Featured Content

    FinThrive_EXEC_Insurance Discovery-Four Ways to Uncover Hidden Revenue-svg

    Four Simple Steps to Uncover Hidden Revenue 
    You could be missing out on millions in annual revenue. Learn how to recover every earned dollar.

    Featured Content

      FinThrive_EXEC_Revenue Management Automation Guide-svg

      Your Guide to an Autonomous Revenue Cycle
      Plot a course toward forward-thinking innovation that improves efficiency, the patient experience and your bottom line.


      Watch & Listen


      Featured Content

        FinThrive_EXEC_SDOH Data Guide-svg

        Advance Health Equity Through Data
        Learn actionable strategies to turn robust data into powerful patient and member experiences.

        Capture Hard-to-Find Insurance Coverage

        Featured Image

        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

        Reduce Denials with These Four Tips to Uncover Hidden Coverage

        A recent report by The Kaiser Family Foundation showed that claim denials are on the rise, with some plans reaching up to 80% in denials. Based on...

        Read More

        3 Ways Providers Can Navigate the End of the Public Health Emergency

        On May 11, 2023, the federal Public Health Emergency (PHE) will expire, and along with the Consolidated Omnibus Act, will impact coverage for...

        Read More

        Uncover Missed Health Insurance Coverage with Automation

        Hospitals grapple with many complex issues that impact their financial health—staffing shortages, policy changes, retail competitors. However, one of...

        Read More