Topics: Denials Management, Revenue Cycle, Finance, Revenue Capture
“We’re very pleased with year one recoveries, but really it’s the tip of the iceberg….we anticipate our ability to recoup to become even stronger."
—Director, Revenue Cycle
Edward Hospital, Naperville, Ill.
“We were able to produce data to support our agenda points during negotiations…if you come with better data than the person on the other side of the desk then you have quite a bit of power.”
—Vice President, Managed Care
Valley Baptist Health System, Texas
“The staff finds the system easy to use and loves the bulk appeals capability. Projects that took hours to prepare are now click and print.”
—Director, Patient Financial Services
Southern health system
“The real return comes with the payment variance and underpayment tools. We recovered millions in underpayments that would otherwise have been written off to a contractual.”
—Director, Managed Care
University of Utah Health System
“We began by fixing obvious problems, then drilling deeper to overturn small-dollar, line-item variances representing multi-million dollar bottom line benefits.”
—Manager, Contract Compliance
West coast health system
“At our organization, we believe data proves and data drives everything. You have to look at the data, not just the dollars.”
—Vice President, Managed Care
Midwestern community hospital
“The ROI was realized in a very short time frame and we are very satisfied with the results.”
—Administrative Director, Revenue Cycle
Midwestern community hospital
“We found the delivery model to be extremely flexible, allowing us to meet aggressive revenue objectives without increasing resources or going through an extensive IT implementation.”
—Chief Financial Officer
Midwestern community hospital
“Payment errors are common, particularly after negotiations. With integrated contracts and collections, we identify problems immediately.”
—Vice President, Revenue Cycle
West Coast community hospital
“We have far superior payer-specific intelligence and work more accounts with fewer staff.”
—Director, Payer Relations
West Coast health system
“We recovered millions that would have been written off to a contractual…incremental revenue that can make the difference in whether we are profitable or not.”
—Director, Managed Care
Western academic medical center
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