In traditional medical collections, healthcare providers are competing against banks, credit cards, mortgage brokers, consumer finance companies and a host of other creditors for limited patient dollars. It's "every creditor for himself." Achieve offers a radically different approach. We evaluate the patient's whole financial health, drilling down to determine actual income, monthly expenses, total debt load, and allocation of household finances. Next, we develop a personalized plan to attack the patient's debt, including a household budget and opportunities to create additional cash flow.
Amkai provides comprehensive information management solutions to the full spectrum of outpatient surgery providers - ASC's, surgical hospitals and affiliated surgical practices. By comprehensive, we mean software that helps you manage the administrative and clinical sides of your business from start to finish. Our growing product suite includes not only a leading EMR for our industry, but also a next-generation management software solution designed to replace and enhance the "legacy" systems in use today. The Amkai team's extensive experience in the outpatient surgery industry positions us well to bring substantial new streamlining and added benefits to the market.
In 1979, the American National Standards Institute (ANSI) chartered the Accredited Standards Committee (ASC) X12 to develop uniform standards for interindustry electronic interchange of business transactions - electronic data interchange (EDI). ASC X12 develops, maintains, interprets, publishes and promotes the proper use of American National and UN/EDIFACT International Electronic Data Interchange Standards. The ASC X12 body comes together three times each year to develop and maintain EDI standards. Its main objective is to develop standards to facilitate electronic interchange relating to such business transactions as order placement and processing, shipping and receiving information, invoicing, and payment and cash application data, and data to and from entities involved in finance, insurance, education, and state and federal governments. Together, committee members develop and promote EDI standards that streamline business transactions.
In 2001, a team of forward-thinking professionals at Blue Cross and Blue Shield of Florida, Inc. and Humana Inc. sought to empower and connect all Florida health care professionals with a smarter, online approach to electronic claims and other daily health plan transactions. Availity combines dynamic technological innovation with an in-depth understanding of the health care industry. Our unique business model is based on the mutual benefits of collaboration and expansion of our network - not fee-based profits. We strongly believe that collaboration is the only way to reduce the rising administrative costs for all participants in the health care system.
Established in 2007 from the merger of Mellon Financial Corporation and The Bank of New York Company, Inc., BNY Mellon is a leading asset management and securities services company, uniquely focused to help clients manage and move their financial assets and succeed in the rapidly changing global marketplace. Headquartered in New York, BNY Mellon has $24.4 trillion in assets under custody or administration and $1.14 trillion under management.
Ingenix Claredi Classic has been a leader in HIPAA testing and certification since 2001, assisting more than 3,500 health care organizations of all types and sizes in achieving HIPAA 5010 and 4010 A1 transaction compliance. The result? Reduced levels of pre-production testing. When providers are certified, you know they are capable of creating compliant transactions.
The Cooperative Exchange was established in 2002 to expand electronic healthcare transactions among participants in the healthcare industry. It is the recognized resource and representative of the clearinghouse industry for the media, governmental bodies and other outside interested parties. We are committed to achieving improved and more efficient connectivity for electronic healthcare transactions. The association addresses regulatory and compliance issues pertaining to the industry through whitepapers and dialogue with government officials.
CAQH launched the Committee on Operating Rules for Information Exchange (CORE) with the vision of giving providers access to eligibility and benefits information before or at the time of service using the electronic system of their choice for any patient or health plan. CORE is more than 115 industry stakeholders - health plans, providers, vendors, CMS and other government agencies, associations, regional entities, standard-setting organizations and other healthcare entities. CORE participants maintain eligibility and benefits data for more than 150 million commercially insured lives plus Medicare and Medicaid beneficiaries.
Founded in 1993, the Electronic Healthcare Network Accreditation Commission (EHNAC) is a federally-recognized, standards development organization and tax-exempt, 501(c)(6) non-profit accrediting body designed to improve transactional quality, operational efficiency and data security in healthcare. The Electronic Healthcare Network Accreditation Commission (EHNAC), an independent, 501(c)(6) not-for-profit accrediting agency, grew out of the 1993 Workgroup for Electronic Data Interchange (WEDI), sponsored by the Network Architecture and Accreditation Technical Advisory Group. The healthcare transactions industry agreed there was a need for a self-governing body to develop standards for the industry, and the Association for Electronic Health Care Transactions (AFEHCT) championed the cause by sponsoring an Accreditation Workgroup.
Fujitsu is a leading provider of ICT-based business solutions for the global marketplace. With approximately 173,000 employees supporting customers in 70 countries, Fujitsu combines a worldwide corps of systems and services experts with highly reliable computing and communications products and advanced microelectronics to deliver added value to customers. Fujitsu delivers total solutions in the field of information and communication technology. Along with multifaceted services provision, our comprehensive business encompasses the development, manufacture, sales and maintenance of the cutting-edge, high-quality products and electronic devices that make these services possible.
HBMA was formed in 1993 by a core group of individuals who had a vision of a forum, rich in resources, to guide their collective efforts towards a highly professional image within the medical community. Over the past decade HBMA has responded to the many challenges facing our industry. No longer does this industry live in a world of super bills and paper claims, but rather in a world of electronic claims and remittance. Technology now rules the world of medical claims processing and HBMA is central to not only managing the adjudication of claims, but the rules that govern the process.
