Beaverton, OR (PRWEB) August 13, 2008
Unibased Systems Architecture, Inc. (USA) and Provider Advantage NW Inc. (Provider Advantage) are teaming to help major healthcare providers address financial issues associated with the alarming growth of uninsured and charity patients, as well as covered patients obligated to pay a larger portion of their medical costs. Using a combination of powerful software applications from USA and Provider Advantage, USA clients will be able to validate patient demographics, select the most appropriate time and location for services, determine the patients current insurance eligibility, assure medical necessity compliance, and estimate the patients out-of-pocket expense based upon scheduled and ordered services.
It is anticipated that the entire process will be performed prior to the patient's arrival, either at the time of scheduling services or shortly thereafter in the pre-registration process. Using this technology, the provider can anticipate the costs associated with uninsured and charitable cases earlier in the revenue cycle. In addition, Revenue360 (http://www.revenue360.net) provides the opportunity to arrange a reasonable patient payment plan prior to service, when appropriate.
According to Larry Weigel, Senior Vice President, Finance & Administration for USA, and former hospital CFO, "It is becoming increasingly difficult to manage bad debt and charity accounts. Beside the growth of the uninsured population, recent rulings by CMS restate the current presumption of un-collectability of bad debts associated with cost reporting. While most providers eventually confirm insurance coverage, the process takes place after services are rendered, which minimizes the possibility for alternative arrangements and extends the period before bad debt can be recognized. Currently, providers are being leveraged by higher costs overall and slower or non-payment, placing pressure on cash reserves. Today's environment demands anticipation and preparation earlier in the revenue cycle, including improvements in more timely patient dialogue."
"We are excited to work with the KLAS leader in enterprise scheduling and surgery management to deliver our Revenue 360® suite of offerings", said Edward L. (Ted) Tomkins, President, Provider Advantage. "USA recognizes the value we bring to the revenue cycle process and how this can assist healthcare provider organizations in collecting more revenue prior to the delivery of services. Combining these processes at the time of scheduling or pre-registration places the provider organization in a position to better manage their patient billing process and immediately collect money from those with the ability to pay."
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