REVENUE MANAGEMENT

Increase cash collections and optimize yield

With increased complexity of payor contracts and escalating volumes of small balance claims, maximizing cash collections for A/R inventory is challenging for many health systems and physician groups.  

We can help maneuver through the intricate payor processes and deliver improved net revenue and yield performance. Whether you need a one-time clean-up project or a comprehensive revenue management operation, we can meet your need.  

Let’s Talk

CASE STUDY

Academic Health System — 2 Hospitals, School of Medicine

Transform and optimize revenue cycle processes with Conifer’s Revenue Management solutions

“Conifer has been an unbelievably understanding and cooperative partner during our transformation. They have dedicated enormous resources toward the health system that has continued greatly to our successes.”

Health System
Chief Financial Officer

$130M

PER YEAR IN ADDITIONAL CASH COLLECTIONS

$130M

PER YEAR IN ADDITIONAL CASH COLLECTIONS

41%

REDUCTION IN A/R DAYS

41%

REDUCTION IN A/R DAYS

Deliver Exceptional Patient Experience. Minimize Future Denials. Improve Cash Collections.

Our Revenue Management solutions optimize speed and completeness of payment. Whether you are needing cleaner claims submission to reduce denials, deeper payor payment and process understanding, or patient-centric self pay avenues, we can help deliver a stronger bottom line.

Ensure clean claims and compliant billing

Conifer Health’s Claims Submission solution takes a consultative approach that is focused on improving cash collections and account resolution through deep payer analysis and identifying trends that may present hidden recovery opportunities.

Our solution includes:
  • Pre-bill holds management
  • Clearinghouse edit management
  • Electronic claims submission
  • Expertise across standard and specialty billing types
  • Proprietary regulatory requirements compliance process
  • Automated workflows
  • CMS, Medicare and Medicaid compliant billing
Achieve full reimbursement and reduce time-to-cash

Conifer Health’s Third-Party Resolution solution leverages automation and technology to efficiently and effectively accelerate providers access to earned revenue.

Our solution includes:
  • Automated claims status and appeals
  • Remittance process
  • Payment variance identification
  • Predictive modeling to maximize cash collection and reduce aging
  • Flexible business model – targeted to full inventory
  • Payor behavior analytics and trending
  • Lower operational cost
  • Expedited follow-up processes
Preserve revenue and prevent future denials

Conifer Health’s Denials Management solution gives providers the power to recoup revenue lost through inappropriate clinical, technical and administrative denials – capture full reimbursement.

Our solution includes:
  • Clinical Denial Prevention, Review and Appeal
  • Clinical and Technical Underpayment Review and Appeal
  • Government Audit Review and Appeal
  • Automated appeal templates
  • Predictive modeling to expedite cash collections
  • Automated workflows and worklists
  • Trending of account metrics, performance and payer behavior
Improve cash flow and resolve outstanding A/R inventory

Conifer Health’s Self-Pay and Balance After Insurance (BAI) Collections solution provides a compliant, patient-first approach to capturing revenue and providing exceptional customer service.

Our solution includes:
  • Robust contact center operations
  • Flexible payment model – self-service and full-service
  • Defined patient escalation and account handling
  • Propensity-to-pay modeling
  • Multi-channel communications
Ensure clean claims and compliant billing

Conifer Health’s Claims Submission solution takes a consultative approach that is focused on improving cash collections and account resolution through deep payer analysis and identifying trends that may present hidden recovery opportunities.

Our solution includes:
  • Pre-bill holds management
  • Clearinghouse edit management
  • Electronic claims submission
  • Expertise across standard and specialty billing types
  • Proprietary regulatory requirements compliance process
  • Automated workflows
  • CMS, Medicare and Medicaid compliant billing
Achieve full reimbursement and reduce time-to-cash

Conifer Health’s Third-Party Resolution solution leverages automation and technology to efficiently and effectively accelerate providers access to earned revenue.

Our solution includes:
  • Automated claims status and appeals
  • Remittance process
  • Payment variance identification
  • Predictive modeling to maximize cash collection and reduce aging
  • Flexible business model – targeted to full inventory
  • Payor behavior analytics and trending
  • Lower operational cost
  • Expedited follow-up processes
Preserve revenue and prevent future denials

Conifer Health’s Denials Management solution gives providers the power to recoup revenue lost through inappropriate clinical, technical and administrative denials – capture full reimbursement.

Our solution includes:
  • Clinical Denial Prevention, Review and Appeal
  • Clinical and Technical Underpayment Review and Appeal
  • Government Audit Review and Appeal
  • Automated appeal templates
  • Predictive modeling to expedite cash collections
  • Automated workflows and worklists
  • Trending of account metrics, performance and payer behavior
Improve cash flow and resolve outstanding A/R inventory

Conifer Health’s Self-Pay and Balance After Insurance (BAI) Collections solution provides a compliant, patient-first approach to capturing revenue and providing exceptional customer service.

Our solution includes:
  • Robust contact center operations
  • Flexible payment model – self-service and full-service
  • Defined patient escalation and account handling
  • Propensity-to-pay modeling
  • Multi-channel communications

Industry Insights and Perspectives

How Can We Help?