Price transparency beyond a chargemaster.

In today’s healthcare market consumers rarely know what they will owe for services until after they’ve received them. Use price transparency as a competitive differentiator while also complying with CMS rules for Medicaid FY 2019 IPPS/LTCH PPS with a true and accurate picture in real-time.

Give your patients the clarity they need.

MySurePayHealth™ is a self-service web application that is white-labeled and embedded directly into your website. It automatically pulls an individually-tailored estimate from the most currently available levels of coverage. Our rules engine automatically queries, retrieves and merges data from payers with your charge master data and payer contracts. We obtain coverage details down to the individual plan and service type level, with the output being a highly accurate estimate of patient benefits.


“Recondo pulls info that isn’t easily obtained. It gets everything out there, including what we need to estimate the patient’s financial responsibility. I would absolutely recommend this product.”
— Betty Wikoff, Corporate Director Patient Access

Mercy Health

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Completely self-service patient estimates

Retrieves real-time insurance benefit information from the patient’s insurance company based upon the healthcare services the patient selected.

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Automated Prompt Pay Discounts

Information displays for patient accounts who have a Patient Financial Responsibility (PFR) greater than 0.

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Standard Bundled Charges

Attaches known charges that typically pair with a given service to the overall estimate so patients get a true out-of-pocket.

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Guided Patient Next Steps

Configurable links for next steps, such as scheduling, payment plans, loan applications, prompt payment capture so you can customize your ideal patient experience.

The advantages of price transparency

Consumers want it, typically because they are trying to understand what they will owe or they are price-shopping. It’s also good business, because patients who understand what they will owe are more likely to be able to pay for care. Plus a full 39 states currently have laws mandating that you make your prices available, and CMS has released several rules that require charges be posted on your website in a machine-readable format.

Consumer demand

Your consumers want an accurate understanding of what they’ll owe for services before they’re rendered so they can plan financially. Prepare them for their out-of-pocket responsibility and they’ll be more likely to visit you instead of a competitor who doesn’t do so.

Good business

The earlier you begin the collection process, the higher the likelihood that you’ll eventually collect. This process begins with providing your patients with an accurate picture of their out-of-pocket responsibility so they can financially prepare to pay for services, either through payment plans or financing.

Government regulation

39 states currently have laws mandating that providers make their prices available to patients, including laws in 20 states that require pricing to be available on your website. CMS’s Meaningful Measures now require that you list standard charges via the Internet in a machine readable formate.

Higher out-of-pocket costs are compelling patients to compare what different providers will charge them. You have to have that information for them to consider your facility.

Recondo pulls info that isn’t easily obtained. It gets everything out there, including what we need to estimate the patient’s financial responsibility. I would absolutely recommend this product. Working with Recondo, everything goes smoothly. Best of all, we’ve seen our point-of-service collections steadily increase.

Betty Wikoff

Mercy Health

Related Resources

Want to be an HFMA MAP winner?

Three of our client organizations were awarded the esteemed HFMA MAP Award last year. See how MySurePayHealth™ supports your MAP achievement.

Aged A/R as a Percentage of Total Billed A/R (AR-1)

Trending indicator of receivable aging and collectability. Indicates revenue cycle effectiveness at liquidating A/R.

Aged A/R as a Percentage of Billed A/R by Payer Group (AR-2)

Trending indicator of receivable collectability by payer group. Indicates revenue cycle effectiveness at liquidating A/R by payer group.

Aged A/R as a Percentage of Total A/R (AR-3)

Trending indicator of receivable aging and collectability. Indicates revenue cycle effectiveness at liquidating A/R.

Bad Debt (AR-6)

Trending indicator of the effectiveness of collection efforts and financial counseling. Indicates organization’s ability to collect accounts and identify payer sources for those who cannot meet financial obligations.

Charity Care (AR-7)

Trending indicator of the administration of the provider’s financial assistance policy. Indicates services provided under the provider’s financial assistance policy.

Late Charges as a Percentage of Total Charges (CL-2)

Measure of revenue capture efficiency. Helps identify opportunities to improve revenue capture, reduce unnecessary cost, and accelerate cash flow.

Net Days in Accounts Recievable (FM-1)

Trending indicator of overall A/R performance. Indicates revenue cycle (RC) efficiency.

Cash Collection as a Percentage of Net Patient Service Revenue (FM-2)

Trending indicator of revenue cycle ability to convert net patient services revenue to cash. Indicates fiscal integrity/financial health of the organization.

Uncompensated Care (FM-4)

Trending indicator of total amounts not collected from patients related to self-pay discounts, charity care, and bad debt combined. Indicates the portion of the self-pay gross revenue not included in cash, charity, or bad debt metrics.

Case Mix Index (FM-5)

Trending indicator of patient acuity, clinical documentation and coding. Supports appropriate reimbursement for services performed and accurate clinical reporting.

Cost to Collect by Functional Area (FM-7)

Trending indicator of operational performance by functional area as reported in KPI FM-6. Indicates the efficiency and productivity of revenue cycle process by functional area.

Conversion Rate of Uninsured Patient to Third-Party Funding Source (PA-6)

Trending indicator of revenue cycle ability to convert net patient services revenue to cash. Indicates fiscal integrity/financial health of the organization.

Point-of-Service (POS) Cash Collections (PA-7)

Trending indicator of amounts not expected to be paid by uninsured patients. Indicates the portion of the self-pay gross revenue not included in cash, charity, or bad debt metrics.

See why the nation's top providers choose Recondo.

The cash flow improvements and cost savings have been very apparent. It’s much less expensive to automate claim status verification with Recondo than add staff.

Mary Wickersham

VP, Central Billing Office, Avera Health

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