Secure Appropriate Reimbursement & Revenue

Our team of specialized physicians, nurses and coders infuse a clinical perspective across the revenue cycle to help secure appropriate coverage and payment for hospitals and health systems. Our collaborative and timely patient billing status recommendations provide the foundation to improve processes, increase legitimate revenue and reduce denials. With a patient-centered extended business office and collection services, we clarify the patient obligation and provide effective account resolution.

We mitigate lost revenue by providing denial management and prevention services to identify root cause, secure appropriate revenue and reimbursement, and improve operational efficiencies. As well, we provide insurance billing and collection follow-up services for aged accounts to be adjudicated and paid by the appropriate payer in the most effective and timely manner.

Solutions Provided

Prior Authorization

Our concurrent medical necessity and retrospective reviews save valuable time for hospital case managers.

POS Collection

Our onsite specialists decrease the collection cycle by determining patients’ financial responsibility at the point of service.

Charge Audits

Our experts recognize discrepancies involving clinical and financial processes and work to strengthen all aspects of a hospital’s charges and charge.

AR Management

Our clinically integrated Accounts Receivable Management services help hospitals and health systems expedite revenue.

Patient Advocacy

Our Patient Advocacy medical expense management service improves patient satisfaction scores and the overall patient experience.

Clinical Denials

With a full complement of technical, legal and clinical expertise, Adreima handles denied claims, concurrently and/or retrospectively.

Physician Second Level Review

Designed to supplement your clinical efforts, this service provides concurrent, evidence-based recommendations for documentation surrounding length of stay and patient status.

Coding Services

Our HIM and clinical professionals identify and correct coding inaccuracies resulting from system, procedural or compliance challenges.

Adreima is pleased to announce that it has been acquired by nThrive. nThrive is a growing industry leader that leverages technology, services, education and analytics to create complete Patient-to-Payment℠ capabilities that our clients need.

Please view our press release for additional information about this exciting acquisition.