IMMEDIATE RESULTS
ENGAGE IMPROVES FINANCIAL PERFORMANCE
IMMEDIATE RESULTS
ENGAGE IMPROVES FINANCIAL PERFORMANCE
Who We Help
Engage Health Solutions helps healthcare organizations navigate the reimbursement challenges that their leaders face as they attempt to properly apply the myriad of complex medical and regulatory policies in order to ensure accurate reimbursements for service.
Each year, tens of billions of dollars of healthcare spending is affected by preventable billing / reimbursement errors. Studies have estimated that between 9% and 18% of claims are in error depending on the specific program being evaluated. In addition, the process of identifying and addressing such errors compounds the problem by adding billions in unnecessary administrative expenses each year. Unfortunately, health organizations fail to allocate sufficient resources required to change the underlying behaviors / actions that drive inaccurate reimbursements.
How We Can Help
Engage Health is led by nationally recognized experts in healthcare reimbursement policy. Our executive leadership and subject matter experts have led the Centers for Medicare and Medicaid Services Recovery Audit Program and served as senior project directors in the CMS Qualified Independent Contractor (QIC) program. Additionally, our team has extensive experience working with well-known national payer audit programs while also working with providers and suppliers nationally to support their RCM initiatives. By continuing to support both providers and payers, our team has a unique perspective and understanding that allows Engage Health to develop solutions to address preventable errors from occurring across the entire revenue cycle continuum. Our focus is preemptive and curative by design to ensure processes are error free, FutureProof per se, before claim submission or payment. Most importantly, curative measures are implemented to ensure errors, omissions, deficiencies, and consequential liabilities are not repeated moving forward . As a result, clients enjoy more stable and appropriate claims processing and revenue recognition, shorter reimbursement cycle time, lower administrative costs and less abrasion in the payer / provider relationship.
SERVICES
What We Offer
Engage Health offers customized solutions designed to improve health organization’s financial performance while also increasing operational efficiencies. Our customized solutions begin with analytics, akin to that used by auditors, whereby potential reimbursement aberrancies are identified. Using sophisticated algorithms and advanced technology, our analytic solution will preemptively identify either pre-bill or pre-pay reimbursement issues.
Our team brings with them the ability to coalesce the medical, reimbursement and financial policies. That ability often eludes most organizations and is typically the root cause for reimbursement related errors By combining the sophisticated analytics with an expert team of clinicians, coders and reimbursement subject matter experts, Engage Health can increase adherence to policy and where deviations exist, determine the root cause of the error. Once a problem has been identified, Engage Health can develop the solution to curtail future errors from occurring thereby improving performance and limiting liabilities.
In addition, our team can help design the workflows, process, and education necessary to ensure your team’s success moving forward. Our staff has broad based experience and knowledge gained from years of experience with health organizations nationwide which can be utilized on your behalf. Further, moving forward Engage can provide the ongoing support to your staff to ensure flawless execution and the reduce the likelihood of replicating errors.
Our intuitive and pragmatic approach to addressing the reimbursement problems produces significant value for clients. The team would welcome the opportunity to discuss your experiences, the challenges you confront regularly, and how we might be able to address the same.
EXPERIENCE
Experience is our differentiator. Our knowledgeable team of subject matter experts, clinicians and coders have extensive reimbursement experience with providers and payers. With such, our solutions identify and address the complexities which consistently encumber health organizations.
ANALYTICS
Our analytic solution examines the entire patient care continuum and reimbursement process to identify potential reimbursement aberrancies that result in inappropriate reimbursement. Our solutions provide the flexibility of customized edit creation, specialized reporting, exception workflows, internal audits, and self-service options.
RESOURCES
Engage has a team of specialists and technologies required by health organizations to achieve their goals. We can develop solutions to augment your existing internal and external programs with resources that will demonstrate immediate improvement of administrative processes and financial results.
CONSULTANTS
Our consultants are driven to develop curative, long term solutions for clients. We can identify the improvement opportunity, develop an actionable solution, assist with implementation, provide training and education programs and ensure flawless execution.
WHY CHOOSE ENGAGE HEALTH
- INCREASED PAYMENT ACCURACY IMPROVES EARNINGS
- REDUCE COSTS RESULTING FROM CORRECTING PAYMENTS
- CORRECT COSTLY ERRORS PREEMPTIVELY
- REDUCE PROVIDER / PAYER ABRASION
- REDUCE RESOURCE REQUIREMENTS TO ADDRESS PAYMENT ERRORS
- SHORTER REVENUE CYCLE TIME
- STABILIZE EARNINGS
WHY CHOOSE ENGAGE HEALTH
- INCREASED PAYMENT ACCURACY IMPROVES EARNINGS
- REDUCE COSTS RESULTING FROM CORRECTING PAYMENTS
- CORRECT COSTLY ERRORS PREEMPTIVELY
- REDUCE PROVIDER / PAYER ABRASION
- REDUCE RESOURCE REQUIREMENTS TO ADDRESS PAYMENT ERRORS
- SHORTER REVENUE CYCLE TIME
- STABILIZE EARNINGS
GET IN TOUCH TO HEAR ABOUT OUR SERVICES
01. EXPERIENCE
Engage Health has unique health system and insurer experience that permits early identification of reimbursement issues and error correction before critical events such as pre-bill or pre-payment denials occur. As a result, clients can capitalize on our experience to drive high operating results.
02. INNOVATIVE
Engage is innovative in our processes, solutions and relationships with our clients. We utilize knowledge and technology efficiently to develop true, curative solutions to reoccurring issues that confront healthcare organizations. Our intuitive and pragmatic approach drives high value and returns for clients.
03. PARTNERSHIP
Our teams strive to create high value for our clients and develop long lasting relationships. We view our client relationships as partnerships not short term projects. Our team works to a common end for our clients by providing hands on, personal service tailored to your organization’s specific needs.