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.
Our concurrent medical necessity and retrospective reviews save valuable time for hospital case managers.
Our onsite specialists decrease the collection cycle by determining patients’ financial responsibility at the point of service.
Our experts recognize discrepancies involving clinical and financial processes and work to strengthen all aspects of a hospital’s charges and charge.
Our clinically integrated Accounts Receivable Management services help hospitals and health systems expedite revenue.
Our Patient Advocacy medical expense management service improves patient satisfaction scores and the overall patient experience.
With a full complement of technical, legal and clinical expertise, Adreima handles denied claims, concurrently and/or retrospectively.
Designed to supplement your clinical efforts, this service provides concurrent, evidence-based recommendations for documentation surrounding length of stay and patient status.
Our HIM and clinical professionals identify and correct coding inaccuracies resulting from system, procedural or compliance challenges.