Skip to Content FinThrive logo FinThrive logo
  • How We Help
    • Outcomes
      • Submit Clean Claims
      • Improve Operating Margins
      • Reduce A/R Days
      • Maintain Compliance
    • Markets
      • Hospitals and Health Systems
      • Ambulatory and Physician Practices
      • Payers
      • Partners and Resellers
      • Life Sciences
    • Solutions
      • Patient Access
        • Access Coordinator
        • Virtual Intake
      • Revenue Integrity
      • Revenue Collect
        • Claims Manager
        • Contract Manager
      • Revenue Recovery
        • Insurance Discovery
        • A/R Optimizer
        • Government Reimbursement
      • Intelligence
        • Analyze
        • Learn
        • Automate
        • Our SDOH Story
    • Trending Topics
      • The Revenue Cycle Technology Adoption Model (RCMTAM)
      • Cyber Resilience
      • Embrace Disruption
  • Our Platform
  • Resources
      • All Resources
      • Blogs
      • Case Studies
      • Events & Webinars
      • Guides
      • Infographics
      • Podcasts
      • Reports
      • Speakers Bureau
      • Testimonials
      • Videos
      • Webinars On Demand
  • About Us
      • Why FinThrive
      • Customer Success
      • ELT
      • Press Releases
      • Media Coverage
      • Security
      • Careers
        • Careers - U.S.
        • Careers - India
    • We're here to help!

      Have a question or want to learn more?

      Contact Us
Contact Us
  • Impacted by a connectivity outage?
  • Community Portal
  • Product Login
  • How We Help
    • Outcomes
      • Submit Clean Claims
      • Improve Operating Margins
      • Reduce A/R Days
      • Maintain Compliance
    • Markets
      • Hospitals and Health Systems
      • Ambulatory and Physician Practices
      • Payers
      • Partners and Resellers
      • Life Sciences
    • Solutions
      • Patient Access
        • Access Coordinator
        • Virtual Intake
      • Revenue Integrity
      • Revenue Collect
        • Claims Manager
        • Contract Manager
      • Revenue Recovery
        • Insurance Discovery
        • A/R Optimizer
        • Government Reimbursement
      • Intelligence
        • Analyze
        • Learn
        • Automate
        • Our SDOH Story
    • Trending Topics
      • The Revenue Cycle Technology Adoption Model (RCMTAM)
      • Cyber Resilience
      • Embrace Disruption
  • Our Platform
  • Resources
      • All Resources
      • Blogs
      • Case Studies
      • Events & Webinars
      • Guides
      • Infographics
      • Podcasts
      • Reports
      • Speakers Bureau
      • Testimonials
      • Videos
      • Webinars On Demand
  • About Us
      • Why FinThrive
      • Customer Success
      • ELT
      • Press Releases
      • Media Coverage
      • Security
      • Careers
        • Careers - U.S.
        • Careers - India
    • Contact Us
  • Impacted by a connectivity outage?
  • Community Portal
  • Product Login
Contact Us
Home Blog Current

Capture Hard-to-Find Insurance Coverage

mother and baby at a doctor appointment

In 2020, hospitals across the U.S. saw their median operating margin drop by 55.6%.1 The Coronavirus Aid, Relief, and Economic Security Act (CARES) helped offset escalating expenses, but the pandemic hasn’t been the only factor contributing to ongoing cash flow pressures. Various industry trends—a changing payer mix and rising uncompensated care—play a big role.

Healthcare organizations without a robust revenue recovery plan will face catastrophic financial challenges. That’s why it’s critical to maximize earning potential. Providers need to dig deeper to find missed insurance coverage and untapped dollars. The three reasons below offer insight on why it’s necessary and beneficial.

Not all coverage is easily attainable

Using existing internal systems and processes, most hospitals and health systems can find up to 99% of missed coverage. However, that remaining 1%—which would otherwise stay hidden and chalked up to bad debt—can be the difference between being in the red or black. Capturing this hard-to-find coverage requires the backing of a comprehensive insurance discovery solution. With robust data and analytics, an external partner can search beyond the surface for coverage, going deeper into complex payer scenarios.

Many vendors can’t find coverage either

Most missed coverage comes from self-pay accounts. And while recovering an additional .5% to boost your margin can be significant to your organization’s overall financial health, finding up to a full 1% is optimal. The problem is most external vendors don’t, and aren’t equipped to, look beyond self-pay.

FinThrive is different—we do.

Our comprehensive data and analytics capabilities search more complex cases, such as:

  • Potential coordination of benefits opportunities on Medicaid accounts
  • Medicaid as a secondary payer, driving increased Disproportionate Share Hospital (DSH) days and Dual-Eligible Bad Debt reimbursements
  • Data needed to maximize reimbursements through the Medicare cost report

Finding this coverage improves your overall profitability

To remain competitive—and in some cases, keep doors open—it’s critical that hospitals and health systems ensure all earned revenue becomes paid revenue. Going that extra mile, by employing an insurance discovery solution that finds hard-to-find coverage can pay dividends in the long run.

FinThrive insurance discovery solutions can maximize revenue by digging deeper to identify hidden coverage—leading to a healthier bottom line.

Maximize your earning potential. Learn more about FinThrive solutions for Revenue Recovery.

Source*: https://www.kaufmanhall.com/sites/default/files/2021-01/nationalhospitalflashreport_jan.-2021_final.pdf

 

View All Blogs


  • Share
  • Share
  • Share

two happy colleagues near a computer
The Future of Healthcare Revenue Cycle Management
05/01/25 Read
doctor helping patient
Leveraging Data Analytics to Enhance CDM Effectiveness
04/11/25 Read
professional businessman looking at tablet
Medicare DSH Payments 101
04/08/25 Read

Imagine revenue cycle management without the friction

See how it’s possible with FinThrive

phone-icon

Password resets /
critical issues
800-390-7459

For non-critical issues
or requests, visit our
Community Portal

  • How We Help
    • Patient Access
    • Revenue Integrity
    • Revenue Collect
    • Revenue Recovery
    • Intelligence
  • Resources
    • Blogs
    • Podcasts
    • Events & Webinars
    • Press Releases
  • About Us
    • Why FinThrive
    • Executive Leadership
    • Careers
    • Our Platform
    • Sustainability Report
    • Code of Ethics
  • Customer Support
    • Contact
    • Community Portal
    • Product Login
FinThrive logo
© 2025, FinThrive. All Rights Reserved.
  • Transparency in Coverage
  • Privacy Policy
  • Terms and Conditions
  • CCPA Privacy Notice