Availity delivers revenue cycle management

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EFT payments will not be interrupted. The major bulk of the transition will depend on payer approval of enrollments, which can range from 3 days to 8 weeks. The faster the enrollments are submitted, the faster the transition will go. Because our developers have created a way to submit to multiple clearinghouses, we can begin submitting claims to Availity at any time. During our beta testing, we found that in a handful of cases some payers were sending remits to both clearinghouses at once.

The remits will eventually drop off of Trizetto so that they can be disregarded. This will limit you to submit claims through only one clearinghouse. Contact Availity to see if you can begin submitting your claims through Availity instead. TRAKnet has been programmed to allow for submission of claims and downloading of remits to both Availity and Trizetto clearinghouses at the same time. Here is a quick explanation on how it works:. The process for submitting claims is exactly the same.

When you send out a claim TRAKnet will review the insurance specific settings and send it to the correct clearinghouse. Downloading remits is just as easy. Be sure to verify that Availity has moved your office into production before continuing. What are you looking for? Simply enter your keyword and we will help you find what you need.

What is Availity? Availity can help provide you with the necessary instructions. Here is a quick explanation on how it works: Inside of TRAKnet there is a toggle that will allow you to designate whether an insurance is enrolled through Availity or Trizetto.

Revele Jefferson City, Mo. Revele provides full-service revenue cycle management services, including medical coding, billing, accounts receivable management, analytics, consulting and patient call centers. Specializing in eClinicalWorks, the company partners with practices using its software to maximize their return on investment.

Harmony Healthcare Tampa, Fla. Harmony Healthcare provides healthcare revenue cycle management strategies and workforce solutions and expertise to help healthcare organizations improve clinical and financial outcomes.

The company provides coding support, health information management leadership, clinical documentation improvement, audit validation review and revenue integrity solutions to help healthcare organizations manage their revenue cycles. Harmony Healthcare IT offers a product that allows users to decommission legacy systems and secure records in the long term.

The solution consolidates data silos and reduces maintenance costs in IT and helps organizations create better workflows for clinicians and health information management resources. Healogics Jacksonville, Fla.

Healogics provides advanced wound care services and manages nearly wound care centers across the country that serve nearly , patients per year.

The connected network of centers, partner hospitals and academic medical centers use an evidence-based, systematic approach to chronic wound management. Health iPASS and Sphere, a cloud-based, vertically integrated software and payments technology company, offer healthcare providers compliant software and payment tools. Health iPASS provides mobile patient intake, check-in and pay solutions for medical practices to streamline processes from pre-arrival to the final payment.

Healthcare IT Leaders is professional services firm with deep expertise in EHR, enterprise resource planning, workforce management and revenue cycle management. Healthcare IT Leaders was ranked No. The company provides end-to-end revenue cycle management consulting services, including strategy, operations and technology. Healthcare IP Edmond, Okla. Healthcare IP is an integrated clearinghouse partner to hospitals, health systems and provider organizations, advocating data transparency and better user experience in the revenue cycle.

Offering innovative solutions for patient access, claims and denial management, its flexible SCALE platform improves client performance by reducing touchpoints and organizes data to make sense. Healthcare Receivables Group Knoxville, Tenn.

Since , Healthcare Receivables Group has specialized in serving healthcare providers around the country by effectively managing accounts receivable through a careful integration of people, technology and ideas.

Health Resource Group provides revenue cycle management service solutions for healthcare facilities. The company's suite includes tools to optimize patient financial services and health information management departments designed to increase efficiency and profitability. HealthPay24 Mechanicsburg, Pa.

HealthPay24 is a technology services company that provides patients financial peace-of-mind and providers the opportunity to collect revenue earlier in the consumer journey. HealthRise Southfield, Mich. HealthRise is an end-to-end revenue cycle management consulting firm that identifies, prioritizes and eliminates obstacles in the way of a healthy revenue cycle.

HELP Financial provides patient financing to customers across the country. The company helps patients manage out-of-pocket healthcare expenses, providing upfront funding while decreasing the payment plan administration on the provider side. Hinduja Global Solutions focuses on business process management and optimizing the customer experience lifecycle. HGS Healthcare's suite of revenue cycle management services include front-end patient access services, midcycle charge integrity, medical coding and billing services, back-end insurance claims resolution offerings, clinical denial appeals and customer-driven, self-pay, early-out services.

Himagine solutions St. For more than 20 years, Himagine has focused on the healthcare industry and has grown to the largest independent provider of outsourced health information management services in the U. Himagine's services include coding, audit, CDI, registry and consulting.

