Explore the supplier partners of our upcoming Healthcare Forums. Their offerings equip healthcare leaders with solutions to overcome key finance and revenue cycle challenges.
FinThrive rethinks revenue management to advance the healthcare economy. We pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically.
FinThrive creates integrated technology that adapts with healthcare professionals – freeing them from complexity and inefficiency – so they can focus on doing their best work. Our end-to-end revenue management platform provides financial teams and stakeholders with greater reliability and control to deliver better outcomes for everyone. That’s healthcare finance done right.
Founded in 2004, ElectrifAi (formerly Opera Solutions) has been pioneering the artificial intelligence and machine learning space to help customers transform their business. Many of the world’s largest enterprise and government customers trust them to access their complex and chaotic data, translating it into practical insights that propel their business through improved profit and performance. ElectrifAi has positively impacted the world’s top industries including Government, Healthcare, Financial Services, Travel and Hospitality, Telecommunications, CPG, Retail and Entertainment. Their innovative approach fully embraces open-source technology, which provides practical solutions quicker than any of their competition. That’s practical AI with Rapid ROI.
As a company developed by clinicians, FairCode provides specially trained physicians to review the documentation post CDI and coding efforts but before billing to create clinically cleaner claims. These specifically trained physicians use FairCode’s audit support technology to collaborate with hospital coders to more accurately code diagnoses and procedures. Physician-to-physician dialogue improves and clarifies the medical record documentation so that appropriate codes are selected and sequenced for final DRG assignment. Quality metrics, including ROM and POA diagnoses, are addressed because of the physician’s perspective on each case.
Access Healthcare provides business process outsourcing, applications services, and robotic process automation tools to hospitals, health systems, providers, payers, and related service providers. The company operates from 19 global delivery centers in the US, India, and the Philippines. Their 20,000+ staff is committed to bringing revenue cycle excellence to clients by leveraging technology, emerging best practices, and global delivery. Based in Dallas, TX, the company supports over 400,000 healthcare providers through 85+ clients, serving 80+ specialties, processing over $70 billion of A/R annually, and ascribing medical codes to over 30 million charts annually.
EnableComp partners with over 800 healthcare providers to maximize their complex claims reimbursement by having the best people, processes, products and performance. Our industry leading technology and analytics identifies the right payer, at the right time, for the right amount ensuring clients collect the appropriate revenue for their complex claims.
Premium Asset Recovery Corporation was established in 1997 as an innovator in the healthcare debt purchasing market. Its founders have helped hundreds of healthcare providers transform billions of dollars of unpaid patient accounts into millions of dollars in bottom-line cash.
Through our transparency and collaborative purchasing program, we provide you with cash for your charged-off “patient responsibility” receivables. We work within your existing workflows and with your existing collection agencies so as to avoid any disruption to your current processes. Noninvasive – simple due diligence and pricing.
BDM is a specialized international health care billing and recovery firm; we act as an extension of our client’s Business Office, billing international travel insurance companies and international patients who received care. We have the experience and know-how to identify and quantify international patients accounts in inventory, establish Best Practices for international patient registration, extend the global reach of billing operations, increase patient engagement resulting in superior recovery results, implement an international billing service, at no cost and generate more income without adding resources!
Advent Health Partners helps health systems and hospitals bridge current and future gaps within clinical reviews to resolve core revenue cycle challenges. Highlighted services include:
Denial Recovery and Prevention: With a clinical team representing over 15 healthcare designations and a 91+% denial overturn rate, we are experts in helping your organization recover revenue faster.
Revenue Cycle Analytics: Optics combines real-time 835i/837i and appeal/denial data from all your data streams to create customizable and insightful reports.
Revenue Integrity Consulting: Our team identifies root cause trends for your organization’s denials, delivers actionable recommendations, and provides optional implementation assistance so your team can immediately leverage these strategies and results.
To learn more about how our clinical expertise and technology drive appropriate financial recoveries and operational insights, visit adventHP.com.
