Industry: Healthcare

Opportunity/Challenge​

– Hospital and Clinic Systems receive electronic ​payments and remittance notices from a variety ​of sources and payers including Patients, Large Multi-National Insurers, Regional Insurers, Federal Government Programs (Medicare/Medicaid) and State Programs​. Payments are often co-mingled; representing reimbursement for more than one billing entity or claims from more than one practice management system​

– Systems must ensure that what is received & deposited (receipts) is being posted accurately to patient accounts ​and credited to the appropriate business unit ​(revenue recognition)​

– Too many manual processes exist ​around cash application and reconciliation​

Outcome

– Track and reconcile ~$55M in cash monthly, ​allowing for the re-allocation of more than 20 ​full-time employees, saving $1.5M annually​

– Quick realization and comprehensive ​reconciliation of cash receipts throughout ​the organization​

– Ability to track payments from patients, insurance companies, ​government agencies and all other partners providing immediate data regarding unposted receipts and uncorrelated payer remittances​

– Ability to facilitate total cash reconciliation between central bank ​accounts, practice management systems, and general ledger each month​

– Improved time and efficiency by taking a process that used to take ​weeks to finish to now being completed in hours​