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.
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
KIWI-TEK is a 14 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.
“Link Revenue Resources (LRR) partners with healthcare organizations to provide solutions that enhance and expand upon your current revenue cycle by recovering incremental cash to improve your bottom line.
Bad Debt Recoveries Program: LRR utilizes analytically-based treatment optimization models and a complex agency network to identify and deliver incremental value embedded in fully-reserved healthcare receivables. The Program begins after the client has completed their entire revenue cycle process. Over a three-year period, the average recovery rate is 4% of face value.
Zero Balance Account Service: LRR, utilizing the structure of the Bad Debt Recoveries Program, specializes in both primary and secondary zero balance recovery treatments.
LRR Archive System: A revolutionary solution to continue to work down bad debt as you archive your old system of record. Over a four-year period, LRR’s clients save an average of 60% on support and maintenance fees.”
Every hospital faces payment issues. No hospital is able to collect everything and every dollar counts. Through MCRC Group’s Zero Balanced Revenue Recovery services Hospitals typically receive between 1.6% - 2.5% in additional annual revenue. This could mean millions of dollars added to a hospital’s bottom line. By working on a contingency basis, MCRC is paid based on a percentage of what they are able to collect for the Hospital so there is no risk to the Hospital in engaging MCRC Group. Also, since MCRC Group is being paid based on a contingency it aligns the Hospital’s and MCRC’s objectives which is to collect all revenue that is due the hospital.
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.
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.
In the US, we offer legal services in the following areas: healthcare transactions and regulatory advice; corporate, M&A and securities; antitrust and competition; capital markets; dispute resolution and litigation; employment and labor; energy transactions; environmental; finance; financial restructuring and insolvency; insurance; intellectual property; real estate; regulation and investigations; and tax.
Ontario Systems, LLC is a leading provider of revenue cycle management (RCM) software, services and solutions to healthcare providers and their business offices. Established in 1980 and headquartered in Muncie, Ind., Ontario Systems also has a location in Vancouver, Wash., and employees in 27 states. Ontario Systems offers a full portfolio of software, services and business process expertise, including product brands like Artiva HC™, Contact Savvy®, and more. Ontario Systems customers actively manage over $40 billion in receivables collectively, and include five of the 15 largest hospital networks in the U.S.
PFC has been working together to resolve debt with their clients and the patients they serve in a manner consistent with our core competencies of integrity, accountability and professionalism. Through First Party Receivables Solution, a division of PFC we work as an extended business office handling early-out self-pay accounts and through PFC we handle both primary and secondary bad-debt collections. PFC Funding II purchases older distressed healthcare accounts and will not resell them.
Pinnacle Healthcare Consulting's mission is to deliver high value advisory services that help our clients manage risk, improve performance and achieve strategic objectives. Our firm's vision is to create a dynamic organization that thrives on solving problems and devising lasting solutions for our clients while providing a professionally fulfilling and rewarding work environment for our people.
Founded in 1998, Pinnacle is a dynamic healthcare consulting company with expert resources to assist hospitals, physicians and other health care organizations with operational, planning and transactional support needs. The consulting divisions and affiliated companies provide the health care industry with a multitude of resources and far reaching expertise to improve business performance.
Pinnacle is a trusted advisor to a wide array of both for-profit and not-for-profit health organizations nationwide and provides services through five consulting divisions including Compensation Valuation, Business Valuation, Strategy & Operations, Coding & Audit, and Medical Practice Advisory. Affiliates of Pinnacle include: Physician FMV, LLC, a web-based compliance support program designed to help health systems comply with complex physician compensation arrangements; Assistive Coding, LLC, a professional services company providing outsourced medical coding services; and NorthGauge Health Advisors, LLC, an independent clinical peer review services company that leverages an expert physician network to address questions of clinical decision-making, medical necessity and related matters.
RevSpring’s Active Patient EngagementTM strategy allows healthcare organizations to engage patients faster and more effectively across all channels – print, email, IVR, text, web and mobile app. We help clients segment populations and identify the ideal combination of communication strategies to yield the greatest return, while maximizing efficiency and patient self-service through our emergeTM payment platform.
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 helping healthcare providers engage with the 21st century patient on financial matters. Founded in 2010, our mission is to make healthcare consumer friendly.
We offer providers a financial engagement platform that engages patients with a unified experience across the healthcare journey. From pre-service to billing to financing, we focus on building rapid trust and paving a path to payment (ultimately loyalty).
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.
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.
Triage Consulting Group is one of the nation’s leading hospital revenue review firms. Our 500+ consultants specialize in hospital payment review and recovery, revenue cycle improvement, and contract analytics. Since inception we have recovered over $4 Billion for over 700 hospitals, with over $1.5 Billion coming in the last 3 years. Our fee is 100% contingent upon the revenue we recover.
Triage reviews closed (zero insurance balance) patient accounts to determine whether they were paid correctly per health plan contracts or government fee schedules and our reviews encompass all payers subject to underpayment risk. 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 underpayments, inappropriate denials or other 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 are a reimbursement review firm that looks at all types of hospital accounts and finds revenue opportunities other firms miss. Our reporting is clean, detailed and frequent. Our teams are well-trained, our results immediate, and we minimize any disruptions to your current processes.
VHC, Inc. is a full service revenue cycle solutions provider to the healthcare industry. Serving more than 300 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.
Headquartered in Hendersonville, TN, with over 900 employees, Xtend Healthcare is the fastest growing revenue cycle solution company in the industry, offering 100 percent onshore solutions. The senior management team has more than three decades of dedicated hospital revenue cycle experience with hundreds of hospitals and hospital systems. Xtend Healthcare clients range from large teaching hospitals and urban medical centers to rural critical access hospitals. Xtend has 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’s revenue cycle services include full business office outsourcing, computer conversion projects, cash acceleration, insurance billing and follow-up, early out/self pay, coding, consulting, CBO build and management. Xtend provides customized solutions to meet client needs for short and long term financial success. Xtend currently provides services to over 130 hospitals.