Hiteks Solutions New York City. The platform combines proprietary artificial intelligence and subsecond technology to send clarifications to physicians instantaneously. HITrust Frisco, Texas. The Health Information Trust Alliance is a nonprofit that develops, maintains and provides broad access to compliance management and deidentification frameworks, as well as related assessment and assurance methodologies to organizations so they can create, store and exchange information securely.

HMI Brentwood, Tenn. HMI is a diversified healthcare company assisting providers in reducing costs and improving financial health and compliance through contract coding and coder quality reviews; improving professional staff clinical documentation and compliance; and providing revenue cycle services. Hollis Cobb Associates Duluth, Ga. Since , Hollis Cobb has provided early out and bad debt collections services, as well as insurance follow-up, denials management, accounts receivable work down, special projects and other business office functions.

Hospital IQ Newton, Mass. Hospital IQ works with hospitals and healthcare providers to optimize long-term strategies for the future. The company's cloud-based operations planning and management platform solutions are designed to provide operational clarity and data transparency that can help organizations achieve financial stability and growth. Huntington Technology Finance Chicago. Huntington Technology Finance is an asset and finance provider with more than 30 years of experience partnering with hospitals.

The company's inpatient Technology Refresh Programs are designed to integrate into existing processes to help control costs and include wearable clinical devices and mobile workstations for pharmacy automation. Huron Chicago. Huron is a global consultancy focused on improving performance and sustaining leadership in markets they serve. The company's revenue cycle business works with clients to stabilize their financial core through sustainable and proven reimbursement processes. IC System St.

Paul, Minn. IC System, privately owned since , is an expert in healthcare billing collections. Our more than 4, healthcare clients represent over 70 percent of our client mix and have an average tenure of 16 years. We are a medical collections company that cares about the patient experience, delivers superior performance, and are devoted to improving your revenue cycle.

Imagine Software Charlotte, N. I magine Software provides billing automation software and revenue management applications, offering technology solutions for medical billing offices, practices and hospitals. The company serves more than 75, physicians across multiple specialties, helping to improve financial efficiency, build provider reputation and enhance the patient experience.

Impact Advisors Naperville, Ill. Impact Advisors is a national healthcare consulting firm focused on delivering strategic advisory, implementation and optimization services.

The company provides a suite of patient access, clinical and revenue cycle services. In2itive Overland Park, Kan. In2itive Business Solutions is a full-service healthcare revenue cycle management consulting firm focused on the ambulatory surgery center, hospital and physician practice fields. In2itive's healthcare business consultants plug into existing software or create a new hosted system to set up a fully transparent workflow that helps organizations keep finances on track.

Inbox Health New Haven, Conn. Inbox Health uses personalized interactions to deliver an optimal patient billing experience that reduces administrative waste and improves payment metrics.

Their communication platform's advanced technology uses a combination of emails, text messages, voice calls and paper bills to reach patients.

Infinx San Jose, Calif. Infinx provides revenue cycle management solutions for healthcare practices in multiple specialties, including radiology, pharmacy, pathology and plastic surgery. Combining the strength of a cloud-based RCM platform with an expert team of AAPC-certified medical coders and billing specialists, the company delivers solutions that focus on increasing revenue and improving cash flow.

Ingenious Med Atlanta. Ingenious Med focuses on improving physician productivity and hospital performance. The point-of-care mobile and web solution captures charges across the continuum, improves coding speed, accuracy and compliance and helps providers proactively manage care in value-based programs. It also enhances communication to align care teams and reduce variation in care. Innovaccer San Francisco, Calif. Innovaccer is a healthcare technology company that pioneers the Fast Healthcare Interoperability Resource-enabled Data Activation Platform, a smart platform with unified patient records, analytics and decision support tools to enable transparent, real-time and collaborative healthcare.

Innovative Healthcare Systems Edmond, Okla. Innovative Healthcare Systems provides revenue cycle management solutions to organizations to assist with contracting, credentialing, coding and billing processes, as well as reimbursement analysis. InstaMed Philadelphia. InstaMed, a J. Morgan company, powers a better healthcare payments experience on one platform that connects consumers, providers and payers for every healthcare payment transaction.

Launched in , Integra Connect was purpose-built to help specialty medical practices thrive, clinically and financially, in the midst of the rise of value-based care. Integra Connect's technology-enabled RCM solution optimizes revenue for specialty practices operating under both fee-for-service and value-based payment models. InTouch Health offers providers technology-enabled solutions to assist in delivering virtual care.

The company assists healthcare systems in deploying telehealth applications enterprisewide or off site, such as in unaffiliated hospitals and rehab centers. AssureCare has been working to solve the challenge of disjointed healthcare for more than 25 years.

Since , AssureCare has been providing comprehensive integrated population health management software solutions to leading healthcare and human services organizations throughout the United States and globally. The solutions encapsulate years of experience in the implementation of technology to support fully integrated healthcare solutions and best practices.

