Industry

TransUnion Healthcare Revenue Protection solutions

Prevent revenue leakage, maximize reimbursements and enhance the patient financial experience with revenue cycle management for healthcare

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Make smarter revenue cycle decisions for healthcare to ensure a healthier bottom line.

Engage Patients Early

Improve patient engagement early in the financial process to help them better understand their care and its costs. A more informed, satisfied patient leads to an increase in point-of-service collections and a stronger likelihood of payment.

Ensure Earned Revenue Gets Paid

Collect more cash and reduce bad debt throughout the revenue cycle by maximizing reimbursements on uncompensated care and underpaid accounts.

Optimize Collection Strategies

Determine the optimal payment workflow based on a patient’s unique financial situation to streamline collections processes and reduce costs to collect.

Powerful reimbursement technologies and data assets help our clients and their patients

Revenue cycle management begins before a patient walks through the doors and ends when all payments are successfully collected. TransUnion Healthcare’s Revenue Protection® solutions help identify opportunities to enhance patient access and post-service revenue recovery efforts.

Our market-leading revenue cycle technologies, extensive consumer data assets, and deep insights into consumer financial behavior and reimbursement methodologies, help ensure earned revenue gets paid.

Reaching New Heights: Maximize Your Reimbursements

Achieving maximum reimbursements — from insurance discovery, government reimbursements, and denials and underpayments — can seem like an uphill battle. But with the right data and analytics combined with actionable insights and strong industry expertise, you can be on the path to improved recoveries.

Uncover Hidden Revenue to Maximize Your Recovery Reward

The path to uncovering hidden revenue has many obstacles. For healthcare organizations, having a holistic collections strategy is vital to address challenges and successfully capture every dollar. Learn how to identify hard-to-find health insurance coverage.

TransUnion Healthcare Customer Insights

Pattie Moore-Boytte, VP of Reimbursement at University of North Carolina Health System, discusses the value of TransUnion Healthcare’s partnership and how her organization leverages Medicare Bad Debt and DSH solutions to enhance reimbursements.

Academic Medical Centers Secure the Highest Hanging Fruit by Elevating Their Reimbursement Strategies

AMCs are particularly susceptible to revenue leakage — in large part due to the expensive medical cases they handle and complex billing issues that accompany them. By leveraging advanced, market-leading technologies, and expert knowledge of billing processes, regulations and the revenue cycle, AMCs are able to improve efficiencies and maximize reimbursements.

Powerful reimbursement technologies and data assets help our clients and their patients

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Reaching New Heights: Maximize Your Reimbursements

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Uncover Hidden Revenue to Maximize Your Recovery Reward

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TransUnion Healthcare Customer Insights

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How AMCs Reach the Highest-Hanging Fruit

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Markets We Serve

Hospitals and Health Systems

Whether you’re an academic medical center, health system, non-profit or for-profit hospital, we have unique revenue protection solutions to optimize your patient access, collection and reimbursement processes.

Ambulatory and Physician Practices

Powered by market-leading data and analytics, our tailored solutions for physicians and outpatient clinics provide clarity about the financial behavior of patients and help reduce bad debt.

Healthcare Payers

We offer a variety of leading EDI, insurance discovery and encounters data management solutions — regardless of your membership size or infrastructure — at a fraction of your in-house costs. We also help reduce administrative and regulatory burdens.

Government

Our HIPAA compliant solutions span the public sector to federal, state and local government agencies. Healthcare solutions are tailored to manage risk and protect revenue.

Healthcare Partners and Resellers

Industry-leading organizations partner with TransUnion Healthcare to offer clients strategic solutions to optimize the revenue cycle process. We offer superior service, seamless integration and powerful, innovative technologies that make an impact.

A leader in healthcare revenue protection solutions

Serving more than 1,800+ hospitals and health systems

Serving more than 500,000+ physicians and other providers in the U.S.

Our customers have recovered $5.2 billion in cash to date utilizing our services

Connected to 845+ payers, covering 98% of insured lives in the U.S.

Five technology patents and three pending to maximize reimbursements and manage the healthcare revenue cycle

Accreditations

eScan Insurance Discovery
Accounts Receivable Recovery and Denial Management

ClearIQ Patient Payment Estimation
eScan Insurance Discovery

ClearIQ Patient Payment Estimation
ClearIQ Insurance Eligibility
Revenue Manager
- • Medicare Bad Debt
- • Medicare Disproportionate Share
- • Transfer DRG
- • Shadow Billing

Insurance Eligibility

¹ HFMA staff and volunteers determined that these products met specific criteria developed under the HFMA Peer Review process. HFMA does not endorse or guaranty the use of these products.

TransUnion: Solutions for Page Name

Solutions For Healthcare

Healthcare Patient Access

Improve the patient financial experience, streamline workflows and increase point-of-service collections

Healthcare Revenue Recovery

Capture hard-to-reach revenue to maximize reimbursements and improve your bottom line

Identity Verification & Authentication

With TransUnion's ID Verification solutions, you'll know with whom you're engaging - before fraud occurs

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Insights And Events

Blog

FY 2020 Hospital Inpatient PPS Final Rule Update: Worksheet S-10 and Uncompensated Care