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News from maxRTE

Navigating Medicaid Shifts: Insurance Discovery More Important Than Ever

Hospitals are facing mounting financial pressure as a wave of Medicaid program changes threaten to increase uncompensated care and reduce reimbursement. While a House panel has advanced legislation that would reduce Disproportionate Share Hospital (DSH) payments by $32 billion over four years (Becker’s Hospital Review, June 2025), that proposal is only part of a broader […]

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Premier Health leverages maxRTE's Insurance Discovery

Premier Health Uncovers $2.9M in Revenue with maxRTE’s Insurance Discovery

Revenue cycle management in healthcare can be complex and time-consuming, especially when dealing with insurance verifications and denials. For large hospital systems, this challenge becomes even more daunting, with the need to process large volumes of claims quickly and accurately. In this case study, we explore how Premier Health partnered with maxRTE to enhance their […]

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CFPB medical debt rule

Biden’s Medical Debt Rule: What Hospitals Need to Know Under Trump’s Administration

On January 7, 2025, under the Biden administration, the Consumer Financial Protection Bureau (“CFPB”) published a final rule prohibiting consumer reporting agencies from including individuals’ medical debt on consumer credit reports. While the medical debt rule provides financial relief for patients, it also introduces challenges for hospitals by eliminating a traditional collection tool. With the […]

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Webinar on Demand: 4 Tips to Increase Cash on Hand

Did you know cash on hand at hospitals is at a 10-year low that puts them at financial risk? Low reserves mean even minor disruptions can impact operations and delay critical patient care investments. With up to 25% of self-pay accounts holding undiscovered billable insurance, capturing this hidden revenue is essential for long-term stability in […]

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Insurance discovery to boost cash on hand

4 Proven Strategies to Boost Cash on Hand and Optimize Your Revenue Cycle

Healthcare organizations are under increasing financial strain due to rising patient responsibility, complex billing processes, and claim denials. U.S. hospitals collectively write off $41 billion in uncompensated care annually, and cash on hand has reached its lowest levels in a decade, putting many facilities at significant financial risk. The cost of addressing these issues is […]

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Coordination of Benefits

How to Avoid Costly Denials: Top 5 Best Practices for Managing Coordination of Benefits

Coordination of benefits (COB) errors can be a major pain point for providers, leading to costly denials and significant delays in payment. When multiple insurance plans are involved, determining which insurer is responsible for payment first is crucial. Failing to get this right leads to missed revenue, disrupted cash flow, and administrative headaches for billing […]

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Webinar on Demand: Are Eligibility-Related Denials Holding Your Organization Back?

Did you know?
Eligibility errors are the #1 reason for hospital claim denials, and over 60% of these denials go unappealed. It’s time to prevent these errors and stop leaving money on the table.

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maxRTE users

Looking to Expedite your Revenue Cycle? Why You Should Add Insurance Discovery Pre-registration

In today’s dynamic healthcare landscape, efficient revenue cycle management is essential for maintaining financial stability and ensuring quality patient care. In fact, it’s what sustains small practices and how large health systems preserve healthy profit margins. Insurance Discovery plays a critical role in this process by uncovering hidden coverage and capturing additional revenue. Unfortunately, it is […]

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CMS’s Prior Authorization Final Rule to Streamline Your Revenue Cycle

In today’s complex healthcare landscape, prior authorization poses significant hurdles for both providers and patients. The delays, manual processes, and frequent denials create stress and disrupt care delivery. However, new state legislation and a groundbreaking product from maxRTE are changing the way prior authorization is managed, bringing much-needed relief to healthcare providers. Key Changes in […]

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maxRTE FAQs

What is maxRTE Insurance Eligibility Verification?

In a single click, it provides healthcare providers an opportunity to immediately verify patients’ health insurance at the point of registration. Your team can quickly inform patients of their health insurance coverage and arrange for payment for uncovered expenses. Time is money, and your registration staff don’t want to spend their time logging into multiple payer websites (multiple times a day) or finding and regularly changing logins and passwords. That’s where maxRTE comes in. We’ll help you avoid denials and payment delays with accurate billing.

What is maxRTE Insurance Discovery?

maxRTE Insurance Discovery is a way for healthcare providers to find unknown health insurance coverage on their self-pay patients. Our insurance discovery can find primary, secondary and tertiary coverage on as much as 25% of self-pay accounts.

How is maxRTE different than the rest?

Compared to other solutions, our technology stands above the rest. Our proprietary algorithm technology locates a higher percentage of unknown commercial and exchange plans. Our technology can also find unknown government coverage including Medicare, Medicaid and Tricare. This means you’ll receive a higher accuracy of responses, which lowers your number of denials. In fact, we excel in every key area, from our value pricing, easy installation and round-the-clock support.

How does maxRTE Insurance Discovery work with Medicaid?

Yes! Our technology enables submission of zero balance accounts to locate primary coverage to Medicaid. This is especially helpful for Medicaid take back payments.

Why is your maxRTE Insurance Discovery so successful?

We can deliver a higher ROI compared to other solutions because of our knowledge of timely filing limits and retro approval periods.

How much does maxRTE cost?

Our flexible model is budget friendly for you. We offer a flat monthly subscription fee with unlimited transactions and no payer caps. This is strikingly different than our competitors, who charge you based on number of transactions and added contingency fees.

Wait, did you say unlimited transactions?

Yes! You’ll have an unlimited number of transactions with maxRTE Insurance Discovery. This means you don’t have to limit your insurance discovery capabilities.

And there’s no contingency fee?

No! We offer a flat, monthly subscription rate, and that’s what makes us unique. This delivers a savings of 70% or more compared to competitors with contingency-fee pricing models (and there are several of them who charge you contingency fees!).

Okay, this all sounds great. How fast can we start submitting files?

Immediately. You can begin submitting Insurance Discovery batch files on day one. We begin processing transactions the same day you have a file ready to submit. This is different than the competitors, who typically ask for 30-90 days to implement and get started. This means you’ll start seeing the results immediately, too. Your cash flow will quickly increase, you’ll limit claim denials, and your staff will be pleased they don’t need to conduct so many patient follow-ups.

Is there a cost to implement maxRTE?

No. Implementation is quick and easy… and it’s free.

Do we need IT approval?

Quick to implement…? No need to replace legacy systems…Plus, our system updates without your IT staff involvement, making it easy for everyone.

What payers do you offer?

We work with an extensive network of payers nationwide. maxRTE Payer List 4.22.22

Does the technology work with Electronic Health Records (EHRs)?

Yes. maxRTE integrates into most EHRs. You can integrate maxRTE at the time of EHR implementation, or you can use maxRTE’s capabilities…even if you’ve implemented another revenue cycle solution.

What happens if we have a problem?

Our customer support is available around the clock, offering an unprecedented level of service. You’ll always talk with a live person.

How do we get started?

Start by scheduling a demo to see our superior technology in action. Or, you can contact us to submit a test batch file and see for yourself how easy it is to increase your bottom line by finding unknown coverage.