Jive Software Campbell, Calif. J ive Software offers a single platform for care coordination, critical communication and EHR experience. Kemberton Franklin, Tenn. Kemberton secures reimbursement for motor vehicle, workers' compensation and complex claims.

It partners with healthcare providers to collect the revenue considered "uncollectible" with claims workflow automation, process optimization, rules-engine technology and teams resolving complex claims. KeyBridge Lima, Ohio. KeyBridge, brings a different approach to early stage patient balance recovery and medical bad debt collection. They believe in providing financial services with care and empathy to enhance the patient experience, ultimately bringing maximum value back to hospitals and practices.

Knack Global Woodbridge, N. Knack Global is a comprehensive solution provider for revenue cycle management, technological solutions and staffing support for healthcare providers. With over a decade of experience, the company has provided efficient solutions to hospitals, healthcare systems, physician groups, ASCs and more.

LexBlue Professional Billing is a private and HIPAA-compliant medical billing company that offers highly personalized services to tailor to each client's needs. The company's intuitive software along with our staff will streamline everything from scheduling and storing patient information to sending insurance claims and collecting balances.

Lifepoint Informatics Glen Rock, N. Lifepoint Informatics provides solutions on a unified workflow platform for seamless interoperability across multiple modalities, application layers and end-user devices.

The company provides data integration solutions that facilitate health information exchange, EHR interfacing and integration, population health management and quality reporting among disparate clinical systems. Lightning Bolt Solutions San Francisco. Lightning Bolt Solutions is the leading provider of automated physician scheduling for hospitals and health systems around the world, managing more than 3 million physician shift hours each month.

Lightning Bolt uses advanced AI technology to optimize hospital operations by providing source-of-truth scheduling data to payroll and HR systems. L J Ross Associates, Inc. Jackson, Mich. L J Ross Associates is a nationally licensed, certified Women's Business Enterprise WBE founded in with a passion for helping businesses successfully manage their revenue recovery programs. The company does this through the most ethical and patient-friendly collection practices, sure to maintain the relationships that clients have built with their patients, along with state-of-the-art technology that allows for the most comprehensive and cost-effective interventions.

For 30 years, L J Ross has focused on our people, our performance, and our commitment to provide stellar returns, exceptional service, and ensure promotion of the goodwill of clients across the United States. Loyale Healthcare Lafayette, Calif. Loyale Healthcare offers an end-to-end suite of solutions addressing provider collections. Founded in as CashNet, the company focuses on solutions to help providers collect from patients through financing options, balance notification, online payment options and secure digital communications.

Managed Resources Long Beach, Calif. Managed Resources is a professional consulting group assisting health systems, hospitals and payers across the U. Their services include denials and appeals management for clinical and technical denials, clinical denial audits, charge audits and CDI services.

Mastercard Healthcare Solutions. Mastercard is a technology company in the global payments industry transforming its business by moving beyond cards and reimagining how its technology and capabilities benefit the healthcare ecosystem. With Mastercard Healthcare Solutions, a new suite of products is dedicated to helping healthcare partners detect fraud, waste and abuse, capture more revenue and protect patient health data.

Founded in , MC AnalyTXs's Medicare Review Project has recovered millions in underpayments for hospital clients, including some of the largest teaching hospitals in the country. MCA's proprietary computer system identifies discrepancies in claims for inpatient and outpatient visits for government and managed care payers.

Medaptus Boston. Medaptus offers a comprehensive revenue cycle optimization platform that has delivered measurable returns for hundreds of physician groups, hospitals, infusion clinics and other care settings. The solution integrates seamlessly with any EHR to improve the accuracy and timeliness of documented billing data; applying such artificial intelligence in turn helps increase staff productivity.

Medasource Indianapolis. Medasource is a national healthcare technology company that offers flexible human capital solutions and customized engagement models to meet and scale projects. The company's consultants support popular technologies for healthcare organizations, including enterprise-level health systems; pharmaceutical, diagnostic and device companies; and health insurers. MedAssist Louisville, Ky.

MedAssist provides a suite of revenue cycle solutions aimed at helping hospitals achieve financial stability. The company's solutions focus on eligibility and enrollment, accounts receivable management and hospital business office management to meet clients' needs as patients are responsible for a greater portion of the payment, and the complexity of the revenue cycle grows. MedData Houston. MedData is a national provider of healthcare technology solutions designed to engage patients and improve financial outcomes throughout the healthcare continuum.

The company partners with more than 2, facilities nationwide to provide a unified managed service technologies solution and help them adapt to the changing healthcare environment. MedeAnalytics Richardson, Texas. MedeAnalytics provides solutions that enable measurable impact for healthcare payers and providers. MedEvolve Little Rock, Ark. MedEvolve enables physician practices to work smarter and more accurately through practice management, revenue cycle management and practice analytics software and services.

