ANALYTICS-POWERED AR OPTIMIZATION
Accounts Receivable Management
and Zero-Balance Review
Accounts Receivable Management
Healthcare providers have struggled to achieve financial goals through staffing shortages and increasing revenue cycle complexity.​
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Full business office outsource
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AR follow-up
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Legacy AR wind-down
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Denial recovery
Why you should Go With Different
TM
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100% US-based claims experts
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Integrated people and technology
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Expertise with payer billing and reimbursement rules
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Next-generation automation and analytics
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Your systems and data remain the source of truth
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Dedicated payer relations department
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PHI treated with the utmost care; SOC2 compliant and recurrent HIPAA compliance training
Salud offers:
When Salud steps in…
Difficult AR and denials are resolved quickly.
Workflows improve
and claims are paid in a timely manner.
Backlogged accounts are resolved
appropriately.
Fixing a raft of AR complexities
CASESTUDY
DECREASE IN AR
22%
REDUCTION IN BAD DEBT
56%
INCREASE IN CHARITY CARE
45%
Challenge
What started out as small-balance outsource and zero balance payment recovery program for an independent urban safety net hospital overnight turned into a total financial services outsourcing engagement. As a Salud team arrived in March 2020, the hospital’s revenue cycle director and much of the staff had gone to work for another facility, leaving a huge billing backlog. The hospital had recently changed its claims processing system and its name, which forced a Tax ID change. And then came the pandemic.
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Solution
Salud hired some of the remaining hospital staff and brought in others. We brought in our data science team and a complete array of boutique services, which reduced AR and increased collections year over year, a substantial achievement amid COVID.
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Results
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22% decrease in AR
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56% reduction in bad debt
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45% increase in charity care
Zero-Balance Review
Instead of focusing on reducing expenses, find a new source of revenue in a risk-free contingency model, with a seamless transition and low burden on your teams.
With rising expenses, staffing shortages and a rapidly changing payer market, there's little time for evaluating the precision of revenue cycle processes and payments.
Why you should Go With Different
TM
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Advanced analytics compare reimbursements with payer contracts and policies
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Proprietary automated claims scrubber flags incorrect claims, denials and underpayments
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Unparalleled advice enhances our clients' success in reducing future revenue leakage
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PHI treated with the utmost care; SOC2 compliant and recurrent HIPAA compliance training
discovered
$10.6M
in revenue leakage
for 3-hospital integrated delivery system
collected over
$3M
in six months
for 9-hospital regional health system
When Salud steps in…
Collections and financial health increase.
Billing and coding issues are identified and corrected.
Payer relations and accountability are improved.
Challenge
What started as a modest review of settled claims within a 10-hospital health system gained traction quickly, especially after Salud was able to recover $10 million in the first year for the system. The system is part of a statewide purchasing consortium.
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Solution
Salud’s payment models include reimbursement calculators designed to ensure complete account payment for services performed, not just what was billed. As each system hospital was added, a review of coding, billing and write-offs fixed a host of broken processes.​
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Results
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$43 million in underpayments identified
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$26 million appealed
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$21 million recovered
Early success drives expansion of zero balance reviews
IN UNDERPAYMENTS
IDENTIFIED
$43M
APPEALED
$26M
RECOVERED
$21M