mobile billing and payment, automated payment plans, POS payments, cross-border payments, performance analytics and reporting, and payment security and compliance. Learn more at health.flywire.com
As revenue cycle operations grow increasingly more challenging, so does a hospital’s reliance on vendors to improve financial performance while reducing costs and complexity. Holding those vendors to the same set of standards that hospitals apply to the care they provide is paramount. This is Healthfuse.
As the industry's only “at-risk” vendor performance company, Healthfuse provides revenue cycle management services that generate transparency, trust, and accountability between hospitals and their RCM vendors. By partnering with Healthfuse, hospitals gain the ability to automatically audit every agreement, account and action, creating accountability that builds sustainable vendor partnerships that drive bottom-line results.
Healthsource Consultants, Inc. sole focus is on review, recovery and appeal of Workers’ Compensation claims for hospitals. Since 1997, Healthsource Consultants has helped hospitals recover over $290 million dollars in workers’ compensation claims. Our compensation is 100% contingency upon the revenue we recover.
HealthRise is a revenue cycle management consulting firm passionate about helping identify, prioritize and quickly eliminate obstacles in the way of a healthy revenue cycle. We provide the right people with relevant expertise to maximize your people, processes, technology, and results. Together, we build sustainable operational improvements generating a more efficient operating state with increased revenue.
HealthTrust Workforce Solutions, an affiliate of HealthTrust, delivers proven workforce strategies at hospitals and healthcare facilities nationwide–aimed at improving employee satisfaction, patient satisfaction and workforce efficiencies. It is a trusted advisor on enterprise-wide workforce strategies and assessments; the nation’s largest provider of healthcare managed staffing program solutions; the seventh largest provider of clinical and non-clinical healthcare staffing and recruiting services; and an innovator in educational services designed to bridge the nursing shortage gap. With access to more than 200,000 jobs at the nation’s top-performing hospitals, HealthTrust Workforce Solutions empowers thousands of clinicians each year to deliver exceptional patient experiences. For more information, visit healthtrustpg.com/workforce.
Iodine, started by the founders of Advisory Board’s Crimson offering, is a technology focused entirely clinical documentation integrity (CDI). Even with well-established CDI programs, hospitals leave significant return uncaptured, often measured by under-payment and poor quality outcomes. CDI teams nationwide are tasked with identifying instances where physician documentation does not fully reflect the condition or severity evident in the complete clinical record. Unfortunately, existing documentation and coding-based solutions routinely miss opportunity hidden in the complex mass of discrete clinical evidence. Iodine avoids the pitfalls of coding and NLP (natural language processing)-based solutions by directly comparing the full clinical record to physician documentation, in real-time. Backed by Machine Learning Artificial Intelligence applied to millions of patient records, Iodine brings unprecedented statistical power to identify possible conditions not evident existing documentation, allowing Iodine to capture and prioritize documentation opportunity which other solutions routinely miss. As a result, CDI teams work on the right patient-records at the right time - when they have meaningful documentation deficits. Iodine remains the fastest growing CDI technology, which now includes 2 of the top 3 largest health systems. Our customers enjoy improvements to CDI workflow efficiency, documentation corrections, CMI accuracy, and millions in mid-cycle financial return; our ROI is demonstrated across our entire client base, not just a few anecdotal success stories.
KIWI-TEK – Our remote coding is designed to help you with any type of patient service regardless of your workflow, coding applications or record format. We concentrate on three core areas of competence; ACCURACY, SPEED and ROI. Our team of expert, certified coders can code on your HIS platform, using your document management system and encoder. You gain the advantage of utilizing our staff without managing them on site. We offer both PRN and a Total Outsource of medical coding. Please visit our website www.kiwi-tek.com
Marsh & McLennan Insurance Agency LLC is one of the nation's leading insurance brokerages. Our Healthcare Practice provides risk management services and cutting-edge risk solutions for providers and payers. We proudly serve a diversified group of health care organizations that represent hospitals, continuing care communities, health plans, clinics, and physician groups comprehensive insurance and risk management solutions. Our experienced team of professionals is dedicated to protecting you, your patients and staff, your property and your bottom line.
