Apex Revenue Technologies is a national provider of technology-based solutions and services that enable healthcare providers to improve revenue cycle results while also strengthening relationships with patients. We are inspired by the understanding that traditional, static billing and payment solutions are not achieving the results that healthcare providers need to resolve patient financial challenges. Apex Fits the Payment to the Patient® through targeted communication. Based on our unique insights into patient payment behavior, we help healthcare providers increase revenue, decrease costs, and deliver a more personalized patient experience.
CliftonLarsonAllen is a professional services firm with three distinct business lines: accounting and consulting, outsourcing, and wealth advisory. Although we provide audit and other financial services, we see ourselves primarily as health care professionals. Because of our dedication to your industry, we understand what you, the providers, are going through and the expectation placed upon you to constantly improve your quality of care. Like the health care field, we are continually trying to evolve by delivering exceptional services at a superb value.
We work with more than 400 hospitals and health systems across the country, using a dynamic process that integrates the perceptions of front-line staff, patients, managers, executive leaders, and the board. We recognize that in order for our clients to be successful in the future, we must work with them collaboratively and keep the lines of communication open. We believe we can impact the future of health care by building deep and lasting relationships with our clients. You’ll receive the best possible service when we all share a common vision and values.
At DCM Services, specialty account receivables such survivor-sensitive estate account recovery and bankruptcy servicing are our main focus. Our unique tradition of innovation provides the foundation for the value proposition we deliver to our customers:New Found Revenue: Through a unique data set and the insights we glean from our data, DCM Services efficiently and effectively analyzes and manages clients’ estate account portfolios. On average, liquidations achieved at 12 months on accounts where a claim has been filed are approximately 2.5 to 10 times greater than liquidations on accounts where no claim was filed and account for nearly 40% of overall recoveries. This new found revenue can represent millions for larger health systems and in an area where revenue would have otherwise been lost. Protection of Community Relationships and Survivor experience : With 17 years of experience, DCM Services has established its reputation as a leader by delivering consistently superior recovery results and providing the best possible protection for our clients’ relationships and reputation. While focusing on providing a dignified and respectful experience, DCM Services provides a distinctive practice of innovation and technology that clients can leverage to maximize their recoveries while protecting their reputation within the communities they serve. By starting with the probate process, DCM Services is able to eliminate that unnecessary contact with surviving families. Innovative Solutions: Unlike other vendors, DCM Services offers a flexible, comprehensive set of solutions that is unmatched in the industry. Solutions include:
- DOD FinderTM
- Proprietary and patented Probate Finder®
- Probate Finder OnDemand®
- Industry’s most effective, yet empathic, non-probate recovery solution
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
HFRI, LLC. is a national firm assisting healthcare organizations improve A/R performance for almost 20 years. Our mission is to provide comprehensive Extended Business Office solutions designed specifically to fit each organization’s individual needs. HFRI assists health systems increase their collection rates and reduce aged AR and unpaid claims, on commercial, governmental and from other 3rd party payers. HFRI’s programs designed with a dedicated client service manager and staff, utilizing our analytics can help clients pinpoint areas for improvement within your revenue cycle and eliminate denials.
Healthfuse assists hospitals achieve more from their revenue cycle vendors – improved compliance, improved patient relations, and improved financial performance.
Our program leverages skilled resources, state-of-the-art technology, and a platform for hospital revenue cycle leaders to interact with their peers, designed to provide our hospitals enhanced vendor management, consisting of:
(i) Process Auditing (ii) Inventory and Invoice Reconciliation (iii) Coaching & Remediation (iv) Reporting (v) Contract Management & Negotiation (vi) Sourcing and Implementation Support
Huron Healthcare is the premier provider of performance improvement and clinical transformation solutions for hospitals and health systems. In 2015, Huron acquired Studer Group, the market leader in driving healthcare cultural transformation. The combination of Huron and Studer Group is focused on improving healthcare providers’ clinical, operational, and financial outcomes. By partnering with clients, Huron delivers solutions that improve quality, increase revenue, reduce expenses, and enhance physician, patient, and employee satisfaction across the healthcare enterprise. Clients include leading national and regional integrated healthcare systems, academic medical centers, community hospitals, and physician practices. Modern Healthcare ranked Huron Healthcare third on its 2014 list of the largest healthcare management consulting firms.
