I am Nicole Clawson, Vice President of Finance and Revenue Cycle for Pennsylvania Mountains Healthcare Alliance, or PMHA.
Within my organization, my innovation story with our member hospitals is to provide end-to-end revenue cycle management. Within that end-to-end solution, some of the systems that we have used is the Insurance Discovery within FinThrive.
We found great success. Skeptical at first of how this was going to work out, knowing that our registrars were doing a good job, but I was wowed with the results we had. We did the backend to start so we had trying to capture revenue that way.
There were many things we found. The biggest influence in wanting to progress with putting it in the front end was we found retro Medicaid insurance primarily, which was a huge success for us. We are looking now to expand that into the front end to catch that before the claims go out the door, any type of insurance discovery that we can capture.