Managed Care Revenue Consulting Group (MCRC Group) finds and recovers significant lost revenue for hospitals and health systems due to insurance plans’ errors and incorrect payments. Software programs and internal resources can only do so much. MCRC Group goes beyond where software is capable of going by performing a forensic analysis of claims data, on a claim by claim basis, finding the additional dollars due to your hospital or health system.
MCRC Group’s national experience gives it a unique perspective on what the insurance plans can and cannot pay correctly and what they try to get away with. In addition to recovering, MCRC Group will work to fix the issues causing the incorrect underpayments and denials by working with the payers to correct their systems so go forward payments to your hospital are accurate. MCRC Group works with the hospitals, providing feedback on the nature and reasons why money is uncollected through their comprehensive review of the contract terms, rates, State and Federal rules and regulations, and other factors.
Best of all – it’s a contingency based engagement, so there is absolutely no risk to the hospital. A true Win Win.
Olive is a healthcare-specific artificial intelligence and process automation company that empowers healthcare organizations to improve efficiency and patient care while reducing costly administrative errors. Its AI solution, Olive, acts as the intelligent router between systems and data by automating repetitive, high-volume tasks and workflows, providing true interoperability. Olive has helped healthcare organizations reduce data and billing errors, eliminate denials for no coverage, improve cash collections by reducing days in A/R, and more.
Professional Finance Company, Inc. (PFC) has been working together with our partners and their patients to resolve account receivables in a manner consistent with our core values of Integrity, Accountability, and Professionalism. Many of today’s providers have frustrations or concerns with the level of work being performed on their accounts, lack of customer service provided to their patients, or potential exposure to risk in today’s era of compliance. First Party Receivables Solutions (FPRS), a division of PFC, provides comprehensive Insurance Follow-up and Self-Pay Early Out programs that offers a patient centric approach to your community. Through PFC, we handle both primary and secondary bad debt collections with a focus on technology that adheres to compliance standards while creating additional opportunities to work with the patient. PFC Funding II offers a purchase solution for older, distressed receivables. Portfolios are handled through PFC’s normal collection processes and we contractually agree to never resell.
Pinnacle Healthcare Consulting (PHC) provides a range of strategic, financial and operational services to help hospitals, health systems, physician groups and other health care organizations improve their clinical and business performance. Pinnacle Healthcare Consulting is a trusted advisor to hundreds of hospitals and health organizations around the country. The firm specializes in business and compensation valuation services, service line strategy and physician alignment, cost reduction strategy/supply chain and operations improvement, physician practice management and compensation planning, medical billing/coding audit and compliance support. This complement of expertise is backed by an experienced team that distinguishes Pinnacle in the industry and delivers dynamic solutions for its clients’ most complex challenges.
We make the lives of providers and patients easier by incorporating innovative tools, behavioral science, and analytics to improve financial engagement and resolve financial obligations. We also operate on the premise that patients want to pay their bills, but sometimes need flexible and convenient options, and appropriate guidance and communication to help them manage their financial challenges. With more than 80 years of experience, we are industry leaders and strategic experts in accounts receivable management, offering collection services that yield above-expected results while treating your patient with complete respect.
As part of the Hawes Group of companies, and its affiliation with KG Hawes, a consumer engagement technology partner, as well as Hero Business Services, its self-pay early-out partner, Professional Credit is able to offer a wide range of patient financial services and technology.
Quest Diagnostics is the world's leading provider of diagnostic information services that patients and doctors need to make better healthcare decisions. We offer the broadest access to diagnostic testing services through our network of laboratories and patient service centers and provide interpretive consultation through our extensive medical and scientific staff. Quest Diagnostics is a pioneer in developing innovative diagnostic tests and advanced healthcare information technology solutions that help improve patient care.
At a Glance - Quest Diagnostics is the world's leading provider of diagnostic information services
- Generated 2017 revenues of approximately USD 7.7 billion
- Publicly trades common stock on the New York Stock Exchange (NYSE: DGX)
RevSpring is a leader in patient communication and payment systems designed to inspire action. We combine dynamic workflows, business RevSpring is a leader in patient communication and payment systems designed to inspire action. We combine dynamic workflows, business intelligence, responsive messaging and behavioral analytics to tailor engagement opportunities so patients can be more proactive in their healthcare journey -- from appointment scheduling to payments. To learn more about RevSpring, visit www.revspringinc.com.
