Intelligent automation orchestrating real financial outcomes.

You already deliver quality health care. We help you deliver quality financial care to your health system, your patients and your community.

Bon Secours Mercy Health increases POS collections by 95% and adds $15M in net revenue.

Leveraging automated patient financial clearance content in the RevSmart by Recondo platform and workflow optimization by Ensemble Health Partners, Bon Secours Mercy Health has increased cash collections and has seen a 50 percent gain in pre-registration and authorization days out. In total, the combination of RevSmart and Ensemble’s focus on operational execution have resulted in a $15M net revenue increase in a single year. 

Avera Health accelerates $20M in cash flow

Due to rapid growth, outstanding claims have steadily increased — creating a persistent backlog for staff to wade through. Within 18 months of implementing ClaimStatusPlus, they accelerated cash flow by $20M, added $1.1M in timely filing improvement, and avoided hiring 5 to 7 additional FTEs. 

The Queen's Health Systems generates $5M in cash improvements

With 500 inpatient beds and numerous auxiliary services, the business office stays busy following up on the status of hundreds of thousands of claims. Notifications even on approved claims frequently would not arrive until 45 days after service when payment or denials would arrive in the form of remittances.

Within 6 months of implementing ClaimStatusPlus, they saw a 26% reduction in aged accounts over 90 days, reduced monthly untimely write-offs from $1.5M to $19K, eliminated small balance outsourcing and realized $5 million in cash flow improvements.

Recondo leverages artificial intelligence to help you achieve sustainable financial performance while delivering a better patient experience.

Eligibility

Automate discovery of an individual’s current levels of coverage before and after services.

Authorization

Access our authorization suite, including initiation, submission, status, notification and rules.

Estimation

Determine patient financial responsibility, get detailed benefits, and leverage price transparency.

Claim Status

Automate claims follow-up and work by exception only on claims needing remediation.

Deliver a better patient experience

Manage your business operations more efficiently, allowing for more meaningful time with patients.

Empower patients to plan financially.

Provide seamless, patient-friendly access to accurate estimates of their out-of-pocket responsibility and options, increasing their ability to financially plan. Automating authorization management minimizes the risk of delaying care and ensures payment.

Engage in important conversations.

Use automation to optimize your revenue cycle workforce so they can have more important conversations with your patients on payment options and plans. Improve your staff’s productivity and increase their job satisfaction.

Capture more benefits.

Optimizing your technology environment through automation reduces human error and streamlines processes across patient financial clearance, expanding the benefits you can capture.

Thought leaders achieve financial outcomes with Recondo.

Drive efficiency through automation

Streamline the patient financial clearance process and increase yield in the business office.

Decrease eligibility-related denials.

Automatically retrieve and combine data from payer portals and electronic eligibility (EDI 270/271) transactions to present the most complete benefit detail available.

Replace unreliable manual estimates.

Automate the process of calculating a patient’s liability without manual intervention, using managed care contracts, charge master data, and the most current patient benefit information available to create an accurate estimate.

Do more with your resources.

Automate every stage in the authorization process, including whether MedicalNecessity is required and get notifications of inpatient admissions and authorization requests for inpatient direct admissions.

Remove up to 90% of manual claims follow-up.

ClaimStatusPlus™ is an exception-based processing automation solution that eliminates up to 90% of claims from manual follow-up by quickly identifying those that have been approved, retrieving complete claim status data from payer websites and EDI.

See what our technology can do for you

 

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Recondo, Recondo Command Center, ReconBot, and SurePayHealth are registered trademarks of Recondo Technology. Auth-DP, BenefitsPlus, ClaimStatusPlus, eHC Clearing, EligibilityPlus, Empowered by Recondo, EmpoweredBusinessOffice, EmpoweredPatientAccess, Financial Assistance, RegQA, and RevSmart are trademarks of Recondo Technology. MySurePayHealth is a service mark of Recondo Technology. All other trademarks and registered trademarks are the property of the respective trademark holders.