The technology in Paradigm, a navigation platform, helps surgeons digitally map and visualize the surgery site. It also has the potential to decrease complications and make operations more efficient.
After redevelopment, the new Methodist Hospital Landmark location will have 54 beds, 12 operating rooms and 27 private patient rooms.
The facility will allow them to have more capacity as a system since it happens to be in a growing part of the city of San Antonio.
One can only hope they get enrolled in the underpayment recovery service which would be a risk-free addition to their RCM (Revenue Cycle Management) efforts. This forensic audit is performed on remittances AFTER all other RCM efforts have been completed including other internal or external underpayment recovery efforts. They only engage remittance files that our clients expect no further revenues from. Therefore, our services compliment all other RCM efforts and provides new revenues…100% of the time.
We work solely on a contingency basis. There are no upfront fees, costs, ongoing tasks required from our clients. We take on 100% of the risk and effort to recovery revenues for our clients. We are only compensated when we successfully recover underpayments.
Larry G. Potter
Senior Advisor
Text 1-847-872-4047 for any questions.
Source: Moody's Investors Service, "Medians - Operating performance weakens as tough expense environment persists." The report was released Sept. 7, 2023 and includes data from freestanding hospitals, single-state and multistate healthcare systems for the 2022 fiscal year.
1. Operating margin: -0.3 percent
2. Excess margin: 2.4 percent
3. Operating cash flow margin: 4.9 percent
4. Return on assets: 1.7 percent
5. Three-year operating revenue CAGR: 6.5 percent
6. Three-year operating expense CAGR: 7.7 percent
7. Cash on hand: 205.6 days
8. Annual operating revenue growth rate:
9. Annual operating expense growth rate:
10. Total debt-to-capitalization: 31.9 percent
11. Total debt-to-operating revenue: 31 percent
12. Current ratio: 1.7x
13. Cushion ratio: 24.9x
14. Annual debt service coverage: 4.0x
15. Maximum annual debt service coverage: 3.6x
16. Total debt-to-cash flow: 3.6x
17. Capital spending ratio: 1.1x
Over 400 hospitals and medical facilities are now using an underpayment recovery service that is a risk-free addition to their Revenue Cycle Management (RCM) efforts.
This forensic audit is performed on remittances AFTER all other RCM efforts have been completed including other internal or external underpayment recovery efforts.
The company only engages remittance files that their clients expect no further revenues from. Therefore, their services compliment all other RCM efforts and provides new revenues…100% of the time.
The Underpayment System historically uncovers 5-30% of commercial payments which have been paid incorrectly on every analysis. Their collection statistics for commercial payer underpayments are 85-90% of identified claims. The majority of contracts allow providers to appeal claims that have been underpaid or paid incorrectly for up to 12 months from the last response by the insurer.
After 12 months, they will expire, at which point hosputals will never be able to bill or collect. This system recovers additional underpayments owed on zero balance accounts. Dollars underpaid after EMR/EHR and billing systems have fully processed claims as “PAID IN FULL”.
Larry G. Potter
Senior Advisor
One, Rumford (Maine) Hospital closed its maternity program March 31 after 97 years in service!!
UChicago Medicine AdventHealth GlenOaks hospital in Glendale Heights, Ill., plans to discontinue its obstetrics services.
Charlotte, N.C.-based StarMed Healthcare announced it was closing two satellite locations July 19.
Many of these could have been avoided by making use of an underpayment recovery program that these hospitals used with all work being performed solely on a contingency basis. How long does it take to complete your analysis audit process?
Minimum facility time is 30 minutes or less to upload 835-electronic billing records through our proprietary encryption platform, which uses the highest HIPAA standards. Once we have received all contracts and data files it typically will take around 14 days to complete the analysis and start the appeals process.
Sample Case Studies:
• 123-bed Texas hospital: $6 million in underpayments through BCBS alone.
• 142-bed Louisiana hospital: $10 million+ in underpayments for top 4 payors.
• Large Pennsylvania Private Hospital: $1.2 million in underpayments from their 4th largest payer. Represents 18% of their collections for the payer.
• A hospital network: $30 million in underpayments from just three facilities.
• A large Ohio physician group: $7 million in underpayments in BCBS professional alone.
• A Tennessee clinic: $1 to $1.5 million in underpayments per payer contract
• Small Texas Community Hospital: $4,048,555.44 in underpayments from BCBS alone.
• A Missouri hospital: Over $20 million in underpayments
Larry G. Potter
Lgpotter33@gmail.com
1. Mayo Clinic-Rochester (Minn.)
2. Cleveland Clinic
3. Massachusetts General Hospital (Boston)
4. The Johns Hopkins Hospital (Baltimore)
5. Mount Sinai Hospital (New York City)
6. MD Anderson Cancer Center (Houston)
7. Memorial Sloan Kettering Cancer Center (New York City)
8. Brigham and Women's Hospital (Boston)
They are using smart technologies including the use of electronic functionalities, telemedicine, digital imaging, artificial intelligence, and robotics.
Your Growth & Health Are Our Business
The four most recent include:
1. Cleveland (Texas) Emergency Hospital
2. San Antonio-based Texas Vista Medical Center, part of Dallas-based Steward Health Care
3. Trinity Regional Hospital Sachse (Texas) filed for bankruptcy at the end of August.
4. The Hospital at Westlake Medical Center, a physician-owned hospital in Westlake Hills, Texas
It's possible all 20 could have avoided that scenario using the services of ADHC
This Recovery System consists of a team of payer contract experts and the most advanced forensic audit software system in the healthcare space. Their audit analyzes every remittance received in a 12-to-24-month period to determine contractual compliance of each reimbursement. The team then works with the payers to recover underpayments that are due their clients.
With a 100% success rate their results are unrivaled working solely on a contingency basis.
Contact Larry Potter at Lgpotter33@gmail.com for immediate info, don't wait for the storm to slam into you!!
Your Growth & Health Are Our Business
It's probably because the volume of work in their in-tray exceeds the capacity of most firms.
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