Solutions

Recondo provides SurePayHealth to the hospital market as a Software as a Service (SaaS) offering.
- SurePayHealth
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- For more information about Recondo SurePayHealth, download this Recondo Brochure.
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SurePayHealth
Consumers make up a greater percentage of provider revenue than ever before. The consumers come from self-pay categories that include the uninsured, the under-insured, and high-deductible plans emerging in Consumer-Directed Healthcare (CDH) trends. As a result, providers are forced to collect from thousands of consumer patients, in addition to their process of collecting from regular 15 to 20 payers. This trend is increasing, and requires providers to adopt business policies, practices, and systems to address the growing challenge of collecting from patients (which is significantly different and more complicated than submitting an insurance claim).
Collecting from patients requires providers to invest in new technology that provides access to:
- Insurance coverage
- Ability to pay
- Bill calculation
- Point-of-service collection
- Financial aid program qualification and enrollment
By investing in this new technology, providers will realize substantial ROI by supporting essential revenue cycle best practices required to thrive in today’s financially challenging times. SurePayHealth, from Recondo, is specifically focused on helping providers improve their financial interactions with payers and patients. SurePayHealth is made up of many components.
The following flow chart displays the transaction flow across SurePayHealth.

SurePayHealth-Identity Check and Patient Verification
Getting accurate patient identification and demographics up front is the key to reducing errors and mistakes later in the revenue cycle that can be time-consuming and expensive. In SurePayHealth, Access Plus and Eligibility Plus, providers check patient full name, payer, and payer benefit plan (or group number), date of birth, address and phone numbers, and other key demographic information for the patient and guarantor and compare that data against national third-party databases:
- Reducing return mail
- Increasing the accuracy when verifying patient health plan eligibility
- Filing accurate claims and minimizing problems in payer-claim adjudication (i.e. fewer claims denials) and reimbursements.
- Reducing fraud when patients attempt to provide false identity or inaccurate contact information
Patient registration can capture serious identity and demographic errors that create significant rework later in the provider’s processing or claims reimbursement process, and cause a significant loss of funds (bad debt write-off) for providers. By gathering, checking, and validating identity prior to service and at point-of-service, providers streamline the accuracy of all eligibility and claims processes. A single source for identity verification at registration is vital to subsequent steps in the SurePayHealth calculation process and the final claims submission.
Specific Identity Verification Steps
- Extract patient identity and demographic information from the HIS system
- Ask each patient to provide proof of identity for patient and guarantor
- Verify identity of each patient at time of scheduling or point-of-service (registration or check-in) with a third-party source for accuracy
- Update the HIS system for minor differences or corrections
- If potential fraud is detected, alerts highlight concerns for proper actions
SurePayHealth-Eligibility Plus
In most provider organizations, checking insurance eligibility is a time-consuming task, and administrative staff spends many hours each day on the phone with payers verifying patient insurance eligibility. Some payers offer eligibility information via a website, but this is complicated by the constant switching between websites. In some cases, a provider can check eligibility via a third-party service that charges on a per-transaction basis. These current processes are so cumbersome and difficult that eligibility is usually not completed in advance of the patient’s appointment, or administrators make errors and submit inaccurate claims to the wrong health plans (payers), or even worse, errors result in a denied claim weeks later (correct payer but inaccurate patient data).
In addition to the initial POS eligibility check, a provider needs to re-check a patient’s eligibility throughout the payment process. Automatic checks at scheduling, registration, and periodically throughout the entire treatment and payment cycle help providers identify potential payer sources, reducing the number of denied claims, bad debt write-offs, and staff hours while increasing revenue through improved collection rates.
Accurate patient insurance eligibility verification at the time of scheduling or Point-Of-Service (POS) is a provider’s number-one defense against denied claims and reduced reimbursement amounts. A recent HFM feature story, “From a Ripple to a Wave, Why Eligibility Matters.” considers eligibility verification the “most critical” step in driving a provider’s revenue cycle. Zimmerman’s Patient Payment Blueprint considers automated insurance eligibility verification the key to maximize patient payment.