The company's unique consultative approach ensures that solutions fit with existing processes so providers begin to see positive results from Day One. MedEvolve gives physician practices a new level of insight that helps them identify problem areas and resolve issues quickly to improve the practice's financial performance. Medfinancial Knoxville, Tenn. Backed by over 30 years of loan origination and servicing experience, Medfinancial's suite of revenue cycle services are making a positive impact for provider partners and the patients they serve.

By integrating proven servicing methodologies throughout the entire patient-financing life cycle, the company consistently sees high utilization rates, successful patient retention for Medfinancial and hospital partners, and industry-leading repayment rates. Medical Consults is a nationwide full-service revenue cycle management company.

It reviews billing, coding, reimbursement processes, financial systems, process flows and operational efficiencies. The company's recommendations have increased revenue by an average of 20 to 30 percent in just six months. Medical Payment Exchange Rockville, Md. MedX's services assist organizations with the claim status. The company's automated process interrogates payer portals to identify denied, pending or unprocessed claims to provide organizations with actionable data long before the remittance arrives.

MedX offers a cash advance to hospitals on both payer and patient responsibilities if necessary. Medical Practice Success Texarkana, Texas. Medical Practice Success focuses on delivering custom solutions tailored to clients' revenue cycle operations. The company offers revenue optimization, revenue cycle management, medical billing and coding, credentialing and contracting, and more.

Medical Practice Success also offers a 15 percent net cash improvement guarantee. MediRevv Coralville, Iowa. MediRevv is a national revenue cycle management company that focuses on helping healthcare organizations grow more cash and keep more patients.

Medkoder Mandeville, La. Medkoder is a full-service medical coding management services and technology provider. The company offers medical coding expertise in all physician service lines for the inpatient and outpatient setting, medical risk adjustment management, DRG coding management, coding education, clinical coding documentation improvement and revenue cycle consulting.

Med-Metrix Parsippany, N. Med-Metrix provides a full suite of revenue cycle software and outsourced services to the healthcare provider marketplace. The company works within customers' existing structures to enhance day-to-day operations and increase the bottom line. Med-Metrix's revenue cycle services include patient accounting, patient access, denial recovery and accounts receivable services.

MediMobile Georgetown, Texas. MediMobile offers a highly customizable, enterprise-level suite of tools, including revenue cycle management, practice management, care coordination and business intelligence.

A new technology the company developed provides visibility to clinical documentation in real time and is currently used to maximize revenue through reconciliation. MediSync Cincinnati. MediSync has developed a training system for coding that is taught by physicians in small groups.

To date, the company has trained over 30, doctors, five physicians at a time, at some of the most prestigious health systems in the United States. A Lean Six Sigma approach to coding that results in a predictable ROI while giving doctors the confidence to be paid correctly for the work they do.

Medphine Billing Services U. Medphine is a comprehensive, end-to-end practice management company, focused on improving overall profitability and efficiency of the healthcare providers and entities. The company specializes in providing revenue cycle management services to superspecialties such as oncology, neurology, rheumatology and infusion-based services.

MedPut New York City. As an employee benefits program, MedPut provides funds for out-of-pocket medical expenses and achieves repayment through payroll deductions at zero percent interest.

The company's goal is to encourage employees to undergo medical treatment in the early stages without using credit cards and reduce outstanding receivables for providers. Meduit Charlotte, N. Meduit combines a state-of-the-art accounts receivable management model with advanced technologies and an experienced people-focused team to ensure that healthcare organizations have the resources available to provide more quality healthcare services to more patients. Mimecast Boston. Founded in , Mimecast provides next-generation cloud-based security, archiving, and continuity services to protect customers' email and make data safer.

The company delivers comprehensive email-risk management services in a fully integrated subscription service. MiraMed Lombard, Ill.

MiraMed Global Services is the premier global provider of business-process outsourcing solutions to healthcare organizations nationwide. MiraMed partners with hospitals, health networks, physician practices and related industry service organizations to provide customizable solutions, uncover and capitalize on hidden financial opportunities, improve productivity and ultimately increase profits.

Modernizing Medicine Boca Raton, Fla. Modernizing Medicine provides EHR systems designed for medical specialists and specialty practices. The company's EHR solutions provide automated suggested coding, as well as practice management systems and business operations services.

National Medical Billing Services St. The company also partners with hospitals that have ASC joint ventures to maximize the value of their centers. National Medical provides a wide range of services, including full revenue cycle outsourcing, managed care contracting, due diligence and specialized financial analysis for ASCs.

