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
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.
CLA is a professional services firm that believes in the pursuit of the Triple Aim and in the organizations across the country that are transforming care delivery to achieve it. Enabling your success means a better world for all of us, but now more than ever a number of operational, regulatory, and environmental challenges stand between you and success. We believe we can help! Our industry specialized practitioners bring practical knowledge and capabilities to serve you more completely. Our insightful ideas, innovative approaches, and deep commitment to client service will aid your organization in achieving its goals and building the better organization you envision.
The healthcare revenue cycle has grown increasingly complex. As a result, hospital financial leaders across the nation rely more and more on vendors – technologies and outsourcers, to help get it all done. The new challenge is finding the time to manage these relationships to ensure that anticipated outcomes are achieved.
That’s what Healthfuse does, and it’s all we do. We help hospitals better source and manage their revenue cycle vendors to reduce costs, increase performance, ensure proper performance visibility, and correct issues. We do this by providing tools, analytics, proven research, and advisory services.
Over the last five years, our hospital network has achieved over $200 million in bottom-line improvement through our program. These are dollars that drop right to the bottom line, and we only get compensated once they do.
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
Link Revenue Resources (LRR) partners with healthcare organizations to provide solutions to compliment your current revenue cycle and increase your bottom line. LRR utilizes analytically-based treatment optimization models and a complex agency network to identify and deliver incremental value embedded in fully-reserved healthcare receivables. Our services begin once your revenue cycle ends. LRR recovers millions of dollars in incremental revenue annually for hundreds of healthcare providers across the nation.
Managed Care Revenue Recovery Group (MCRC Group), is a highly skilled, accomplished team of health care professionals with over 60 years combined work experience with academic and community hospitals, physician practices, as well as large national and small regional health plans. MCRC Group excels in the areas of underpayment identification and revenue recovery (both zero balance claims and aged receivable). MCRC Group goes beyond where software is capable of going and performs a forensic analysis of claims data for each hospital service, for each payer, on a claim by claim basis, finding additional dollars due to your hospital. The founders of MCRC Group have many years of experience on both the hospital and health plan side in crafting managed care contract terms and rates, understanding the limitations of payer systems, knowledge of conflicts and various interpretations of contract language, and working first hand with payers to correct system issues, uniquely qualifies MCRC Group to identify opportunities for greater revenue and collect more money due to providers. MCRC Group investigates claims for all services, and both inpatient and outpatient, regardless of the level of expected reimbursement or the amounts still due the provider. MCRC Group has no limitation or threshold to pass in order to pursue underpayments - no variance is too small.
Professional Finance Company (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.
RevSpring is a healthcare technology solutions provider focused on patient engagement interactions. Our emergeTM Intelligent Workflow SolutionsTM (IWS) combines our patient engagement and payment technology solutions with a proprietary data warehouse and business rules engine. This end-to-end integrated patient engagement solution segments patient populations to deliver targeted personalized messaging using big data, advanced analytics, sophisticated business rules and workflow automation throughout the four key touchpoints of patient revenue cycle: pre-service, point-of-service, post-discharge and follow-up. Utilizing the IWS tools allows our clients to influence patient response in changing the patient’s behavior, allowing for adjustments to strategy and continual optimization of your engagement workflows.
Located in Deerfield Beach, FL, Sentry Data Systems, Inc. provides technology solutions that help healthcare providers address their three biggest challenges: reducing total cost of care, managing compliance and producing better outcomes. More than 7,000 hospitals, clinics, 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 nearly 6 billion dispensations on more than 980 million claims and currently provide decision support for more than 76 million patients. To date, we have helped hospitals, hospital systems and IDNs realize more than $4 billion in savings to help them better meet their safety net mission and continue serving their communities.
Simplee® is transforming the patient financial experience. Founded in 2010, Simplee’s mission is to make healthcare consumer-friendly. The Simplee software platform is healthcare’s leading solution for patient financial care. With Simplee, healthcare systems across the United States are engaging patients with a unique and proven consumer experience. From pre-service to bill to payment, Simplee helps providers build rapid trust and pave
a path to payment (and loyalty). Simplee customers enjoy higher patient satisfaction, lower costs, and better payment success.
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.
VHC and MCare Solutions have combined to form a new revenue recovery firm. We offer a complete solution for recovery of underpayments for Medicare inpatient, outpatient, Medicare Advantage, Managed Care and Commercial, and payer search. These are turnkey solutions that can add to the bottom line with little to no assistance needed from the hospital client.