- Revenue Cycle ManagementReimbursement—and reimbursement compliance—is one of the most challenging aspects of administration for hospitals and health systems. Coupled with the transition to a value-based environment and reimbursement reductions, hospitals have less revenue to do the complex work of improving clinical quality, upgrading technology and streamlining operations. To thrive, your hospital needs to improve its revenue cycle efficiency at every phase of the patient/provider interaction—from initial contact to clinical documentation to collections. Because improvement takes time, people and resources—when all three are stretched to their limit—partnerships are an important strategic alternative.
Conifer Health delivers an industry-leading suite of Revenue Cycle Management services and solutions that address the critical margin challenges you face in today’s reimbursement environment. As healthcare reform’s demands for proven value and enhanced patient experiences intensify, we help you meet your immediate revenue needs and master the evolution to new delivery and reimbursement models. Our Revenue Cycle Management solutions outperform software vendors, consultants and IT firms by providing responsive services through intensive short-term projects or long-term operations management partnerships.SERVICES & SOLUTIONS
Our end-to-end Revenue Cycle Operations Management solution secures immediate, sustainable financial improvements while positioning your hospital for changing reimbursement and governance models.
Our HFMA Peer Reviewed Business Office Management solution improves your long-term revenue cycle performance by streamlining patient financial service processes, reducing collection costs and increasing net revenue.
Our experienced financial counselors work with your uninsured and underinsured patients to identify and apply for available coverage, which appropriately increases cash and reduces bad debt.
Our Denials Prevention and Management services give your organization the power to recoup revenues inappropriately lost through clinical, technical and administrative denials. Our Denials Prevention and Management team of registered nurses and advisors has the unmatched expertise to pursue your toughest denials.
Through focused billing, follow-up and resolution, Conifer Health’s Accounts Receivable Recovery services reduce your A/R backlog and uncover opportunities to resolve accounts and increase cash.TECHNOLOGIESConifer Health’s $200-million-plus investment in proprietary technology is anchored by ACE, our technology environment, our MicroSegmentation™ tool and our Six Sigma-designed workflow automation engine. Together, our industry-recognized technology drives more than 40,000 workflows that direct work at the right time, and for the right account, to improve net revenue and cash flow. With Conifer Health, you’ll access premier revenue cycle management technology without the burdens of investment and maintenance. You’ll reduce operating costs through enhanced efficiency while you improve patient and physician satisfaction. Through our compliance program, we remain vigilant of changing federal, state and local regulatory requirements affecting the revenue cycle.HOW WE'RE DIFFERENTRanked No. 1 by Black Book™Our Revenue Cycle Operations Management solution is ranked No. 1 for hospitals '150 beds and more' in the 2013 Black Book™ Revenue Cycle Management (RCM) Outsourcing survey. Our performance was ranked best overall in key performance indicators like client relationships and cultural fit, scalability, client adaptability, and flexible pricing.Recognized in KLAS® revenue cycle outsourcing reportOne of only two providers to meet the requirements to be fully ranked as a comprehensive revenue cycle outsourcing solution provider in the KLAS Research Report, “Revenue Cycle Outsourcing: Tools, Expertise and Resources Key to Improved Collections,” Conifer Health is recognized by hospital leaders for our technology, methodology and processes, and key performance metric impact on discharge not-final billed (DNFB), denials management, and reduction in A/R days.Comprehensive solution to healthcare transformationConifer Health is the leading sole-source provider of Revenue Cycle Management services that can be paired with Patient Communication and Engagement services and Value-Based Care solutions to create a comprehensive strategic solution that positions your hospital for success in the value-based environment.Healthcare DNAOur revenue cycle management solutions are responsive to hospital operational needs because our solutions were developed, tested and proven over the last 30 years in one of the nation’s largest healthcare systems. Our DNA is healthcare. We’re owned by healthcare systems—not by payers, consultants, venture capitalists or technology companies.UPCOMING EVENT
Join us at the AHA Leadership Summit on Tuesday, July 22 | 8:30 – 9:45 a.m.
"Journey to Value-Based Performance"
featuring Jim Slaggert, Vice President, Integrated Health Networks, Catholic Health Initiatives and Megan North, President, Value-Based Care, Conifer Health SolutionsJUL 20 - JUL 22 - San Diego, CA
Don’t miss "Journey to Value-Based Performance" to learn how Catholic Health Initiatives developed a system-wide population health management solution to establish a clinically integrated network and a shared savings ACO model.
Revenue Cycle Management