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Industry

Ambulatory and Physician Practices

Optimize reimbursements, streamline the patient financial experience and reduce bad debt.

Enhance revenue cycle processes and prevent revenue leakage with flexible solutions

Higher patient volumes, inaccurate patient demographic information and missed insurance coverage all affect ambulatory and specialty practices.

Our solutions provide clarity about the unique financial behavior of patients and help reduce uncompensated care for a wide range of specialty markets, including:

Ambulatory and emergency care providers

Physician groups, including single or multispecialty practices

Practice management organizations

Third-party billing and revenue cycle vendors

Dental service organizations

Powered by market-leading data and analytics, these solutions offer flexible delivery models and pricing strategies.

Insurance Discovery

Quickly discover missed eligibility information prior to manual collection efforts. Our turnkey Insurance Discovery solution performs targeted searches of accounts based on propensity to have incremental, reimbursable coverage — resulting in faster, more valuable outcomes.

Healthcare Accounts Receivable Recovery and Denial Management

Maximize reimbursements from all payers in the shortest time and at a lower cost to collect. Our Accounts Receivable Recovery and Denial Management solution helps improve recoveries from claim denials and underpayments.

Patient Financial Clearance

Increase cash collections by verifying patient identity, correcting contact information and determining a patient’s propensity to pay. Our Patient Financial Clearance solution also provides information on likelihood to qualify for financial aid, hardship exemptions and payment plans.

Patient Payment Estimation

Generate accurate estimates of patients’ out-of-pocket responsibilities to streamline point-of-service collections and empower staff to comfortably address financial costs of care with patients.

Financial Pathway

Better manage your dental organization’s collection risk and cost by assessing patient payment risk, determining the best financing options, setting up payment plans and automating billing. Our Financial Pathway solution leverages proprietary credit and alternative consumer data to assess patients’ ability to pay and provide tailored payment plans to best meet their needs — optimizing revenue and enhancing patient engagement.

Insurance Eligibility

Verify patients' benefits and insurance eligibility prior to or during registration to enhance collection efforts. Our automated Insurance Eligibility verification solution can help reduce denials for medium to large specialty practices.

Learn more about our tailored solutions for ambulatory and physician practices.

Quick Facts

Accreditations

KLAS content ClearIQ

STINGRAYTM
•Medicare Bad Debt
•Medicare Disproportionate Share

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.

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