The perfect synergy of expertise and technology.

From strategic guidance and process improvement to training and support, we combine expertise and technology to identify risk and improve revenue retention.

Why walk away from 3.5 Million?

Our step wise approach achieves better reimbursement outcomes at a lower cost.

Health systems face rising risks from increased payer denial write-offs, bad debt and inefficiencies due to high costs to collect.  Benchmarks show that a hospital with a median of 350 beds would have lost $3.5 million to increased denial write-offs from healthcare payers over the past four years. 

From guidance and process improvement to training and support, we combine expertise and technology to identify risk and improve revenue retention.

Healthcare Providers Are At Risk!

  • Healthcare providers under CIA’s in 2018
  • Hospitals at risk of potential closure according to Morgan Stanley analysis
  • Health systems are cutting jobs or in constant state of hiring freeze
  • Reimbursement is decreasing
  • Medicare Loss increased from $807- $1294 in 2 years

Increase In Charges

%

Increase In Payments

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Administrative Resources

The average size hopsital dedicates 59 FTE’s to regulatory compliance
Of which – 39 tasked with CoP and billing / coverage verification processes

Source: https://www.businessinsider.com/almost-20-of-hospitals-in-the-us-are-in-bad-shape-according-to-morgan-stanley-2018-8

From strategic guidance and process improvement to training and support, we

combine expertise and technology to identify revenue at risk.

Meet Our Experts

dawn crump

Senior Director, Revenue Cycle and Denial Management Solutions

Brian MCGRAW

Co-founder, President and CEO

Denise Wilson

Vice President, Clinical Appeals Services

Analytic Risk Profile

Education & Training

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Workflow Analysis

ROI Analysis

Resource Allocation

Reporting

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