Analytics is the Answer to Compliant Coverage Identification

It’s a dilemma that challenges hospitals, physician practices, labs, and durable medical-equipment companies (DMEs) every day: How do you determine if a patient presenting as self-pay or charity care has undisclosed insurance coverage, without compromising compliance requirements? The liability of self-pay accounts is a growing problem, with providers incurring billions of dollars in losses each year. An American Hospital Association report shows hospitals provided $35.7 billion in uncompensated care (including bad debt and charity care) in 2015 alone. Providers need an aggressive-yet-compliant method for identifying sources of reimbursement in a timely manner, before filing deadlines, and before the only option left for recouping payment is to engage collection agencies a last-ditch strategy with traditionally low returns.

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St. John Providence

St. John Providence is committed to providing care to treat the entire person -- body, mind, and spirit. This philosophy of care underscores our heritage as a faith-based health system offering our patients so much more than medicine.

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Artificial Intelligence Helps Clinicians Tell the Complete Patient Story

whitePaper | January 27, 2022

Missing secondary diagnoses can negatively impact patient outcomes and lead to costly readmissions. However, requiring staff to read over every patient’s chart for any additional diagnoses can contribute to burnout. Workflow-integrated, artificial intelligence (AI)-driven computer-assisted physician documentation (CAPD) systems help clinicians document and code all secondary diagnoses while still focusing on the primary clinical problem, enhancing documentation integrity and reducing readmissions and costs.Read how AI-driven CAPD solutions have helped healthcare organizations

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How health systems can recover millions in lost revenue

whitePaper | February 5, 2020

The landscape of healthcare revenue appears bleak: costs and expenses are rising, while reimbursements decline. Traditionally, solutions focus on preventative measures, yet costly write-offs remain ever-present. This is especially true with respect to commercial claims, where denials are plentiful and appeals complicated and labor intensive. How, then, can you mitigate loss without straining your resources? One answer is claims appeals through the Federal ERISA process. Through specialization in Federal ERISA Law, the experienced staff of ERISA Recovery can collect on aged claims without undue burden on your systems.

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Future of medical science

whitePaper | May 14, 2022

Medical science is currently being transformed by scientific discoveries that will dramatically advance the way we diagnose and treat different diseases.

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Mandated ADT Notification: How Frontline Teams Use CMS To Improve Care

whitePaper | April 9, 2021

Clear and constant communication is a vital ingredient to any well-functioning healthcare system. Making sure physicians are alerted when patients need and receive care, and keeping patients informed about their own treatment improves health outcomes and saves time. Learn about the key role that alert notifications for ADT plays in that process.

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THE FUTURE OF TELEHEALTH ROUNDTABLE

whitePaper | May 12, 2022

The advent of COVID-19 brought numerous challenges to care delivery, forcing health professionals to think innovatively to facilitate timely care while maintaining compliance with shelter-in-place ordinances.

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Helping Patients Find and Engage with Clinical Trials

whitePaper | June 3, 2022

With increased scrutiny from regulatory agencies, advocacy groups and the public for clinical trial transparency, sponsors are feeling the pressure to ramp up efforts to make their studies more accessible.

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Spotlight

St. John Providence

St. John Providence is committed to providing care to treat the entire person -- body, mind, and spirit. This philosophy of care underscores our heritage as a faith-based health system offering our patients so much more than medicine.

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