Health Care Claims Management and Medical Billing Solutions

The complex and continually-changing health care reimbursement landscape, combined with human error, can rapidly create claims processing breakdowns and improper medical billing, delay cash payments due to denied or rejected claims, increase your cost-to-collect, and put you at risk for audits, repayments and fines.

Rated as the Category Leader for Claims Management by KLAS for 2015-2016, nThrive delivers a comprehensive software solution that provides visibility across the revenue cycle and integrates with leading Patient Accounting Systems (PAS). Working with nThrive, our clients:

  • Achieve 98 percent payor claims acceptance rate with nThrive’s 28,000+ edits, and bridge routines 
  • Increase average net revenue and find millions of dollars in missed charges through integration with nThrive’s charge-capture audit capability, combining the power of 12,000+ rules with predictive analytics
  • Identify upstream errors and pinpoint root causes and vulnerabilities with denial prevention alerts, dashboard management and accountability reporting
  • Deliver a single source of truth for compliance audits and prevent rework by embedding claim edits within your Epic, Cerner or Allscripts patient accounting system 
  • Eliminate the need for manual posting of corrections through nThrive’s intelligent business logic to resolve inconsistencies across payor 835 files for cash posting
  • Decrease A/R days with nThrive advanced claim status, going directly to payor portals to identify denied, pending or unprocessed claims for biller intervention before the remittance arrives
  • Address your regulatory questions through nThrive’s clinical expert coaching service
Clarendon Health System improves cash flow operations with Claims and Billing Solutions

Best Practices: Cash Flow

Learn how Clarendon Health System cut out 13 Medicare A/R days, finding cash to reinvest in their community.

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Cincinnati Children’s Hospital Medical Center increases net cash collection by more than 3 percent

Case Study

Learn how Cincinnati Children’s gained back six A/R days and improved net cash collection by 3 percent with nThrive

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Claims Management and Medical Billing