KIWI-TEK is a 12 year old remote coding company saving hospitals 40% - 50% over their current coding costs. We provide national coverage using coders that are certified, experienced, and quality focused. Our Completely Outsourced Blended Coding Solution is for both facility and professional coding. For a precise estimate on how much you can save, fill out our online Coding Survey at www.kiwi-tek.com. We will quickly analyze your criteria and provide you with an ROI on how much you can save.
Enabling better care for more people is a goal that we can all believe in. At Microsoft, we strive to achieve this goal by offering people-first solutions that empower health organizations, patients, and care providers to improve health. Together, we all can realize a healthier future, today.
Norton Rose Fulbright is a global legal practice. We provide the world's preeminent corporations and financial institutions with a full business law service. We have more than 3800 lawyers and other legal staff based in over 50 cities across Europe, the United States, Canada, Latin America, Asia, Australia, Africa, the Middle East and Central Asia. In the US, we have 11 offices in Austin, Dallas, Denver, Houston, Los Angeles, Minneapolis, New York, Pittsburgh-Southpointe, San Antonio, St. Louis and Washington, DC.
For over a century, Professional Finance Company (PFC) has assisted healthcare organizations and their patients resolve financial obligations in a manner consistent with our core values of integrity, accountability, and professionalism. PFC offers self-pay early out, bad debt collections, and debt purchasing. At PFC, we strive to exceed your expectations!
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.
RelayHealth, McKesson's connectivity business, provides an intelligent network that streamlines clinical, financial and administrative communication between patients, providers, payers, pharmacies, pharmaceutical manufacturers and financial institutions. RelayHealth securely processes more than 12.8 billion financial and clinical transactions annually. RelayHealth Financial Solutions offer a full suite of patient access, claims management, patient billing and revenue cycle analytics solutions to accelerate cash flow, empower more informed decisions, and enhance patient engagement and satisfaction. Specifically, our products:
• Provide financial leadership with a panoramic view of revenue cycle performance, along with actionable insights and comparative data to help prioritize improvements by dollar value or cost
• Ensure the fastest route to claims remittance
• Improve registration accuracy and patient flow management
• Create patient financial visibility to determine eligibility, propensity to pay and screening for charity programs
• Improve and streamline patient billing by increasing point-of-service collections and accelerating post-service collections
With access to data from billions of financial transactions representing more than $1 trillion per year, RelayHealth is in a unique position to help hospitals make better informed decisions and maintain control of cash flow in the midst of a rapidly changing landscape.
The SSI Group, Inc. provides single-source, end-to-end revenue cycle solutions, including front-end patient access workflow through claims management, denial and contract management, business intelligence and analytics solutions. We serve over 2,400 healthcare clients and handle $800 billion in claims annually. Key services include:
Revenue360 simplifies front-end revenue cycle processes verifying benefit coverage, estimating patient out-of-pocket responsibility and enabling higher point-of-service collections. This decreases AR days and bad debt while simultaneously increasing patient satisfaction scores.
Claims Management automates electronic editing, validation and translation of institutional and professional claims from the patient accounting system and matches uploads of secondary and tertiary remits.
Performance and Financial Management includes Denial Management, Contract Management, Audit Management (attaches all supporting documents for RAC audits) as well as Analytics and reporting to help ensure efficiency and maximization of claim payments.
Our strength is helping hospitals Identify, Communicate and Collect as early as possible in the patient encounter on the front-end while providing accurate and comprehensive edits, a focus around documentation requirements and recognizing what keeps payers from accepting claims on the back-end of the revenue cycle. These capabilities are particularly valuable as the industry shifts toward a value-based revenue cycle, where uniting the payer’s rules with workflow is essential to maximizing reimbursement.
SSI helps hospitals get paid earlier, prevents revenue leakage and captures more total revenue for your healthcare organization.
RevSpring specializes in optimizing day-to-day workflows to adapt and thrive in the changing financial landscape of the healthcare industry. By integrating several products and services and establishing key partnerships in the healthcare sector, RevSpring provides one of the few nimble, end-to-end financial solutions available to hospitals and medical billing organizations. By linking its communication, payment, and analytics solutions, health systems have the flexibility to quickly execute and measure the strategies and operations within their revenue cycle. RevSpring’s unique patient-centered approach helps tailor a communication strategy to meet your business goals. By partnering with us, you receive a patient billing communications platform that offers dynamic color statements, multi-channel distribution, online registration, e-billing and payment portals all designed to improve the patient engagement experience and accelerate cash flow.
