Case Study
Insurance Discover

Mercy Improves Average Monthly Reimbursement by Nearly $50,000

doctor having conversation with elderly patient

Business issue

Mercy sought ways to cut costs, improve internal efficiencies and find both potential payer coverage for uncompensated care accounts and secondary coverage for patient accounts.

Before FinThrive

High internal inefficiencies

Poor cash collections

High vendor and administrative costs

Solution Highlights

Continuously looks for coverage on all accounts (not just self-pay)

Finds additional payment opportunities from complex cases including Medicaid secondary and potential coordination of benefits opportunities

Identifies commercial policy ID numbers for patients believed to be uninsured

Monitors Medicare and Medicaid for retroactive SSI certification

Customer Overview

Mercy is comprised of more than 40 acute care and specialty hospitals, and 800 physician practices and outpatient facilities

FinThrive Value

$1.77M

Average reimbursement increased from $1.72M to $1.77M per month in six months

$45K

Found an additional $45K per month running behind other vendors

6 mo.

In 6 months, delivered significant value, finding coverage missed by other vendors

Any revenue management process relying on less robust vendor services for insurance discovery solutions may be leaving significant, billable coverage on the table.

In some cases, as demonstrated by this instance, that can translate to millions of dollars in lost earned revenue.

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Revenue management without limits

FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.