Hospital

We are a 35-year leader in providing government program eligibility and enrollment solutions – with proven expertise in Medicaid, subsidized Qualified Health Plans (QHP), charity care and federal disability income programs.

Custom provider reimbursement solutions reduce uncompensated care within a health system through use of proprietary technology, combined with specialized Medicaid knowledge solutions designed to reduce uncompensated care for Providers. As increasing complex Medicaid policy changes are initiated at the state level, we remain experts simplifying the ever-changing rules and regulations associated with state-run Medicaid.

Our Hospital teams manage 750,000 claims and nearly $3 billion in charges annually.

Eligibility / Enrollment

We are a 35-year leader with proven expertise in Medicaid, subsidized QHPs, charity care and federal disability income programs.

Billing

With more than two decades of expertise in Out-of-State Medicaid billing, we manage nearly $1.5 billion in claims annually.

Coding

Our hospital coding services reduce provider influence while tracking code assignment variances  – providing enhanced quality assurance, compliance and efficiency.

UPCOMING EVENTS

RISE 15th Risk Adjustment Forum
May 19, 2020 - May 21, 2020

NAHAM 46th Annual Conference
May 21, 2020 - May 21, 2020

RISE Qualipalooza (HEDIS)
June 14, 2020 - June 16, 2020

HFMA Annual Conference
June 28, 2020 - July 1, 2020

HPA Member Experience Value Visit 2020
August 31, 2020 - September 3, 2020

RISE West
September 9, 2020 - September 11, 2020

Health Care Quality Congress (HQC) Annual Conference
September 22, 2020 - September 26, 2020

HPA Fall Leadership Forum 2020
October 6, 2020 - October 8, 2020

AAHAM ANI
October 21, 2020 - October 23, 2020

ICE Annual Conference
November 19, 2020 - November 20, 2020