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Adreima specializes in assisting hospitals maximize reimbursements while decreasing demands on in-house staff. Our Receivables Management services allow our clients to outsource the billing, resubmission of claims, account follow-up, remittance advice review and appeals process for a variety of payor types.
This practice integrates the technical, clinical and legal aspects of claims management to collect every dollar to which the hospital is entitled. In addition to their own expertise, our Patient Account Specialists have immediate access to qualified nurses and attorneys available to help solve complicated issues.
By utilizing our proprietary systems to drive work flows, manage inventories, automate reimbursement calculations and produce reports, we ensure outcomes meet or exceed client expectations. Our team is able to work with the hospital in a variety of ways to enhance the hospitals internal capabilities.
- Full Service projects – Complete revenue cycle projects that include billing, follow up, reimbursement analysis, appeals and managing payor relationships for all payors or a particular payor class. We also utilize our internal clinical department which seamlessly interfaces with our receivables operations ensuring maximum collections.
- Early Out projects – Support for revenue cycle collections at any stage deemed appropriate by a client, based on account age, balance and/or financial class. All accounts are handled through to resolution with accountability for all functions while adhering to the policies of our clients.
- One Time or Clean Up projects – Often health care providers need extra support for a limited amount of time for various reasons such as account back-log or system conversions. Adreima can help with these one time clean up projects, temporary staffing issues or other initiatives to accelerate cash collection.
Whether Adreima works on-site or off, we utilize the hospital’s patient accounting system providing notes on each assigned account, which are available to the hospital staff in real time. In addition, we provide our clients substantial reporting to identify opportunities for process improvement and to evaluate our success over time.