HFMA is the leading membership organization for healthcare financial management executives and leaders. Its more than 35,000 members value the Association's role as a respected thought leader on top trends and issues facing the healthcare industry. HFMA is the nation's leading membership organization for healthcare financial management executives and leaders. More than 35,000 members - ranging from CFOs to controllers to accountants - consider HFMA a respected thought leader on top trends and issues facing the healthcare industry. HFMA members can be found in all areas of the healthcare system, including hospitals, managed care organizations, physician practices, accounting firms, and insurance companies.
HFMA's Peer Review process is designed to provide healthcare financial managers with an objective third party evaluation of products and services used in the healthcare finance workplace. The Peer Review process consists of a rigorous eleven-step high-level screening process by a peer review panel consisting of current customers, prospects who have not made a purchase and expert HFMA Peer Review Board members.
Jopari Solutions, Inc. (Jopari) is a privately-held California C corporation operating in the state of California since November 2003. Jopari supplies world-class solutions in the area of enterprise payment and remittance processing. Our Mission is to be an industry leading outsourcing company. By combining clarity of vision with performance excellence and through the efficacious application of technology and business practices, we provide significant cost savings and operational efficiency for our clients. As our clients prosper, so do we.
MedCore - An Unmatched Healthcare IT Pedigree - From its inception, SSI has offered recovery services to the healthcare industry. Initially administered through its Business Services Division, the demand for these billing, self-pay, insurance recovery and collections services grew exponentially. As a result of that success and growth, MedCore, Inc. was formed in 2003 to provide collection services as a separate and identifiable business model to work within FDCPA guidelines. Over the past six years, MedCore has performed collection services for clients from Virginia to Florida to Texas. Our concentration on the southeast United States naturally evolved from our geographic locale of Mobile, Alabama and allowed us to quickly respond to clients within our region. MedCore's current client base includes university, local non-profit and for-profit hospitals, as well as burgeoning physician and specialty clinics.
MedWorth is a wholly owned subsidiary of The SSI Group, Inc. MedWorth's A/Rchitect solution's features and benefits include: receivables management services; advanced analytics; industry research, revenue cycle performance; collateral management; and operations tracking.
Siemens AG (NYSE: SI) is a global powerhouse in electronics and electrical engineering, and operates in the industry, energy and healthcare sectors. For more than 160 years, Siemens has built a reputation for leading-edge innovation and the quality of its products, services and solutions. With 405,000 employees in 190 countries, Siemens reported worldwide sales of $104.3 billion in fiscal 2009. With its U.S. corporate headquarters in Washington, DC, Siemens in the USA reported sales of $21.3 billion and employs more than 60,000 people throughout all 50 states and Puerto Rico.
TSA was founded as Technical and Scientific Application, Inc. in 1986 and primarily served the engineering and scientific community as an IT solution designer and purveyor. As a certified and trusted HP Elite Partner, TSA continues to leverage its experience and product knowledge to serve its customers by providing both standardized and customized IT solutions that span across all industries; cost-effectively solving the easiest to the most complex business issues. TSA recognizes the importance of highly skilled client support and offers a full range of services to quickly and expertly address business needs and desires. Our promise to our customers is to provide the highest quality products, solutions and services that improve business agility and reliability, and quickly delivers customer satisfaction.
Unified Health Services manages worker's compensation claims from "patient registration to cash application". We know processing work comp claims is difficult, so we combined payer system expertise and technology to create better ways for providers to manage their work comp revenue cycle. We also know effective management of work comp claims begins at patient access and a coordinated effort from patient registration to cash application is critical for payment. UHS is a leading supplier of work comp claims management solutions to hospitals and medical groups. At patient access, we determine benefit eligibility, obtain treatment authorization, and gather all relevant claim data. We become the provider's single work comp bill-to and accept all bills and attachments electronically through SSI. We distribute invoices to claim payers, perform all collection work, and monitor reimbursements for accuracy. Through SSI we provide 835 ERAs for automated application of all work comp payments. Results include lower A/R, cost reductions, and better collection yields in the work comp payer class.
The Workgroup for Electronic Data Interchange (WEDI)'s core purpose is to improve the administrative efficiency, quality and cost effectiveness of healthcare through the implementation of business strategies for electronic record-keeping, and information exchange and management. Its mission is to provide multi-stakeholder leadership and guidance to the healthcare industry on how to use and leverage the industry's collective technology, knowledge, expertise and information resources to improve the administrative efficiency, quality and cost effectiveness of healthcare information.
The Wellington Group, LLC (Wellington) is a healthcare consulting and software solutions firm that helps hospitals nationwide to improve their financial and operational performance. The company's approach combines consulting services delivered by our clinical and financial experts with unique software solutions to improve your coding, billing, charge master, compliance and revenue cycle processes. Formed in 2001, Wellington is committed to providing high quality, high value consulting services and software. Wellington recognizes that a key to client satisfaction is exceptional service. The firm's philosophy is to have a management team member not only lead, but take an active role in service delivery. This hands-on style allows Wellington to get to know customer organizations better and provide more personal service.