Nemadji Bruno, Minn. Nemadji helps healthcare facilities reduce uncompensated care and increase net revenue through a back-end eligibility detection solution, which reviews patient accounts for unknown or missing coverage from Medicare, Medicaid and commercial insurance. Netsmart Overland Park, Kan. Netsmart is a healthcare IT company developing technology and providing services that support individualized care and improve outcomes.

Netsmart offers comprehensive revenue cycle management RCM services, including flexible resourcing and full back office support built to help organizations reduce costs and improve cash flow. Ni2 Health Bothell, Wash. Ni2 Health specializes in identifying new high leverage opportunities to improve an organization's financial performance. The company also provides execution leadership and support to ensure the opportunities identified become real bottom line improvements.

Nordic Madison, Wis. Nordic provides consulting services focused on strategy, technology and operations. It is also the Black Book No. Nordis Technologies Coral Springs, Fla. Nordis Technologies provides cloud-based technology solutions for billing communications and payments that improve patient and provider experience and patient collections. FinThrive Alpharetta, Ga. FinThrive works with healthcare organizations to advise on revenue cycle processes and develop optimized financial performance for hospitals and health systems.

Nuance Burlington, Mass. Nuance's healthcare solutions are designed to capture and communicate patient information to physicians and healthcare organizations. The company offers clinical speech recognition, medical transcription, coding and diagnostic imaging solutions to drive better patient care and financial outcomes. Nuance serves more than 10, healthcare organizations in the U. Nym New York. Nym is a leader in transforming clinical language into actionable information, automates revenue cycle management for hospitals, health systems and physician offices across the U.

Uniquely designed to understand clinical language and medical billing workflows, Nym's coding engine uses provider notes within patient charts to rapidly produce accurate, compliant and explainable diagnostic and billing charge codes, all with zero human intervention.

Olive Columbus, Ohio. Olive's solutions use artificial intelligence to optimize the revenue cycle. Its platform automates the administrative processes to eliminate tedious tasks. The company is proud to partner with more than 85 health systems and 1,plus hospitals across the U. OM1 Boston. OM1's outcomes management and predictive analytics tools are designed to take big data and make it meaningful and personalized to institutions.

The company is focused on helping hospitals succeed with value-based care and alternative payment models, optimizing outcomes and providing tools to predict high-risk patients that can lower the total cost of care.

Omega Healthcare Boca Raton, Fla. Omega, founded in , is an offshore provider of a broad array of revenue cycle support services. The company has more than 18, employees in the U. Omega provides services to many of the premier RCM companies.

Oncospark Ashland, Ky. Oncospark is an end-to-end revenue cycle management company with more than a decade of experience in fighting on behalf of physicians, hospitals and home healthcare companies. A global footprint and decades of healthcare RCM experience of its founders puts Oncospark in a position to offer best-in-class, technology-enabled solutions to complex billing problems.

Oneview Dublin. Oneview provides interactive patient engagement and clinical workflow solutions to healthcare organizations. The platform provides a point-of-care access to IT systems through a variety of end-user devices.

Finvi Muncie, Ind. Finvi, formerly Ontario Systems, is responsible for managing receivables at more than hospitals, including five of the 15 largest hospital networks in the U. Founded in , the company provides accounts receivable management and revenue cycle management solutions to healthcare providers.

Optum Eden Prairie, Minn. Optum helps healthcare organizations optimize their revenue cycle in the fee-for-service environment while preparing for value-based care with cost-saving automation, efficient staffing and standardized technology.

EfficientC Pewaukee, Wis. EfficientC has proved instrumental to healthcare business offices � from critical access hospitals to large health systems seeking to improve GDRO, cash flow and aging.

The company provides a single solution for clearinghouse services, claim scrubbing and editing, appeal processing and denial management. OSG Diamond Healthcare Solutions specializes in creating and delivering patient obligation communications for healthcare revenue cycle management.

Through their proprietary technology, tools and processes, they help providers accelerate their accounts receivable cash flow, enhance financial management and improve their image with their patients. PatientPoint Cincinnati. PatientPoint develops technologies that provide actionable intelligence on conditions, treatments and lifestyle choices during healthcare delivery. The company's platforms include a digital waiting room screen, patient mobile, digital wall board, exam room and infusion room tablet.

P3 Healthcare Solutions Ontario, Calif. The company's goal is to expedite the care process by unburdening providers as their technology-driven HIT enterprise. Moreover, practices can consult P3 Healthcare Solutions for Medicare credentialing and enrollment and HIPAA security risk analysis accounts receivable in addition to the whole revenue cycle management process.

Parallon Nashville, Tenn. Parallon's experts bring decades of experience in technology and complex revenue cycle management to its relationship with providers.

