Case study explores how Cooper University Hospital increased insurance collection rates by 25 percent


GAINESVILLE, Va.—Convergent Revenue Cycle Management, Inc., a leading provider of revenue cycle management and patient access solutions to providers across the nation, announces the availability of a new healthcare revenue cycle management case study with Cooper University Hospital. The case study outlines how Cooper increased collection rates on third-party payer insurance accounts through their partnership with Convergent by 25% with an average account age of 309 days old. Cooper relied on Convergent’s regulatory expertise through their healthcare attorneys and consumer-focused patient contact center technology to help improve revenue cycle performance and patient relationships. Additionally, the study reveals that the increase of cash flow from Convergent’s efforts improved the hospital’s financial position to help in the rebuild of their entire main medical campus. Cooper has more than 700 physicians in 75 specialties affiliated with the hospital, serving half a million patients annually in Southern New Jersey and the entire Delaware Valley.

The study shows Cooper’s strategic decision to outsource and partner with Convergent. With an attorney-centric approach to collecting on aged claims, Convergent brings legal authority to the collection of problem and denied claims for commercial payers and managed Medicare and Medicaid. Its legal experts have up-to-date knowledge of the federal and state statutes that support their custom-written payment demands and appeal letters.

“Convergent has brought an unparalleled level of professionalism and expertise to our collection solution, ultimately improving the hospital’s financial position to help in the rebuild of our entire main campus,” said Charles Reitano, Vice President of Revenue Cycle for Cooper.

Cooper also chose Convergent for its strong reputation as a provider of complimentary educational services to help hospital staff improve their confidence and performance managing difficult accounts, and for helping clients establish leading practices for claims processing and adjudication.

“Convergent workshops provide our staff with regulatory knowledge and insurance industry insights that help minimize claim delays and denials, adds Reitano. “The knowledge that Convergent regularly shares keeps us abreast of the most current regulations and helps us to continually enhance our own internal processes. Convergent is committed to helping us not only collect on our aged accounts but to also educate our staff to help resolve the systemic “root cause” problems we have had that lead to these denied and aged accounts.”

“Convergent’s long term partnership goal with our clients is to not only provide high quality revenue cycle management solutions but to also pro-actively assist our healthcare provider partners resolve the major systemic issues that cause delays in payment, or no payment at all, for services performed,” says Derek Pickell, CEO of Convergent.

For more information or to access the case study, visit www.convergentusa.com/healthcare.

 

About Convergent Revenue Cycle Management, Inc.

As the premier niche revenue cycle management company in healthcare, Convergent provides innovative solutions across the entire revenue cycle spectrum including front-end patient access, early out self-pay collections, attorney-powered third party reimbursement and bad debt recovery (through Convergent Healthcare Recoveries, Inc.). Our regulatory expertise and consumer focused patient contact center technology optimize revenue cycle performance and improve healthcare provider relationships with patients. The healthcare division has operation centers in Virginia, Texas, New York, Florida, and Illinois.

 

About Convergent Resources, Inc. (CRI)

Headquartered in Atlanta, CRI is one of America’s largest revenue cycle, receivables and customer care management companies with thirteen operating centers across four time zones. The company provides healthcare revenue cycle management, consumer contact outsourcing services and commercial receivables management to a variety of healthcare providers, utilities, financial institutions and others.

 



July 2, 2013


Topic Area: Press Release


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