Located in Deerfield Beach, FL, Sentry Data Systems, a pioneer in automated pharmacy procurement, utilization management and 340B compliance, is leading the healthcare industry in turning real-time data into real-world evidence through Comparative Rapid Cycle Analytics™ to reduce total cost of care, improve quality and provide better results for all. More than 11,000 hospitals, clinics, integrated delivery networks (IDNs) and pharmacies across the country rely on Sentry's unique proprietary data set for their analytics, procurement, drug utilization and compliance solutions. Since 2003, Sentry's solutions have processed over 9.5 billion dispensations on more than 2 billion claims and currently provide decision support for more than 120 million patients. To date, Sentry has helped hospitals, health systems and IDNs realize more than $11 billion in savings to help them better meet their safety net mission and continue to serve their communities.
Simplee, founder of the patient financial care movement, is healthcare’s leading technology platform for engaging patients and addressing affordability with personalized paths to payment. Simplee’s platform, Peer Reviewed by HFMA, leverages information from billions of patient interactions and proprietary healthcare tuned algorithms to drive a recommendation engine for patient payments and engagement. Lean more about how leading health systems leverage Simplee’s platform to reach higher levels of patient satisfaction and achieve better financial performance by visiting www.simplee.com or contacting firstname.lastname@example.org.
SSI delivers solutions that increase the accuracy and velocity of data exchange among healthcare providers and payers, with the highest levels of security. A privately-held company since its founding 30 years ago, SSI is singularly focused on the healthcare industry. SSI’s commitment to our clients’ success is evident with nearly 50% of our clients relying on SSI solutions for 10 years or more. Our revenue cycle, EDI gateway, and clinical data interoperability solutions are among the best in the industry and help our clients effectively and efficiently manage their clinical and claims data.
Structured Analytics recovers underpayments from your zero-balance Medicare/Advantage IP and OP claims. In addition to revenue recovery, Structured Analytics identifies root causes to prevent future errors.
Triage Consulting Group is one of the nation’s leading hospital revenue review firms. Our 600+ consultants specialize in hospital payment review and recovery, revenue cycle improvement, and contract analytics. Since inception in 1994, we have recovered over $4.5 Billion for over 900 hospitals, with over $550 Million collected in 2018 alone. Our fee is 100% contingent upon the revenue we recover.
Triage reviews closed (zero insurance balance) patient accounts to determine whether they were coded and billed correctly and subsequently paid correctly per health plan contracts or government fee schedules. We start every project with 3 Objectives: 1) Find and recover cash; 2) Minimize the risk of future loss; 3) Provide contract analytics and payer performance analysis. When we discover lost revenue, we work with the payers to recover the additional amounts due. We then work with your team to “plug the leak” and prevent the issue going forward.
Our mission is simple. We want to maximize hospital revenue, causing minimal disruption to your staff with zero investment to get started. Our process finds revenue opportunities other firms miss. Our reporting is clean, detailed and frequent. Our teams are well-trained and our results immediate.
Founded in 2009, VisiQuate offers proven solutions that manage the volume, variety, and velocity of Big Data. The company’s enterprise-scale Business Analytics integrate and simplify complex data and present it as insights and actionable workflows. For users at all levels, the app-like visualizations feel more retail than corporate. Hidden root causes, trends, and opportunities become clear, and lead directly to real-world results. VisiQuate clients also benefit from the collective experience of industry domain leaders who help them achieve the best performance outcomes. Headquartered in Santa Rosa, CA, VisiQuate currently serves clients in healthcare, finance, and other industries. For more information, visit www.visiquate.com or contact email@example.com
Workday is a leading provider of cloud-based ERP applications for healthcare organizations across the care continuum. Founded in 2005, we deliver financial, supply chain, and human capital management solutions along with analytics and planning in a single unified platform built for the future. Workday lets you manage performance across multiple service lines and locations, engage talent, and adapt to a changing healthcare environment. We are honored to be awarded both “Best in KLAS in ERP” and “Category Leader in Talent Management” for the second year in a row by KLAS Research, independent validation of our 98% customer satisfaction rating. For more information about how Workday can empower your organization, visit workday.com.