Higher deductibles, increased denials, a shifting payer mix and patients paying more for care are all obstacles to capturing revenue. TransUnion Healthcare’s Revenue Protection® solutions — backed by our proprietary technology, comprehensive consumer data assets and accurate insights — address these challenges by helping:
Reduce bad debt
Maximize revenue and reimbursement opportunities
Streamline payment processes and drive efficiencies
Find additional payment opportunities from previously missed insurance coverage. Insurance discovery solutions combine patented data fusion methodologies with exceptional customer service to deliver actionable results leading to reimbursement on uncompensated care and underpaid accounts.
Drive recovery efforts for insurance claim denials and underpayments. Our Accounts Receivable Recovery and Denial Management solution helps ensure providers maximize reimbursement from all insurance payers the first time — to generate more cash from claims.
Reduce administrative costs and time associated with complex, data-intensive Medicare cost report issues. Medicare Cost Reporting solutions — Medicare Bad Debt, Medicare Bad Debt Medicare Advantage, Medicare Disproportionate Share (DSH), Uncompensated Care Analytics and Volume Decrease Adjustment — simplify your reimbursement processes.
Optimize revenue recovery by identifying additional payment opportunities. Payment integrity solutions — Transfer DRG, Complex DRG, Shadow Billing (IME/GME) — improve efficiencies and increase reimbursements for underpaid accounts.
Identify missed coverage and segment remaining self-pay balances into optimal payment workflows based on likelihood of payment and financial assistance eligibility. Our Self-Pay Collections solution combines industry-leading insurance discovery and patient financial clearance methodologies to increase revenue.
Screen and qualify patients for Medicaid or charity programs to increase reimbursements, reduce bad debt and improve patient satisfaction. Medicaid and Charity Screening solutions help determine appropriate funding sources for uninsured and underinsured patients.
TransUnion Healthcare's revenue recovery information and insights help make trust possible.Contact Us
"Over a nine-month period reviewed, TransUnion Healthcare found roughly 450 additional Part C claims which will add more than $100,000 to our hospital. They were able to use their automation to get this turned around in three weeks. I would definitely recommend working with them."
Director of Reimbursement, Midwestern Hospital
1,850+ hospitals and health systems served
550,000+ physicians and other providers in the U.S. served
$6.4 billion in cash recovered to date for our provider partners
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.