CueSquared MobilePay™ changes the dynamic of patient self-pay billing by accessing patients where they live – on their mobile phones. CueSquared MobilePay™ augments existing self-pay collection strategies by seamlessly transforming patient statement data into actionable SMS text-based statements. Patients pay immediately upon receiving MobilePay™ notifications resulting in accelerated cash, reduced “costs to collect” and provides the consumer experience patients have come to expect and receive in other aspect of their lives. There is no application to download and no cumbersome portal to log into. MobilePay™ is fully HIPAA, PCI and TCPA compliant. For additional information contact Gibran Cotton at email@example.com
Paymerang’s award-winning electronic payables solution provides a simple, secure and profitable way to automate A/P disbursements. Paymerang does all the work, from vendor enablement to payment processing to transaction reconcilement, saving clients hundreds of hours each year and providing world-class customer service. In addition to the significant efficiency gains, clients enjoy Paymerang’s security features and lucrative cash back rebates. Setup is quick and easy, taking less than 30 days and 20 hours of client time to get up and running. Turn A/P into a profit center with Paymerang!
We Empower Patients to Lead Healthy Lives. We do this by providing hospitals and health systems with the best form of patient financing solutions, the easiest user experiences and the most compassionate, patient-friendly terms possible.
Our patient financing solution provides a consumer-focused experience which drives high patient satisfaction for our clients. We have helped over one million consumers afford out-of-pocket medical expenses for health systems nationwide. We offer the most comprehensive platform in the industry with funding models that help more providers, and programs that reach more patients. All patients qualify for our program with no credit reporting or negative outcomes.
Flywire is a global payments-enablement and software company, trusted by organizations around the world to deliver on their customers’ most important moments. Our responsive billing and payments platform leverages deep analytics and machine learning to understand your patients capacity to pay, their preferred method of engagement, and where on their healthcare journey we need to meet them. We’re delivering on your patients most important payments and maximizing collections for you and financial peace for your patients.
KIWI-TEK provides “Code America” PRN or total outsourced coding solutions to healthcare providers through a network of world-class domestic coders and managers. We provide rapid turnaround and accurate results at a lower price point, reducing denials and increasing reimbursements. Our certified coders are required to maintain 97% accuracy and can code on an existing HIS platform, using client encoders and document management systems. KIWI-TEK provides a total domestic coding workforce of over 500 experienced certified coders.
Infinx provides innovative and scalable patient access and revenue cycle management solutions. With an intelligent platform called iBridge, healthcare providers can leverage Artificial Intelligence (AI) and Human Intelligence (HI) to optimize their workflows and capture more revenue. While most solutions offer one, you need both. As a business-process-as-a-service (BPaaS), iBridge gives you integration, automation, cognition, and control. It seamlessly integrates with your existing PMS and RIS, automates your pre-visit process and uses machine learning to give you unparalleled access and control over your workflow.
Healthfuse, a New Capital Partners portfolio company, drives revenue cycle vendor performance by building, operating, and optimizing hospital vendor management offices. Working with 150+ hospitals and health systems, the Healthfuse VMO platform is a comprehensive suite of HIPAA-compliant, customizable applications fully supported by a dedicated execution team, accelerating cost savings and collections improvement.
Healthfuse ensures hospitals and their revenue cycle vendors operate in full transparency, delivering accountability, efficiency, and bottom-line results. Healthfuse has provided more than $600M in bottom-line improvements, 10-30% reduced vendor costs, and 20-30% increased collections.
Medlytix is a healthcare technology company providing a suite of industry-leading revenue enhancement solutions designed to capture “net new cash” for your organization while improving the patient financial experience, rescuing bad debt and reducing cost-to-collect. Medlytix partners with over 1,600 leading health systems, hospitals, and physician practices where our solutions impacted over $17.3 billion of provider receivables in 2020.
Health Talent Solutions provide both interim/project and permanent RCM professionals experience matched to the systems, payors and processes of our clients. Our effectiveness and “easy to work with” reputation is the by-product of decades of experience. In short, we speed up your cash flow and improve your bottom line.
