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. Our referral management and revenue cycle analytics solutions utilize data, software and personal relationships to build strategies and deliver results to providers at a depth and breadth unparalleled in the industry.
Our Hospital teams manage 750,000 claims and nearly $3 billion in charges annually.
We provide clients the support they need to solve their problems:
• Eligibility and Enrollment • Out-of-State Medicaid • Revenue Cycle Analytics • Referral Management and Analytics
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.