Sentry Data Systems, Inc. provides technology solutions that help hospitals address their three biggest challenges: reducing total cost of care, managing compliance and producing better outcomes. More than 5,400 hospitals, integrated delivery networks (IDNs) and pharmacies across the country rely on Sentry’s integrated platform for their analytics, procurement, drug utilization and compliance solutions. Since 2003, Sentry’s solutions have processed more than 5 billion health record transactions and currently provide decision support for more than 62 million patients. To date, we have helped hospitals, hospital systems and IDNs realize nearly $2 billion in documented savings.
As leaders in healthcare debt purchasing, Senex offers a suite of solutions optimized to fit the needs of our clients. Our core solution, purchasing self pay bad debt receivables, delivers an upfront cash payment based on the projected collection value of these receivables. By purchasing these late-stage patient receivables, Senex is creating an additional revenue stream for healthcare providers from an otherwise dead set of receivables; creating a last and final step to the revenue cycle.
Healthcare executives must continue to develop new strategies to address the ongoing challenges of reduced reimbursements and infrastructure requirements. Senex provides innovative financing solutions to accelerate cash flow and help facilities realize the maximum collectible value of their self-pay accounts.
Senex has been in the healthcare industry since 1998, working alongside hundreds of providers by providing them with an alternative solution to their growing written-off self-pay receivables. Our mission is to provide healthcare providers upfront cash for their bad debt, self pay receivables, while preserving their community reputation through compassionate collections.
Simplee® is transforming the way patients pay bills and engage. Since our founding in 2010, we focus on making a consumer friendly experience for patients.
The Simplee®PAY solution gives healthcare providers an integrated billing and payment platform that patients love. The enterprise cloud solution makes paying bills clear and easy which drives a dramatic shift to self-service payments.
Our customers are leading health systems who turned patient revenue cycle into a strategic advantage, achieving happier patients and better collections. 80% of patients at our customers recommend their providers due to their recent payment experience and an average 40% adopt self-service.
Stephenson Acquisto & Colman is a full service litigation law firm specializing in healthcare reimbursement. We handle reimbursement issues at every stage of the process, beginning as early as consulting on contractual issues, to stepping in at the pre- claim stage to advise on utilization review issues, both clinical and legal, in an attempt to address issuesbefore they turn into denials. We are fully involved in the claims handling process by continuously negotiating for resolution in the pre- litigation stage, handling the appeals process, filing and prosecuting arbitrations or litigation, and then if necessary, pursuing recovery through trial or arbitration and all the way through appeal in the state and federal appellate courts. The aim of course is to resolve claims and issues at the earliest stage possible, however if not possible, we are ready to take them all the way to final resolution.
SAC provides full educational In Service programs on trending and ongoing topics in the healthcare reimbursement industry. We are also available to answer any questions, and provide opinion letters and audit letters.
State Collection Service was founded in 1949 by Hilding Haag and now employs over 450 individuals. The company, which is now on its third generation of family ownership, has served the healthcare industry for over 67 years. Of our over 240 hospital clients, State Collection Service has experienced long lasting and mutually beneficial working relationships with medical providers around the country. In total our healthcare placements for early out services (in the client’s name) and bad debt exceed $2.3 billion annually. We are fortunate to work with some of the most prestigious healthcare systems in the nation.
Our wealth of experience will provide your organization with time-tested and proven collection methodology, extensive quality assurance standards, and customer service processes that are healthcare-specific and designed to establish a successful partnership with your office.
As a result of our focus on serving the healthcare industry, we have developed the people, processes, and technology to create exceptional value and resources for our healthcare clients. These resources include among other things:
- Comprehensive implementation process for a seamless, efficient new project set up and decreased time and resources for your staff devoted to the set up process
- Quality-rewarded representative compensation (including a zero-tolerance complaint policy)
- Client Service Executives knowledgeable of healthcare business offices
- Healthcare specific representative training programs including HFMA’s CRCR program
- Client-specific training and informational training documents including your financial assistance polices
- Extensive compliance mechanisms through a dedicated Compliance Department
Moreover, our commitment to training as well as the use of speech and data analytics provide you both improved recoveries and improved patient satisfaction. From our customer service philosophy and extensive implementation process to how we train our representatives and measure their performance, being the BEST in our industry fuels our drive for success. We believe that the methodology and administrative approach we have refined during our 67 years of serving the healthcare industry your facility the best performance, and ultimately the most value to your business office as an account receivables partner.