• Billing, Collections and AR Clean Up
• Transaction Posting
• Denial Management
• IT System Quality and In
• Cash Posting & Reconciliation
• Revenue Integrity
• Project Management and Process Improvement
• Reporting and Analytics
VisiQuate is a revenue cycle insights, advanced analytics, workflow, and professional services partner that focuses on identifying anomalies in your data, denial prevention, prediction and resolution and drillable/actionable revenue cycle dashboard analytics; All while driving a demonstrable ROI for our clients.
Our solutions cover end-to-end revenue cycle analytics and assist clients with becoming a more data-driven organization. We do this through our alerting framework that proactively notifies when issues with accounts, payers, cash collections, etc. are detected. Our proprietary opportunity percentage scoring allows our clients to be surgical with all denials follow up and drive intelligent workflow automation back into their work queues for resolution based on an intelligent scoring percentage.
The Meduit family of companies, including Avadyne Health who joined in March 2021, has been providing collection solutions for the Healthcare industry since 1953. As one of the largest RCM services organizations in the nation, Meduit is able to provide an all-encompassing array of revenue cycle management services that leads to measurable, high performing results to maximize ROI for hospitals, health systems and physician groups. Our full suite of solutions includes scheduling, Medicaid eligibility, EBO (Extended Business Office)–insurance, EBO–self pay, and bad debt collections (primary and secondary), as well as patient financing, zero balance review, legacy work down and other special projects. Additionally, we offer MeduitAI, our full suite of Artificial Intelligence solutions to increase efficiencies, lower expenses and maximize recoveries and patient outcomes.
A leader in healthcare analytics, MedeAnalytics helps health plan and payer organizations make even smarter decisions. With the most advanced data orchestration in healthcare, our intelligent cloud-based analytics platform combines data to deliver state-of-the-art analytics, all in a business context. MedeAnalytics’ scalable solutions for financial management, operations, value-based care, and strategic planning—and the ability to tailor-build—deliver the action-ready insights organizations need to achieve success. Helping health plan and payer organizations realize financial and operational value almost immediately is just one of the many reasons why MedeAnalytics is the leading healthcare-only analytics provider. Learn more at www.medeanalytics.com
Xtend Healthcare is nationally recognized as an industry-leading provider of comprehensive revenue cycle solutions to health systems. Sustained revenue cycle improvement is our exclusive focus with experience in all 50 states and more than 30 years of dedicated health revenue cycle experience. We are committed to delivering customized solutions built around the broad revenue cycle needs of our clients. Our solutions include: comprehensive Revenue Cycle Outsourcing (RCO), revenue integrity/coding, denial and appeal management, conversion A/R resolution and accelerated A/R recovery.
Versalus Health is a data-driven consulting and services company that partners with hospitals and health systems to improve performance in the five areas of the clinical revenue cycle: Utilization Review/Admission Status, Documentation/Coding, Length of Stay/Utilization, Business Office, and Managed Care. Our solutions increase efficiency, ensure appropriate reimbursement, and improve results across all payer types. For more information about Versalus Health, visit www.versalushealth.com
Boost productivity. Increase cash flow. Speed reimbursement. TruBridge is your one source for the people, products and processes you need to clear the way for care.
TruBridge offers a broad range of scalable solutions so you can precisely meet your healthcare organization’s needs. They include our HFMA Peer Reviewed® Accounts Receivable Management Service and Revenue Cycle Management product suite, along with a variety of other effective business and consulting services. Over the past 30 years, we’ve built a reputation as a revenue cycle solutions leader and trusted partner that consistently gets results for healthcare organizations of all sizes.
Notable is an intelligent automation platform. We automate repetitive administrative workflows across scheduling, registration, intake, referrals, and authorizations – enabling healthcare providers to help patients take the right actions in their health journeys without hiring more staff.
Unlike other technologies, we don’t just digitize workflows – we eliminate work for staff while personalizing the patient experience. That’s because Patient AI–our proprietary artificial intelligence–is at the heart of our platform. Patient AI comprehensively reviews medical records and third-party data to engage patients at the right time, resulting in better financial health, operational efficiency, and competitive differentiation for healthcare providers.
