SERVICES -FINANCIAL STRENGTH
Healthcare Management is an organization unlike any other in the nation as it is owned and directed by 22 healthcare organizations who are also members of WHA. Through this unique collaboration, we provide hospital and physician revenue cycle services through our companies AR Services and A-1 Collection Agency.
We understand the challenges you face and provide customized solutions for Central Business Office, Early-out Self-pay Services, Bad Debt Collections, and Revenue Cycle Assessments. Our highly trained and experienced Account Specialists ensure some of the highest recovery rates in the nation.
Our operations are built to respect the relationship that exists between your facility and the community that you serve. Each account is unique and based on a patient’s circumstances, our Account Specialists work with each individual in making payments to the best of their ability.
Promoting the financial health of our clients through use and growth in high-value, high-quality, consumer-friendly revenue cycle services
We are aware of the challenges rural healthcare leaders have with limited resources and lean infrastructures, which can make comprehensive revenue cycle management challenging and costly.
WHA provides cost-effective operations, improved cash flow, decreased denials, reduction of days in accounts receivable with reporting and consistent communication. We work within your existing billing infrastructure to provide your facility comprehensive Revenue Cycle Management, providing patient-friendly, knowledgeable staff who specialize in rural and community hospitals
Our services include complete and streamlined eligibility verification, medical billing, A/R follow-up, and payment posting.
- Commercial billing
- Government billing (Medicare, Medicaid, Medi-Cal)
- Claims edit scrubbing
- Cash posting
- Eligibility verification
- A/R follow-up
- Remote coding
We know your hospital may not have the resources to pay a dedicated team focused solely on billing. Often the staff you do have, wear many hats and don’t always have sufficient training to provide all of the options available to patients.
AR Services (ARS) is a self-pay billing, payment plan management, and medical financing company owned and directed by Colorado hospitals. Hospitals can customize a program that fits their individual policy and ensures the bills are sent in a timely manner.
- 30-Day Program acts as a buffer between in-house billing and bad debt collections. We send statements, create and manage payment plans and post payments in our office.
- 60-, 90-, & 120-Day Program augments your in-house collection cycle. We contact patients regarding their accounts via monthly phone calls and statements. Through these programs, we stress payment in-full as well as create and manage payment plans.
- Medical Financing is a payment plan option for larger balances. Patients sign a simple-interest promissory note and we manage the accounts from beginning to end including statements and follow-up. 100% of the principal goes back to the client.
- Payment Plan Management AR Services manages existing time-pay accounts by sending regular statements, receiving and monitoring payments, and handling all patient contact.
There are some patients who have the desire to pay their healthcare bill, but lack the resources to do so. It can be a challenge trying to determine the best course of action for these patients especially when you have limited time and dedicated staff to manage these accounts.
AR Services provides a new payment option for those patients that need to pay their bills over an extended period with interest. Patients can sign up without a credit check and the risk of being reported on their credit report. AR Services will then manage the payment arrangement for you, thereby alleviating time and resources so you can focus on providing the best care possible.
- Everyone with a balance of over $500 qualifies for the program.
- Sign-up fee is only $25.
- Patient is charged 12% interest and there is no pre-pay penalty.
- Monthly payments are affordable and tailored to the individual.
- Facility receives the full amount of the principal over the term of the loan.
- Late notices and follow-up calls are made by AR Services.
- Delinquent accounts are turned over to A-1 Collection Agency, sent back to the facility, or to another collection service of choice.
We know your staff wear many hats and work hard to ensure your patients receive the best care possible. It can be challenging to add the difficult task of collecting money from patients who have not paid their healthcare bill.
Having a clear mind and concentrating on your core business activities is a major advantage of delegating collections to someone else.
A-1 Collection Agency (A-1) utilizes experienced financial counselors and robust technology to ensure competitive recovery rates. Our financial counselors are trained extensively, certified in FDCPA and Professional Telephone Techniques, and comply with Fair Credit Reporting Guidelines. They also meet Patient-Friendly Billing standards while achieving high financial performance goals.
For non-compliant accounts, A-1 Legal Services (Counsel for A-1) works to bring legal action to qualifying accounts in a timely and appropriate fashion. Qualifying accounts are defined by the client based on their mission, vision and financial policies.
A-1 is committed to working every account in order to capture all recovery opportunities. We employ best-of-industry collections systems, skip tracing technologies, predictive dialing systems, and best-practice messaging systems. In addition, A-1 reports to all three credit bureaus.
Even with a decline in resources, you are being asked to do more with less. If you are like many healthcare organizations, you may decide to undergo a revenue cycle assessment due to management changes, a new practice management system, staffing adjustments, workflow augmentations or technology conversions. We understand how important it is to identify the opportunities where you can gain efficiencies, recover revenue and better manage your margins in your revenue cycle.
WHA has conducted numerous revenue cycle assessments, and while each assessment is different, our methodology is consistent and proven. Each assessment provides a comprehensive analysis of your technology, processes, data and staff. We base our approach on your distinct business needs, priorities and organization, while ensuring that we do not alienate your staff, or disrupt your operations.
We understand that most employees work at your hospital to help your patients. They may not feel comfortable collecting money, and many staff haven’t had adequate training to do so. How can you get your team excited about this effort? Point of service collections is not optional—it’s the new standard. Therefore, it’s critical to align your processes and policies to back up your message.
We can help you establish a hardwired culture around upfront collections. We can help you train your staff to think about point-of-service collections as more than just collecting payment; it’s about educating the patient.
As we move into an era of increased price transparency, your patients are shopping for their healthcare services. Healthcare Management can ensure you provide a timely, accurate estimate to patients to position your organization now and into the future.
The conversion to ICD-10 has been difficult for our members. WHA’s preferred partner, eCatalyst can help you. As a full-service HIM company, they offer ICD-10 coding and auditing, denial management, pre-bill audits, remote coding, HIM consulting, MPI clean-up, staffing, and interim management.
eCatalyst’s expert ICD-10 coding compliance audits can verify coder accuracy to:
- Identify areas of ICD-10 risk and coder knowledge gaps.
- Target specific coding training and education.
- Protect your revenue with individual coder feedback and team compliance reports.
Contact eCatalyst today to see how they can help you streamline your coding process.
Does your current firm support your auditing needs with decades of experience in the healthcare industry and understand the areas of greatest risk for your organization? Wipfli’s talented, healthcare-focused audit and accounting professionals will assist you with financial reporting and cost-accounting systems, financial statements, internal audits, assurance services, and temporary personnel, all based on your exact needs.
Clear understanding of reimbursement issues is paramount when evaluating reimbursement services. Wipfli’s team stays current with pending legislation and Medicare and Medicaid rule changes that may impact your organization. Their team of reimbursement specialists respond to data requests from government auditors, advise on circumstances affecting reimbursement and compliance, defend against adverse or improper audit adjustments, and advise on cost report settlements.
Wipfli’s health care compliance team brings real world experience to the changing landscape of federal, state, and local tax law, while developing strategies to meet short and long-term needs. This proactive approach works to diffuse problems early, eliminate surprises, and convert would-be challenges into opportunities.