Following the end of the public health emergency (PHE), Premier Health experienced an increase in self-pay patients and sought an insurance discovery solution that could identify the correct plan upfront to ensure timely reimbursement and reduce denials. With their extensive network of hospitals, medical organizations and physicians, Premier Health is one of the largest comprehensive health systems in Ohio.
Download Full Case Studyaccounts processed in the first three months
return on their investment
in remits from insurance discovery in three months
Receives results that are 100% customized to Premier’s payer mix, reducing their need to manually weed out non-billable discoverables
Able to run insurance discovery at multiple stages of the revenue cycle, including pre-service, day of service, and during look-back periods, ensuring comprehensive coverage verification
Frustrated with a decade-old cumbersome and costly system to verify patient insurance coverage and eligibility, an independent regional health care network serving the Minneapolis-St. Paul southwest-metro, was open to alternatives. Their objective was to simplify admissions procedures and offer pricing options to reduce costs, as well as to be supported with personal, responsive service. This health care network included advanced health care facilities, an acute care hospital and primary and specialty care clinics, as well as emergency services and specialty programs.
Download Full Case Studydecrease in coverage query fees, saving $60,000 per year while improving cost predictability
saved annually while improving cost predictability
reduction in coverage denials, matching top national benchmarks
Simplified insurance verification processes, enabling pre-registration staff to take on significant new responsibilities with no increase in headcount
Obtained requested changes and enhancements to the software usually within days. Enabled adoption of industry best practices in admitting and financial clearance
The frenetic pace of emergency rooms in acute care facilities makes them especially vulnerable to missing insurance coverage during the registration/admission process. An established provider of self-pay conversion services uses affordable, efficient pre- and post-service processes that are helping hospitals, clinics, physician groups, and other healthcare providers strengthen their financial picture by uncovering commercial and government insurance coverage for self-pay patients.
Download Full Case Studyaverage increase in self-pay conversions across two facilities (800-bed & 40-bed)
contingency fee elimination, 80K+ transaction fee savings (800-bed facility)
contingency fee elimination, 10K transaction fee savings (40-bed facility)
Automated processes dramatically reduce costs of unearthing unknown insurance coverage for self-pay patients to maximize ROI for healthcare providers.