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EFFY functions as a permanent, protective 24/7 auditing and exception reporting “umbrella”. EFFY makes data comparable and actionable, enabling users to correct issues that compromise financial viability, and clinical and operational performance, like authorizations and denials issues. EFFY empowers hospitals, hospital systems and Integrated Delivery Networks to retrieve, review and compare massive amounts of operational, clinical and financial data across their total enterprise – and trigger actions upon it, no matter the size, data incompatibility or platform complexity.
Penn Credit is a leading provider of accounts receivable management services to healthcare providers throughout the United States. Founded in 1987, we use the latest technology and highest ethical standards to earn an unsurpassed reputation for attaining optimum results and a superior level of service for our clients. Our services include primary/secondary bad debt collection as well as extended business office services (EBO) through our Penn Billing outsourcing division.
At PNC, we have taken a unique approach to helping healthcare providers and payers minimize administrative costs and maximize cash flow.
By combining leading clearinghouse capabilities with premier treasury management services, and over 25 years experience working with healthcare payers and providers, PNC provides a full array of integrated solutions to improve the healthcare revenue cycle. We call it the PNC Healthcare Advantage.
PNC’s healthcare experts understand patient billing, finance and technology – after all, we have worked with more than 1,900 healthcare organizations across the country, including payers (2,000 plus connections), providers, pharmacies, Medicare fiscal intermediaries and government agencies. We also provide implementation specialists and an online portal to help automate the revenue cycle and facilitate payer/provider relationships.
3rd party liability vendor, specific to upfront expert staffing in the hospital emergency room. The main purpose is to obtain the MVA and/or W/C details and then relentless pursue reimbursement on the claim. Our unique model builds trusting relationship, while creating empathy with the patient, and generating more cash for the hospital in Med pay dollars.
Compassion for people and passion for results. The relentless drive to deliver on these critical fundamentals of a successful revenue cycle strategy has fueled our team since APA’s inception. By providing an integrated suite of revenue cycle solutions, APA creates a valued partnership with clients to achieve strategic objectives. APA’s A-Suite of advocacy focused services include: Enrollment/Eligibility, SSI/SSDI, Motor Vehicle Accident, Workers’ Compensation, Insurance Recovery, Out-of-State Medicaid and Veterans’ Administration. APA services healthcare organizations nationwide and delivers customized solutions to address each client’s unique needs.
Butler Snow LLP is a full-service law firm with more than 350 attorneys and advisors collaborating across a network of 25 offices in the United States, Europe and Asia. Ranked as a leading firm for client relations and one of America’s Top 100 law firms in the BTI Power Rankings, Butler Snow is recognized as one of the nation’s top law firms for client service. The firm was recently ranked 48th out of 650 firms in the BTI Client Relationship Scorecard for understanding our client’s business, anticipating client’s needs, unprompted communication, legal skills, quality and keeping clients informed.
A national leader in payments and revenue cycle management, Commerce Bank is committed to developing technologies that create business efficiencies and impact customers’ bottom line through tailored solutions and personalized service. Commerce’s comprehensive solutions are designed to help hospitals automate invoice processing, workflow and disbursement, and streamline patient receivables.
A Health Services Financing (HSF™) program features a line of credit to be presented to patients or the financially responsible party. An HSF™ account is a manageable way for patients to pay their balance over time, at a reasonable rate, while providers receive upfront funding for patients’ outstanding balances.
Credit Control Corporation (CCC) is the premier receivables management outsource vendor for healthcare providers seeking a partner to help navigate through today’s revenue cycle challenges. We focus on client-specific fiscal needs by offering a menu of support services including:
- Extended Business Office Support
- Pre-collection/Cash Acceleration Initiatives
- Third Party Insurance Billing and Follow-up
- Patient Accounting & Customer Service Staffing Support
- Budget Account Management
- Documented Medicare Bad Debt Collections
- Delinquent Debt Recoveries
- Call Center Support
- IRS 501 (r) & Financial Assistance Plan Support
McBee is the nation’s premier independent consulting and services firm that delivers financial, operational, and clinical solutions exclusively to health care providers across the continuum of care. For more than 40 years, McBee has designed services to ensure the financial health of our clients by improving clinical, operational, and revenue cycle performance.
Hospitals, Home Health Agencies, Hospices, Psychiatric Facilities, and Ambulatory Surgical Centers depend on us – you can too. We’ve been increasing collectible income and decreasing bad debt expense for more than a decade
Throughout our 47 years, Avadyne Health has guided revenue cycle and hospital leaders to optimize patient satisfaction, loyalty and payments, while reducing the cost to collect and increasing recoveries with a patient portal, pre-service financial clearance, early-out account resolution and bad debt recovery services.
We empower the Patients’ Financial Experience (ePFX) throughout the continuum of financial care for over 315 nationwide hospital clients and $3 billion in annual account placements.
All our services are supported by a team of professionals and a state-of-the-art assembly of ePFX data integration and BI technologies, including ePFXscore, the first-of-its-kind in the industry to measure, predict and score the Patient Financial Experience. Learn more at avadynehealth.com/avadyne-difference.