Parallon's specialty solutions include self-pay services, bad debt collections, extended business office and insurance functions and physician billing as well as accounts receivable resolution. Patientco Atlanta. Patientco is an enterprise payment solution designed to help healthcare systems maximize patient payments. Patientco offers a user-friendly automated payment platform and keeps the process moving from initial co-pays to statements and eBills that provide an efficient and secure solution to maximizing patient revenue.

PatientFocus Nashville, Tenn. PatientFocus was founded in as an outsourced, patient-pay billing solution extending the business offices of healthcare clients with non-recourse patient financing and full-service patient outreach, including statements, call center and online portal.

The company has a long track record of increasing patient revenue while protecting the patient experience for all clients. PatientKeeper Waltham, Mass.

PatientKeeper is a leading provider of healthcare applications for physicians, offering a suite of solutions that streamline physicians' workflow and integrate with existing information systems. Patientory Atlanta. Patientory is a blockchain solution for healthcare, developed to drive population health management by allowing healthcare organizations to store and submit data securely through the blockchain and smart contracts. The company connects physicians, care providers and consumers on one secure platform to work together on providing patient care.

PatientPay Durham, N. PatientPay helps revenue cycle management groups collect more patient payments than traditional methods while reducing costs by up to 50 percent. The company collects payments in fewer than 14 days on average with a patient payment suite that reduces call volume and manual efforts. PayMedix Milwaukee. PayMedix is designed to help patients pay for upfront out-of-pocket medical costs and alleviate the stress of bad debt for providers.

PCG Software focuses on technologies to improve operational efficiency, profitability and reduce internal resources for administrative functions and manual claims review.

The company's iVE Coder, a web-based platform, was launched in to give healthcare providers access to the same clinical intelligence that healthcare payers have been using for 25 years. Pelitas Plano, Texas. Pelitas provides technology solutions to help hospitals and physicians improve patient experience, maximize revenue and eliminate inefficiencies throughout the revenue cycle.

The company's ntegrated patient access solution is designed to financially clear patients at the first point of contact. PhishLabs Charleston, S. The company's proprietary technology, intelligence and human expertise combined can detect, analyze and stop targeted attacks. Founded in , the company aims to protect data and healthcare systems while reducing the risk for online fraud.

Phreesia Raleigh, N. Phreesia provides a suite of applications to help healthcare organizations manage the patient intake process.

It has a software-as-a-service platform that engages patients in their care and ensures a consistent patient payment experience. It also streamlines the verification process and reduces the manual workload on staff.

Plutus Health Dallas. Plutus Health is a year-old leading healthcare revenue cycle management organization based in Dallas. Plutus Health provides coding, pre-billing audits, billing and insurance accounts receivable collections. We address significant challenges facing ASC organizations in the U. PMMC provides revenue cycle services to healthcare delivery systems, acute care hospitals, critical access hospitals and physician groups.

The company focuses on contract management, providing estimates for patients with high-deductible health plans and chargemaster review. With more than 30 years of revenue cycle expertise, the company's services help healthcare organizations uncover missed revenue opportunities in underpayments and denials, price transparency and value-based reimbursement.

Privacy Analytics Ottawa, Ontario. Privacy Analytics provides data de-identification and anonymization for healthcare organizations to ensure individual privacy and legal compliance.

Services include certification, training, data governance advisory and consultation to help healthcare organizations establish organization-wide best practices. Precision Medical Billing Houston. Precision Medical Billing launched in and is dedicated to helping physicians, home health agencies and hospice groups with medical billing and claims management.

The company provides revenue collections services as well as practice management consulting and medical billing chart audits.

Professional Credit Vancouver, Wash. Professional Credit provides tools and services to improve patient financial engagement and cash flow.

The company has more than 80 years of experience in accounts receivable management, collections and accounts receivable outsourcing and aims to improve the self-pay experience. Progressive Management Systems is an employee-owned receivables solution company focused on serving the healthcare industry.

Founded in , the company works with healthcare organizations to improve financial performance while maintaining the organization's reputation in the community. The company provides first-party collections, third-party collections and insurance follow-up services.

Promantra Somerset, N. Promantra is a provider of revenue cycle management services that offers end to end revenue cycle management services through its billing company partners and helps healthcare facilities such as hospitals, physician groups and surgery centers streamline their RCM.

Promedical Lexington, Mass. Promedical is a national healthcare revenue cycle management company. Its complex claims solutions include workers' compensation and motor vehicle accident billing.

Since , the company has provided the healthcare community with a client-focused, technology driven revenue cycle partner. Pure Storage Mountain View, Calif. Pure Storage provides health systems an option for simplifying digital storage for mission-critical EHR, VDI and enterprise imaging environments.

The company's end-to-end data platform is powered by cloud-connected software, allowing users to manage data from anywhere on a mobile device. PwC New York. Established in , the Virtual Business Office specializes in providing revenue cycle managed services for hospitals, medical groups, and payers in a surge, partial, or full function outsource capacity. QGenda Atlanta. QGenda provides cloud-based automated physician scheduling software to more than 4, customers in 45 medical specialties.

