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.
With more than two decades of expertise in Out-of-State Medicaid billing, we manage nearly $1.5 billion in claims annually.
Our hospital coding services reduce provider influence while tracking code assignment variances – providing enhanced quality assurance, compliance and efficiency.
Revenue Cycle Analytics
Our revenue cycle analytics solutions enable hospitals and providers to optimize revenue cycle performance.
Referral Management & Analytics
We specialize in identifying, executing and capitalizing on key drivers that lead to enhanced patient experience and market share growth.