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Revenue Cycle Management
Acren Health Care
Medical claims processing
Our medical billing team ensures a high-level of accuracy while processing each claim. At each step, two levels of Quality Assurance are done for precision. In-correct and/or insufficient details are reasons for enormous delays or even denials by the payer. We can connect to your existing software using a secure connection and submit claims electronically. We can also process paper claims, if required.
Accounts receivables management
Diligent and aggressive follow-up is important for quicker reimbursement. Our accounts receivables specialists can follow-up with insurance companies by phone, email etc. Payments are posted on to the billing software. Denials or partial payments are analyzed, appropriately corrected and the claims are re-submitted to the insurance company.
Revenue cycle management
Acren Health is capable of effectively and efficiently managing every stage of the medical billing process to ensure that each claim is paid for to the maximum at the earliest. We assure you increased revenue, reduced operational expenditure and a better cash flow. You no longer have to worry about submitting claims on time. We will process your claims daily and diligently follow-up on each claim to maximize your returns.
Contact: Julie Hensler, Administrator
(425) 778-9102 info@acrenhealthcare.com
www.acrenhealthcare.com
Benchmark Revenue Management
Benchmark Revenue Management was founded in 2001 to address fundamental shortcomings in revenue cycle process and technology within hospitals. The firm has grown dramatically over the last few years, with customers ranging from small, single facilities to some of the nation’s largest hospital networks.
Why is Benchmark Successful?
It’s because of our approach, which is customer-success oriented and driven by our unparalleled technology. Our first order of business is to understand how you work, how you want to work, and then bridge that gap using our technology. We can achieve this by:
- Mapping in all of your critical data and turning it into information through dashboards and reports. Your management will have all of the information available in their organization to make effective choices
- Getting management the tools to easily act on that information, and then effortlessly follow-up. There are many good reporting tools in the market, but very few effective workflow tools that can translate the information provided into real actions
- Providing work portals that empower workers to be more effective while automatically complying with the optimum work task flow at all times
- Ensuring our clients fully utilize the power of their solution
- Being there for our clients with our unique Revenue Engineer personnel, who understand your model and continually monitor your account to optimize your workflow, and ultimately, your revenue
Contact: Lincoln Fish, VP, Product Management & Management
(619) 819-6992 lfish@benchmarkrevenue.com
www.benchmarkrevenue.com
Cirius Group, Inc.
Cirius Group solutions have improved hospitals’, health systems’ and professional groups’ financial operations with results-oriented revenue cycle, remittance and reimbursement management software solutions. We will change the way you think as Cirius solutions and services are designed for high-production and maximum-efficiencies. Our customers exceed financial objectives with Gross A/R Days in the 30’s and Clean Claim first payer pass rate exceeding 90% and others, as set by the healthcare industry and more!
Contact: Jayne Kroner, FHFMA, VP, Business Development
(925) 685-9300 jaynek@ciriusgroup.com
www.ciriusgroup.com
HFS Consultants
HFS Consultants, a healthcare consulting company specializing in healthcare management, operations and strategic planning for hospitals and healthcare organizations offers the following services:
- Clinical Operations
- Executive Search
- Financial Feasibility
- Government Programs & Reimbursement
- Health Information Management
- Licensing and Program Development
- Management & Operations Consulting
- Reimbursement
- Revenue Cycle Management
- Support Services Consulting
- Valuation and Appraisal
Contact: Richard Gianello
(510) 768-0066 richg@hfsconsultants.com
www.hfsconsultants.com
National Healthcare Review, Inc.
Providing Hospitals Nationwide with Clinical-Financial Auditing Solutions for Over 30 Years.
From the medical record to the final bill, we’re focused to improve data quality, coding, education, training, compliance in order for our clients to achieve optimal reimbursement.
| Clinical Auditing | Managed Care | Clinical Coding & Compliance Audits |
| -Concurrent | -Payment Audits | -APC Quality Assmts. |
| -Insurance Defense | -Contract Analysis | -CDM Reviews |
| -Retrospective | -Education | -DRG Quality Assmts. |
| -Bill Validation | -Quality Assmt. Studies | -Backlog Coding/Remote Coding |
| -OIG/CMS Defense | -Reimb. Model Verif. | -Coding Education |
| -Clinic & Med Group Ops. Assmts. |
Contact us for more information:
www.nhri.com ● info@nhri.com ● 1.888.704.NHRI (6474)
OptumInsight
Getting valuable information to the right place at the right time requires a unique set of strengths and a unique perspective.
At OptumInsight, our people bring diverse and unmatched knowledge and experience. We have built the company to deliver the information and technology needs that are unique to our changing health system:
- We gather information and apply analytics to make it useful.
- We create secure, interoperable networks that enable the exchange of information among communities.
- We understand how those in the health system actually do their work, so information can be seamlessly introduced into the flow of their everyday activities.
Critical to our success, our company includes several best-in-class businesses with specific, leadership roles found across the wider health system.
Contact: (800) 765-6713 insight@optum.com