QGenda is designed to optimize hospital and health system workforce with smart resource management, centralized scheduling and real-time mobile access to clock in and out.

Quadax Cleveland. Quadax is the healthcare revenue cycle technology and services company ranked No. Quadax offers premier electronic transaction management tools supported by a reliable, responsive customer service organization. Quest Diagnostics Secaucus, N. Quest Diagnostics is a provider of medical billing solutions and services that include denial management, payer management and fee schedule review.

The company provides billing specialists to maintain fee schedules and support financial reporting. Qventus Mountain View, Calif. Qventus' platform is designed to help hospitals interpret data and close the gap between data and action. The artificial intelligence software solution allows for operational improvement in real time and could improve financial performance, patient experience and patient safety while reducing cognitive burden on the frontline teams.

R1 RCM Chicago. R1 RCM is a leading provider of technology-enabled RCM services that transform and solve revenue cycle performance challenges across hospitals, health systems and group physician practices. R1's proven and scalable operating models drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

RCM Enterprise Services works with hospitals to build revenue-generating programs that leverage the hospital's laboratory assets for higher profit margins. The company provides healthcare organizations with laboratory, pathology and genetics software as well as front-end client connectivity, back-end claims management and professional services with minimal capital expense.

Rectangle Health Valhalla, N. Rectangle Health provides a suite of payment and patient engagement solutions for healthcare providers, insurers and billing services. The company was founded in and ranked in the Silicon Review's "50 Fastest Growing Companies" of Redox Madison, Wis.

Redox is an integration platform and service for healthcare systems and digital healthcare applications. The company's interoperable network and standardized API allows organizations to integrate software applications with EHR.

The company has a history in the ASC space, and Regent RCM consistently outperforms industry benchmarks so managers can focus on high-value activities.

Relatient Franklin, Tenn. Relatient is a web-based patient relationship and engagement solution that uses real-time healthcare data to communicate with patients. The company empowers provider networks to improve patient engagement with automated communication that helps improve revenue, increase compliance, lower costs and foster patient relationships. RevClaims Jackson, Miss. RevClaims is a highly specialized revenue cycle management solution partnering with healthcare revenue cycle management professionals and patients affected by accidental injuries.

The company can help clients navigate third-party liability, motor vehicle accidents, workers compensation or U. Department of Veterans Affairs billing. Revco Solutions Durham, N. Revco Solutions augments 75 years of healthcare revenue cycle experience with the latest omni-channel patient communications and innovative business intelligence tools.

Applying adaptive strategic enhancements, within an industry leading security and compliance framework, Revco Solutions defines best practices in healthcare accounts receivables. RevCycle Marshfield, Wis. RevCycle partners with healthcare organizations as a single vendor for all revenue cycle needs. The company's comprehensive suite of business office solutions are designed to optimize the revenue cycle and handle bad debt collections. RevCycle provides class services ranging from coding to claim denial management, insurance follow-up, point-of-service solutions and patient responsibility collections in addition to other services.

Revecore Franklin, Tenn. Revecore provides revenue recovery solutions for underpayments and denial prevention as well as complex claims reimbursement. The company combines its proprietary technology with a highly skilled billing team to provide coding, clinical and revenue cycle expertise. Revele Indianapolis. Revele is an end-to-end eClinicalWorks revenue cycle management firm providing eClinicalWorks training, optimization, reporting, consulting and revenue cycle management services to health systems and physician groups.

Revele's truly integrated eCW billing service includes a patient services call center, monthly performance consulting by a dedicated client success team and a 10 percent increase in cash flow guarantee. RevOps Health Wellesley, Mass. RevOps Health is an end-to-end billing platform that blends data from disparate data sources and software in provider practices to cleanse data and provide a digital source of truth as to the current and historical state of the practice.

Offered as an SaaS technology solution, applications running on the platform include anomaly detection, automation and advanced analytics tools. RevSpring Nashville, Tenn.

RevSpring is a technology services company that helps healthcare providers engage patients throughout their encounter. The company's end-to-end integrated patient engagement platform is powered by big data, analytics and automated workflow decisions that communicate with the patient on billing and payments.

RightPatient Atlanta. RightPatient is a cloud-based platform that can recognize patients through photos and link to their medical data. Health systems including Charlotte, N. Rivia Health Phoenix. Rivia Health's intelligent payment engagement platform reduces administrative operational costs and helps healthcare organizations reach financial goals by increasing patient payments.

