Patient Financial Services
Quorum Purchasing Advantage’s patient financial services partners can assist your facility with manual PFS processes, such as collection letter processing and courtesy calls on patient balances, or with automated processes that can help improve your entire revenue cycle. For more information, please contact the Quorum account manager named below each listing.
Bottom Line Systems, Inc.
Partner Information:
Bottom Line Systems (BLS) provides the following services to help increase revenue for QHR client hospitals. Services include:
•Underpayments – the identification and collection of underpaid hospital claims
•Workers’ Compensation – collection of AR and identification and collection of payment errors on workers’ compensation claims
•Secondary Payor Review – identification and collection of amounts due from secondary payors
•Charge Audits and Stop Loss Audits – audits of charges on stop loss accounts and other accounts which are paid based on a percentage of charges
•Unintended Discounts / Silent PPOs – identification and collection of Silent PPO discounts and other unintended discounts
•Ancillary Services – identification and collection of underpayments for home infusion, home health, hospice and DME claims
•Refunds/Credit Balances – review funds requested by payors and reconciliation of outstanding credit balances
•Account Receivable Collection and Collection of Difficult Claims – collection of accounts receivable and difficult and complicated claims
•Denials – review and reversal of administrative and clinical payment denials
•Physician Claims – identification and collection of underpayments and for physicians’ services
•Transplants – identification and collection of underpayments on transplant claims
http://www.onlinebls.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Citadel Outsource Group, LLC
Partner Information:
Citadel provides partial outsourcing and early out programs to help you increase patient collections and turn accounts receivable into cash. Partial outsourcing is a one-time placement and/or routine placement of older accounts (90+ days), that Citadels specialists work to resolution. Through the early out model, you may place accounts with Citadel on a routine basis sixty days after discharge. Discounts available to QHR managed hospitals.
http://www.citadelosg.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Computer Programs and Systems, Inc. (CPSI) Private Pay
Partner Information:
CPSI’s private pay collection service includes the management of the private pay (self-pay) portion of accounts receivable and includes statements and collection letters; person-to-person collection calls, establishing and monitoring of payment arrangements. The Private Pay service is restricted to CPSI HIS clients only. Electronic Billing services include claim submission, payer specific edits an on-screen editing of insurance claims in applicable claim format (UB/1500). The Electronic Billing services are not dependent upon the use by the hospital of a CPSI HIS.
http://www.cpsinet.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Database Solutions, Inc.
Partner Information:
Database Solutions, Inc. (DSI) is a software development firm specializing in Hospital Patient Access and Business Office operations. Their premier product is AccuReg™, a registration accuracy and reporting system that eliminates the need for manual review by auditing 100% of registrations for hundreds of error types. AccuReg™ allows Patient Access employees to self-correct errors before they get to billing, reducing back-end rework, rejections and denials.
http://www.accuregsoftware.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
DataSearch, Inc.
Partner Information:
Fully bonded and insured member of the American Collectors Association, CSC Credit Services, DataSearch has over three decades of experience providing medical collection and related programs exclusively to the medical industry. DataSearch is a premier full service account receivable management and collection firm that performs work throughout the U.S. Discounts available to QHR managed hospitals.
http:/www.datasearchinc.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
eHC Solutions (formerly eHealthClaim.net)
Partner Information:
eHealthClaim.net (eHC) is a privately owned healthcare data management corporation. eHC has over 25 years experience in providing claim transaction services and software technology solutions, nationally. eHC provides revenue cycle optimization for healthcare providers, carriers and intermediaries. eHC is uniquely qualified to service you and your staff with their combination of system development and communication expertise. Their staff includes provider service representatives, compliance support and programmers. eHC offers payer analysts and IT support that allows them to be responsive in meeting your needs. Discounts available to QHR managed hospitals.
http://www.ehealthclaim.net/website/default.aspx
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Hospital Solutions, Inc., (HSI)
Partner Information:
Hospital Solutions, Inc. provides their Medicaid Eligibility and Third Party Liability services to QHR client hospitals. These services address the self-pay population (Medicaid Eligibility) and the Motor Vehicle Accident/Slip and Fall injury claims hospitals deal with on a daily basis. Designed to reduce self-pay bad debt and increase monthly revenue generation, HSI will provide on-site representation based on patient volumes. Off-site support and account follow up are also offered.
http://www.hospitalsolutionsinc.com
QHR Account Manager: Nancy Sanchez
Phone: (615) 371-4583
Email: .(JavaScript must be enabled to view this email address)
MedA/Rx
Partner Information:
MedA/Rx is a fully integrated revenue cycle management company for healthcare organizations. As a National provider, MedA/Rx offers the scale and flexibility for any size of hospital. With online real-time patient records, edits and proprietary account scoring algorithms, MedA/Rx brings solutions to today’s complex financial healthcare environment. Services include Extended Business Office (EBO) for Insurance follow-up, Self-pay Early-out, and Bad Debt Collections. Discounts available to QHR managed hospitals.
http://www.medarx.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Medical Reimbursements of America, LLC
Partner Information:
A leading third party billing company that focuses exclusively on accident and complex claim resolution. Services provided include:
-Motor Vehicle and Premise Injury Accidents - full coordination of benefits at day of discharge.
-Worker's Compensation - placement at day of discharge.
-Aged Trial Balance Accounts - with threshold of $1,000 and higher.
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Passport Health Communications, Inc.
Partner Information:
Passport Health Communications, Inc. is among the nation’s fastest-growing Software-as-a-Service (SaaS) company and provides solutions to more than 1,700 hospitals in addition to more than 5,000 other health care providers across all 50 states. Passport’s eCare® brand of revenue cycle management solutions help ensure Payment Certainty for Every Patient™ with eligibility and address verification, self-pay review, medical necessity validation, precertification, patient payment estimation, eCashiering, credit reporting & scoring, financial risk assessment, charity care, and registration quality assurance. Discounts available to QHR managed hospitals.
http://www.passporthealth.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)
Professional Finance Company
Partner Information:
Professional Finance Company has been serving credit grantors for more than a century. Thousands of healthcare providers, retail, financial, commercial and government entities rely on this company to recover accounts receivable. The firm offers a diverse portfolio of recovery services, including early out/outsourcing of self pay receivables, primary and secondary bad debt collection and receivables purchasing. Discounts available to QHR managed hospitals.
http://www.pfccollects.com
QHR Account Manager: Debbie Neese
Phone: (615) 371-4604
Email: .(JavaScript must be enabled to view this email address)