Syscom Services has been a trusted advisor to the healthcare industry for more than 30 years. We deliver enterprise information management systems, forms processing systems, and network and cloud fax solutions to help healthcare facilities and hospital systems become more efficient, secure, and HIPAA compliant. We have worked with more than 60 healthcare clients – including Johns Hopkins Health and Hospital System, Carolinas HealthCare System, Inova Health System, University of Maryland Medical Center, and University of Pittsburgh Medical Center – across various hospital departments, including administrative offices (HR, AP/AR, Finance) as well as ambulatory and inpatient.
Our solutions allow for improved patient services through automated tamper-resistant delivery, accurate capture, and secure storage of documents. As a result, finance officers are able to centralize resources across multiple systems, achieve significant cost reductions, meet Meaningful Use requirements, and avoid the risk of legal consequences associated with patient health information.
TruBridge brings years of expertise in delivering effective business, consulting and managed IT services created for the unique challenges faced by rural and community healthcare providers. We offer a broad range of services, from consulting and managed IT to full business process outsourcing that spans the revenue cycle from end to end. Our professionals have been helping hospitals and other healthcare institutions become more efficient at serving their communities for years. Today, more than 450 dedicated, trained experts stand ready to do the same for your organization, enabling you to overcome the unique challenges you face every day.
VHA Inc. is a national network of not-for-profit health care organizations working together to improve performance and efficiency in clinical, financial and operational management. Since 1977, when VHA established the first hospital membership organization, the company has applied its knowledge in analytics, contracting, consulting and network development to help members and customers achieve their strategic objectives. In 2012, VHA delivered $1.9 billion in savings and additional value to members. Serving 5,100 health system members and affiliates, VHA represents more than a quarter of the nation’s hospitals. VHA also serves more than 118,000 non-acute health care customers enterprise-wide. VHA is based in Irving, Texas, and has 12 regional offices across the U.S. VHA, together with UHC, owns Novation, a supply chain company, and its subsidiary aptitudeTM , the health care industry’s first online direct market for contracting. VHA also owns Provista, a supply chain company serving the non-acute market as well as hospitality, education, corporate and government markets.
www.vha.com and follow us on Twitter (@VHAInc).
VHC, Inc. is a full service revenue cycle solutions provider to the healthcare industry. Serving 260 hospitals, VHC provides clients with services to maximize cash flow, while improving operations. Major service lines include revenue recovery, denials management, HIM consulting, CDM reviews, coding audits, and relief coding. VHC also offers technology solutions for charge capture and managed care contracting.
Visante is a consulting company that focuses exclusively on services to support all aspects of medicines optimization. We work in four primary divisions, which include: Managed Care, Hospitals & Health Systems, PhRMA/Tech and International. Our consultant teams are multi-disciplinary and all of our subject matter experts have extensive personal experience leading successful program as well as extensive consulting experience with client sites. Our client relationships tend to be long-term with significant numbers of repeat engagements. Visante uses only senior level subject matter experts that have a personal history and track record of success.
Xtend Healthcare is one of the fastest growing revenue cycle solution companies in the industry, offering 100 percent on-shore solutions. Our senior management team has more than three decades of dedicated hospital revenue cycle experience with hundreds of hospitals and hospital systems in over 40 states. Xtend Healthcare clients range from large teaching hospitals and urban medical centers to rural critical access hospitals. We have experience working with large non-profit and religious affiliated hospital systems as well as the largest for-profit healthcare systems. Xtend Healthcare offers cutting-edge technology, experienced staff, and 100 percent customer satisfaction.
Xtend has the ability to place full teams of experienced billing and collection personnel on site with expert consultants in all revenue cycle areas including patient access, business office, self-pay management, HIM, and IT systems relating to revenue cycle. The result is immediate cash acceleration and accounts receivable resolution combined with long term revenue cycle improvement through best practices. The fast pace of change in revenue cycle technology systems requires individuals with the skills to identify the current best solutions, and we have the individuals that not only are familiar with the best available but know how to select the most reliable alternatives.