The Coding Network provides remote coding, coding audits, coding helpline services, and provider documentation and code selection training. All our 800+ U.S.A. based certified single specialty coders understand the subtleties that are unique to 56 different physician subspecialties, in 50 states, 104 academic institutions, 350+ billing companies and community-based practices and facilities. We also have 300 coders that provide coding and auditing for acute care and specialty hospitals, SNFs, rehabilitation centers, and hospice care. Our coders must pass a very demanding proficiency test in their particular specialty. Unlike our competitors, every coder and auditor is a specialist.
Workday is a leading provider of enterprise cloud applications for finance and human resources. Founded in 2005, Workday delivers financial management, human capital management, planning, and analytics applications designed for the world’s largest companies, educational institutions, and government agencies. Organizations ranging from medium-sized businesses to Fortune 50 enterprises have selected Workday.
Sunbelt Health Partners leverages 30+ years of complex international healthcare claims experience and international payer relationships to help hospitals, specialty physicians’ practices, and RCM companies quickly resolve and recover international emergent patient claims. More than 100+ hospitals and specialty physician practices trust Sunbelt Health Partners to navigate and negotiate complex and emergent patient claims, self-pay balances, international and travel insurance accounts. Partner with the trusted team of global revenue cycle specialists.
The Cirius Group, Inc. offers automated claims processing solutions that increase cash collections by millions annually, achieve claim denials of 2% or less, over 99.9% clean claim rates, and significantly improve bottom line financial performance. Offerings: Prebill Manager – automated claim editor/scrubber, staff workflow optimization. Remittance Manager – remit advice, bank deposit matching. Reimbursement Manager – reimbursement, contract management, denial management. Direct EDI Claim Submission/Clearinghouse Service – providers submit directly to Medicare, Medicaid, Cigna, Blue Shield, etc. Integrates with all EHR/EMR/HIS systems. “6 million annual hospital UB04 claims, less than 1% denial rate, 25 billers, 39 A/R days” – UPMC
3M Health Information Systems is committed to eliminating revenue cycle waste, creating more time to care and leading the shift from volume to value-based care. We are closing the loop between clinical care and revenue integrity, providing clinicians with real-time guidance and accurate documentation. From computer-assisted coding (CAC) to clinical documentation integrity (CDI) and performance monitoring, 3M’s automated and intuitive software can help reduce costs and provide more informed care. For more information, visit www.3m.com/his or follow @3MHISNews on Twitter.
Since 1904, PFC|USA has provided accounts receivable management solutions for healthcare providers and currently serves over 1,200 healthcare providers, hospitals and healthcare systems nationally. With Omnichannel Preferred Solutions (OPS) offered through PFC|USA, patient communication is streamlined to provide a tailored solution for patient engagement. With a focus on touch points, such as text reminders, email notifications, and mobile e-billing, patients pay up to 11 days faster when compared to traditional letters and phone calls. Optimized patient engagement not only increases your bottom line by providing convenient tools to pay and interact with your facility, but also sends a clear message that you understand how unique each patient is and your commitment to delivering a superior customer experience to your community. As an HFMA Peer Reviewed company for nearly a decade, PFC|USA helps our partners improve patient communication and increase cash flow while integrating with your facility. From first party billing follow up to third party debt recovery, PFC|USA ensures your revenue cycle and patient engagement is optimized.
At CORE Business Technologies we help healthcare organizations across the nation simplify, secure, and comply with complex revenue cycle environments. Our focus is to reduce the noise, harmonize and reconcile the data, and turn payments into a positive for your staff, patients, and consumers.
With purpose-built, receipt to reconciliation revenue cycle management solutions, we deliver an integrated, enterprise-wide authoritative source to manage all inbound revenue to simplify payments and improve clinical, financial, and patient outcomes.
Reduce the friction around self-service, touchless interactions, and full-service payment encounters by visiting us at corebt.com/healthcare.