As a complement to existing payment platforms and revenue cycle operations, Rivia Health reduces the amount of outstanding patient responsibility and overall accounts receivable. RSource Boca Raton, Fla. With the goal of improving revenue cycle performance and patient satisfaction,. RSource maximizes third-party reimbursements for hospitals through the company's payer experts and innovative business processes.

The company has programs to help reduce the number of claims denied or delayed and provide clinical denial recovery using RSource payer experts and legal and nursing teams. The newest program can help reduce clinical denials by 60 percent. Salucro Phoenix. Salucro is focused on providing a retail-like payment solution for patients that is secure and compatible with EHR platforms.

The company's online bill pay solutions and provider-facing payment applications offer multiple payment types, including PayPal. Salud Revenue Partners Lafayette, Ind.

Salud Revenue Partners helps healthcare providers reduce revenue cycle complexity, freeing leaders and staff to focus on improving operations and results. Its services and technology help streamline business offices, diagnose performance gaps, achieve the highest coding accuracy, resolve difficult accounts receivable and implement patient-centered solutions to self-pay.

Savista Alpharetta, Ga. Savista partners with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients and nurture their communities. The company collaborates with clients to craft patient engagement, HIM, revenue integrity and AR management solutions in order to achieve financial success. Four thousand colleagues strong, Savista's global organization serves clients in the United States. Serbin Medical Billing is a revenue cycle management company focused on providing coding, billing and accounts receivable management services to ASCs, hospital joint venture centers and anesthesia providers.

Founded more than 30 years ago, the company tailors services to each client and aims to provide efficient, compliant and quality-driven revenue cycle assistance. Sherloq Solutions Tampa, Fla. Sherloq Solutions delivers a healthier bottom line to health systems, hospitals and physician groups nationwide.

With an emphasis on patient satisfaction and outstanding revenue recovery, their RCM experts provide unmatched results in early-out self-pay, customer service, insurance billing and follow-up, denials and appeals management, and third-party debt collection.

Simpler Consulting Ottumwa, Iowa. Simpler Consulting, part of IBM, is a management consulting firm that helps organizations improve performance through lean transformations. The company works with clients to develop organizational culture and continuously seek opportunities for improvement. Sipi Asset Recovery provides collections, transportation and logistics, data wiping, remarketing and asset destruction and recycling, as well as asset redeployment and regulatory management services.

The company helps organizations overcome surplus technology challenges while protecting sensitive data and documenting all relevant security, environmental and industry regulations. Smart Source is a global communication solutions provider that aims to enhance the patient experience. The company's solution reaches the entire revenue cycle, from appointment reminders to statements, offering payment estimations and point of sale collections in addition to a digital wayfinding app.

Softek Solutions Prairie Villages, Kan. Softek provides consulting services and software solutions to optimize system performance and revenue integrity at Cerner Millennium hospitals. Softek gives users visibility into acute and chronic system issues that could put patients and business at risk and provides expertise to resolve the issues.

SOC Telemed is a telemedicine provider for hospitals and health systems as well as post-acute providers and physician networks. Telemed IQ is the company's technology platform, which connects physicians to patients for healthcare organizations to build sustainable programs.

The InTegritySM approach provides a genetic roadmap and adaptive framework to organizations aiming for success with Cerner projects.

Sphere Nashville, Tenn. Sphere, powered by TrustCommerce technology, provides secure payment processing, offering a comprehensive suite of healthcare solutions with a focus on payment security, data protection and risk mitigation. Sphere solutions assist healthcare providers and partners reduce the cost and complexity of payment card industry data security standards compliance, and it provides payment services for many of the largest healthcare systems. Spok Alexandria, Va.

Spok created the Spok Care Connect platform to deliver clinical information to care teams and improve patient outcomes. The platform is designed to enhance clinician workflow, support administrative compliance and provide better patient experiences.

SSI Group provides revenue cycle management solutions and analytics to partnering healthcare providers, payers and ASCs. The company's product suite covers claims management, access management and performance management with integrated analytics. State Collection Service Madison, Wis. State Collection Service, a Healthcare Financial Management Association peer-reviewed organization, helps providers maximize the cash value of self-pay patient revenue while improving their patients' financial experience.

The company's decades of experience, certified revenue cycle representatives staff and a commitment to first call resolution deliver superior service and results. Streamline Health Alpharetta, Ga.

Streamline Health provides revenue cycle optimization solutions and technology-enabled services and analytics for healthcare organizations. The company's solutions are designed to provide revenue integrity and drive quality across the enterprise. Surgical Information Systems Alpharetta, Ga.

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Sign In. Revenue Cycle Management. Our RCM team has vast experience helping practices, hospitals, and health systems of all sizes maximize profitability from small providers with simple in-house systems to large, specialty Epic integrations. Many issues related to claim denials and patient payment can be traced back to problems at the front of the revenue cycle.

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