Specific Eligibility Steps
- “Cockpit-like”, common workstation software, via standard requests in the form of 270/271, payer/provider website, and display of key eligibility data including health plan benefits and remaining accumulators, such as deductible status relative to out of pockets costs
- Repeated real-time eligibility check starting at the time of scheduling, with additional re-checks on a nightly basis resulting in a list of follow up eligibility issues that need corrective action
- For patients who claim no insurance, SurePayHealth cross-checks multiple payers for eligibility, using employer connection or most common payers in the local market, to determine whether the patient has active insurance coverage with a payer. In 10% to 30% of cases, insurance coverage does exist for patients who initially indicate that they do not have insurance.
- Additional verification is performed using guarantor or spouse to determine other possible sources of coverage for the patient.
- Confirms that the insurance plan number matches the user assignment in the HIS system, or highlights differences for corrective action.
SurePayHealth – Patient Amount Due Calculator
Most insured patients owe a portion of health care costs. Due to the increasing number of high-deductible plans under Consumer Directed Healthcare (CDH), the amount of money owed by the patient is now significant and is predicted to grow from 10 percent to 30 percent of provider revenue over the next several years. Even if the patient has the ability to pay, if the provider does not collect payment from the patient at the time of scheduling or point of service, the provider’s probability of collecting drops exponentially.
SurePayHealth - Patient Amount Due Calculator uses the specifics of the patient’s health plan for covered versus non-covered service items, provider-payer contractual allowed amounts, co-pays, co-insurance, limits, and status of the remaining accumulators, including deductibles, OOP (Out Of Pocket), and lifetime limits to calculate which portion is owed by the patient. Since accumulators are often not entirely up-to-date due to manual bills flowing through the process, the SurePayHealth calculation may be slightly greater than the final outcome, and as a result, the provider needs a trustworthy process to offer timely refunds to the patient. On the contrary, when the final adjudication process results in amounts due from the patient that are greater than the SurePayHealth calculated amount, then a provider needs a process for presenting the patient with a friendly bill for further collection. There may be factors outside the scope of the solution; e.g., a patient goes in for surgery, experiences unexpected complications, and the patient’s bill ends up being higher.
Armed with the most accurate possible calculation of the patient’s financial responsibility, registration staff and financial aid counselors are able to more effectively communicate with patients at point-of-service regarding payment options and plans.
This new and effective Recondo technology automatically accesses a payer’s benefit plan and then calculates billing payment using all components of a patient’s benefits including current accumulators, producing the following benefits:
- Higher Collection Rates:
When a provider does a good job of setting patient expectations regarding financial obligations before services are rendered, patients are more likely to pay the bills and cooperate with enrollment requirements for financial aid programs.
- Greater Patient Satisfaction:
Patients are more satisfied with their hospital experience when they understand their financial responsibility ahead of time rather than being surprised upon receipt of the Explanation of Benefits (EOB) or bills months later.
SurePayHealth - Credit Checks:
Patients who are uninsured, self-paying, or have high-deductible plans will have a potentially significant amount due at POS. A key step in helping patients deal with this financial obligation is to perform in-depth credit checks using a well-qualified third-party source. Credit checks provide valuable information for the financial counselors to determine which paths to pursue for individual patients. This check indicates whether the patient has the credit ability to pay the amount, and if adequate sources of credit are available, along with their baseline ability to pay. Armed with this information, financial counselors can have a positive advisory discussion with the patient on available options for payment.
Specific Steps:
- With verified identity and demographics information, an in-depth credit check is performed via the qualified third-party, which highlights the ability to pay plus the potential sources of credit.
- Additional credit checks can be performed on the guarantor or spouse for other potential sources of credit.
- With a complete credit picture, a productive discussion can take place between patient and financial counselor about which credit source to use to resolve payment requirement.
SurePayHealth-Check Medicaid or Charity or other Financial Assistance Programs
Until recently, it was very difficult for providers to check other sources of financial assistance to help a patient pay for his or her health care financial obligations. Owing to the complex paperwork, most providers do not even attempt to check available financial assistance. To better assist patients to meet financial obligations, providers must pursue a holistic solution to ensure payment. Providers now have access to technology advancements to evaluate availability of financial assistance. Recondo performs an accurate assessment of Medicaid criteria, and includes a comprehensive listing of local, county, state, and federal charity or financial assistance programs that can may offer help to patients.