Fathom’s is a deep learning AI solution that autocodes over 80% of encounters without ANY human touch. Industry-leading automation rates, coding accuracy, and multi-specialty coverage allow providers to cut costs by over 50%, reduce denials, and accelerate collections. Fathom can deploy across hundreds of sites with unique coding guidelines within weeks. To date, Fathom’s AI is the largest American-based medical coding service, with models trained across hundreds of millions of coded encounters.
Since 1996, Apogee establishes relationships with hospitals to maximize revenue and reduce future underpayments through Reporting and Contract Feedback. Primary objectives include capturing lost revenue and collecting untimely payment penalties to improve organizations’ efficiency. To achieve maximum reimbursement, Apogee conducts Managed Care Zero Insurance Balance Reviews, Secondary/Supplemental Reviews, Prompt Payment Reviews, and COB Reviews. Other services include Aged Accounts Services and Denial Management Services. Consultants identify root causes and provide feedback to improve contract language, correct billing errors, and settle issues adversely impacting organizations. Apogee creates a win-win relationship with your organization by working on a contingency basis.
AblePay was not founded by a bank or tech company but by health system executives that recognized that there is a better way to increase revenues for providers while improving the patient experience.
Using our proprietary mix of savings, flexibility, advocacy, and convenience, AblePay Health takes an innovative, highly effective, yet surprisingly simple approach to assisting with patient’s responsibility after insurance.
Providers Can Expect:
• Prompt Payment in 14 days – No Recourse!
• Electronic Billing (837, 835)
• Instant Implementation.
• Keep all Current Processes and Vendors.
• No Patient Denied!
• Flexible Payment Terms.
• Under No Circumstance will a Patient be Charged Interest!
Advata is an advanced analytics software company with a suite of SaaS products that drive better healthcare. We offer revenue cycle management with responsible AI, ML, and RPA to optimize revenue. We help organizations assess and prevent denials, improve revenue through AR resolution, identify and execute automation opportunities, and streamline workflows.
Aspirion helps hospitals and health systems maximize revenue recovery by focusing on their most challenging reimbursements. Aspirion achieved the top 2022 Best in KLAS for Revenue Integrity/Underpayments ranking which is reflective of its team of 100-plus attorneys, 30-plus clinicians, seasoned claims processors, and unparalleled technological innovation. From Motor Vehicle Accident, Workers’ Compensation, and Veterans Affairs/TRICARE to Denials, Aging AR, and Out-of-state Medicaid & Eligibility, its 600-plus healthcare clients across the US trust Aspirion for superior complex revenue recovery performance.
XpertCoding is an autonomous medical coding solution that harnesses the power of artificial intelligence to automatically code more than 95% of claims within 12 hours at an accuracy of 95% thus saving costs, accelerating revenue cycle, reducing denials, and increasing revenue.
Current manual coding processes are error-prone, inefficient, and costly. XpertCoding requires no change in workflow, no IT help, and within 1 month it reduces coding FTEs by over 80%, shortens time to claim submission to 1 day, and reduces denials by 33%. Our risk-free pilot program allows practices to test and validate our solution before any level of commitment.
Athelas’ Revenue Cycle Management program is an end to end white glove service that provides a premium billing experience at a competitive price. Our team of experts provides an average collection rate of 94% and denial rate of just 6%. We have 24/7 Account Management services and real-time data access so you know exactly where your claims are, and when you will get paid. We bring 18 years of experience to the RCM field, and through our experience and expertise, are able to double a client’s monthly collections on average.
MedEvolve empowers healthcare organizations with effective intelligence solutions that provide unmatched transparency, automation and accountability for the revenue cycle. MedEvolve’s workflow automation and advanced analytics solutions reduce administrative burden and ensure staff are not only productive, but effective in the work effort they put in and that they are achieving the expected results. Additionally, MedEvolve’s effective intelligence solutions enable a remote workforce with task management, tracking and virtual communication tools that integrate directly with the practice management software. Increase margin, improve net collection rate and reduce overhead costs with effective intelligence from MedEvolve. Visit www.medevolve.com to learn more.