Client Challenges

Manual error-prone claim processing

Substantial staff inefficiencies

Large volume of denied claims

Revenue loss due to denied claims

OUR Solution

Integrated Agency and Corporate Billing

Automated Medicare claims processing

Improved ePremis clearinghouse integration

Automated claim error handling

Automated revenue analysis

Client Benefits

$162 million net revenue increase

Higher claim processing speed

Substantial staff efficiency gains

Major decrease in write-off costs

Healthcare Solutions

Featured
Managed Care
Managed Care

More claim approvals • Less write-offs • Increased cash-in • Higher revenue • Much lower risk of non-compliance • Shorter agency credentialing cycle time

Automated Payer Verification
Automated Payer Verification

$2.5 million staff efficiency savings • 75% decrease in Authorizations cycle time • Highly efficient referral queue management • Timely reliable productivity reporting

Patient Scheduling
Patient Scheduling

Improved quality of care • Optimized resource utilization • Faster response to unplanned events • Optimized travel routes • Improved defensible documentation

Plan of Care (485)
Plan of Care (485)

Patient care interventions aligned with physician orders • Multi-track plans of care • Better patient care outcomes • Reduced claim denials • Lower write-offs cost

Medical Supply Chain
Medical Supply Chain

Direct delivery to patient’s home • 12% reduction in supply cost

Medicare Billing
Medicare Billing

$162 million net revenue increase • Higher claim processing speed • Substantial staff efficiency gains • Major decrease in write-off costs

Accounting Automation
Accounting Automation

69% less process complexity • 64% more process automation • Mitigated de-certification risk • Mitigated financial restatement risk

Revenue Management
Revenue Management

10% cash flow increase • $5 million cash flow increase per year • 55% reduction in day sales outstanding (DSO) • 29% increase in staff efficiency