Specific Steps
- All patients are asked whether financial assistance is needed or wanted
- For patients needing financial assistance, more detailed interviews, delivered on the Internet via workstation kiosks, or by a financial counselor, are used to outline the patient profile for submission to an automated process that searches for applicable programs
- Pursue all potential for financial assistance, such as:
- Medicaid
- Charity – county, state, federal, and private programs
- Other programs (such as those for undocumented aliens)
SurePayHealth-Stratification of Self-Pay Accounts
Since providers face a major challenge in prioritizing payment and collection efforts, Recondo helps provider professionals by developing priority queues. Recondo creates the best stratification based on provider-specific criteria, which include highest amounts, highest ability to pay, opportunity to pursue financial assistance programs, and other issues. In addition, the providers can seek to use financial products to help patients meet health care costs. Providers then submit rankings of self-pay accounts to automated processes that search for payer coverage or financial assistance programs. Providers can also add incentives to patient-friendly bills and discussions to increase the probability of payment. Providers also determine other key criteria such as collection goals, policies, and practices so some accounts are turned over to outside organizations for collection.
Connect Directly with Recondo Technology
The Recondo Payer Services Team is ready to assist payers committed to delivering the real data their health care providers, employers, and members need. Our developers and analysts can assist in connecting any organization to the Recondo member network and, if needed, overcome challenges associated with delivering the data that will reduce the cost of health care.
Contract Administration in Support of SurePayHealth
Recondo Contract Administration provides the health care contract specialist with an indispensable tool that forms the foundation of SurePayHealth. Contract Administration works in real time to calculate price to help determine patient responsibility.
Rule Entry
Recondo Contract Administration simplifies contract entry and rule creation in several ways.
- Deconstructs the contract sentence-by-sentence and assigns a reference to each sentence
- Maintains a contract reference(s) to each rule for future auditing
- Allows a high level of rule complexity
Summary of Benefits
- Improves financial performance while increasing patient satisfaction
- Improves cash flow
- Reduces bad debt write-off
- Provides a comprehensive and automated solution
- Dramatically increases efficiency
- Easy to deploy and use
- Can integrates with HIS systems or standalone systems
- Improves profitability by reducing operating expenses
- Reduces receivables days sales outstanding (DSO)
- Increases patient satisfaction and loyalty
- Achieves regulatory requirements for pricing transparency
Identity Verification Benefits
- Identifies potential identity fraud up front to reduce bad debt write-off
- Corrects patient demographic information
- Increases net self-pay collection percentages by identifying a patient’s ability to pay
Eligibility Benefits
- Reduces denied claims by 50-90 percent
- Identifies insurance resources for 2-10 percent of reported self-pay patients
- Fits with existing workflows and schedules by employing real-time and batch transactions
- For uninsured patients, Recondo runs a multi-dimensional check for self or spousal insurance
- Increases potential cash collection from self-pay by matching the patients to sources, and improves the process for application into one of these programs:
- Medicaid
- Charity – county, state, federal, or private sources
- Undocumented alien funding for emergency care
- Other
- Recondo identity, eligibility, and SurePayHealth increases charity sources by 2-4 percent. It also reduces bad debt to charity care-eligible patients by 50 percent, reduces overall bad debt by 4-8 percent, and reduces returned mail by 7-14 percent
SurePayHealth-Patient Portion Calculation Benefits
- SurePayHealth determines with 95 percent accuracy the amount due from patients or consumers at POS, particularly for CDH-high deductible plans, improving cash flow and reducing accounts receivables and bad debt.
- SurePayHealth sets patient financial expectations to help patients plan financial obligations
- Since the consumer portion of health care costs is rising from 10-30 percent, SurePayHealth dramatically improves a provider’s ability to collect from consumers
- Decreases the number of rejected claims to below 5-10 percent
- Recondo proactive checks at POS allow for greater efficiency, higher identification of payment sources, and increased collection at the POS, resulting in maximum cash flow along with improved cost effectiveness
- Ranks patients within accounts receivable by largest amount due and greatest ability to pay
- Reduces bad debt
- Accelerates the revenue cycle through increased up-front collections
- Educates the patient prior to service helping to collect more money up front
- Reduces time and expense of managing collections and refunds