Bull City Financial Solutions is a PPMS Certified, national Accounts Receivable Management company. We provide superior customer service by constantly implementing the latest technology and frequently selecting and hiring highly trained personnel. This model also provides our clients with the most comprehensive debt recovery solutions available anywhere.
Smarter business decisions. A better bottom line. Stronger relationships with patients. That’s what more than 60% of U.S. healthcare organizations experience using Experian Health’s industry-leading revenue cycle management, identity management, patient engagement and care management solutions, powered by data and advanced analytics.
Since 1991, Fenner Consulting has provided healthcare consulting services to academic medical centers, health systems, hospitals, nursing facilities, group practices, and individual practitioners.
Glasser and Glasser, P.L.C. is a full service law firm that was founded in 1932. Glasser has been rated a “Best Law Firm” by US News and AV Preeminent by Martindale-Hubbell. Our attorneys include a former Virginia State Bar president, a former Chair of the Virginia State Bar Disciplinary Board, a President of the Virginia Creditors Bar Association, a founding member of the North Carolina Creditors Bar Association, and a member of the board of directors for the National Creditors Bar Association (NARCA). Our bad debt collections department practices state-wide in Virginia, North Carolina, Maryland, and D.C. supporting large scale physicians groups and hospitals in the collection of bad debts.
As the leading business law firm in Virginia for almost 100 years, Kaufman & Canoles has built our reputation on legal excellence and responsive client service. Our integrated and multi-disciplinary teams have extensive experience serving the corporate, financial, governmental and healthcare industries, and we remain focused on the details while also delivering big-picture strategy. We are dedicated to transforming our clients’ lives—and our community—for the better. We can. And we will.
McGuireWoods is a strong, well-respected and expanding firm with a legacy reaching back more than 180 years. This legacy is a testament to our lawyers’ experience across business and industry, as well as our consistent ability to deliver an excellent legal product — efficiently and at a fair price. Some of our clients have been with us for nearly 50 years, which speaks to the level of service we provide and the mutual loyalty we engender.
Med-Metrix delivers a full suite of healthcare revenue cycle management tools that combine our deep subject matter expertise, earned through decades of operational experience, robust analytics, and tailored services to help maximize performance. We work within your existing structure to enhance day-to-day operations – and dramatically increase your bottom line.
NCC and HCA have partnered with medical facilities large and small to offer a full spectrum of receivable services from early out to bad debt collection. Our agencies utilize leading technology, data security and a strong team of professionals with longevity in the industries we represent. Our goal is to ensure each client believes “It pays to partner”.
Oracle, a global provider of enterprise cloud computing for 430,000 customers in 175 countries, is empowering healthcare groups of all sizes on their journey of digital transformation. Oracle Cloud provides leading-edge capabilities in SaaS ERP, Performance Management, SCM and Healthcare Analytics.
- Over 630 long-standing Oracle Healthcare Provider customers
- Healthcare COE/Center of Excellence with Industry Strategic Experts
- Healthcare SCM Customer Advisory Board-Consisting of Leading Providers to drive innovation
- Global Healthcare Industry Strategy Council with Executives across 20+ HC Providers and Payors
- Healthcare Industry User Group- The largest healthcare business application user group in the United States with over 4800 members, with communities focused on SCM, Financials, and HCM.
- Over 3,000+ Oracle employees focused on Healthcare across the Continuum of Care
RSI Enterprises, Inc. has engaged in the business of performing healthcare receivables management since 1985. While maintaining the highest level of integrity, RSI will be the recovery services provider of choice, delivering superior quality and client service in our markets through successful partnerships with our people, suppliers, and customers. RSI has extensive experience in extended business office solutions, collections and billing, which demonstrate its ability to exceed expectations and produce the highest outcomes for its clients, nationwide.
Satori offers transformative solutions, such as reimbursement auditing, pharmacy network development, data analytics, and other consulting services for the business side of healthcare.
Triage specializes in delivering new cash to hospitals’ bottom lines. We review closed (zero insurance balance) patient accounts to determine whether they were paid correctly per health plan contracts or government fee schedules.
Washington & West, LLC is dedicated to assisting hospitals and healthcare systems throughout the entire denial and appeals process in an effort to recover funds from commercial, government and Medicare Advantage payers who have wrongfully denied or underpaid claims. An integral part of our process, and what sets us apart from our competitors, is our team of Attorneys, Clinicians, Certified Coders, and Hospital Business Office Experts.
In the past several years, Winthrop has established relationships with over 400 hospitals, as a leading health care technology acquisition partner, and has built a solid reputation in the marketplace financing hardware, software and services. Winthrop has earned multiple peer-reviewed designations from the Healthcare Financial Management Association based on quality and usability, price, value and customer and technical support. Winthrop is a wholly owned subsidiary of TCF Bank (NYSE: TCB) – an industry leader with over $18 billion in assets. Winthrop’s value proposition has been helping health care providers to stay current with the latest technologies, while avoiding the risk of technology obsolescence, preserving capital and keeping access to lines of credit open.