In 1997, Apex undertook its first step into the medical collections industry servicing local healthcare clients. Through our expertise of understanding the continuous challenges and shifts in medical reimbursement, and proactively identifying the needs of our clients, our healthcare business has evolved into a premier partner for medical revenue cycle collections.
Today, our physician portfolio ranges from sole practitioners to systems in excess of 1,500 doctors. Our hospital base ranges from rural Critical Access Centers to Academic Medical Centers ranked among the top 20 largest and best equipped in the nation.
At Apex, we understand our medical clients’ needs because we have been there – literally. With a management team boasting years of firsthand revenue cycle experience, we have built a suite of products and services designed to improve our clients’ revenue cycle, reduce administrative and labor costs, and minimize risk. When combined with our extensive level of system integration and our ability to represent our clients within the framework of their organization, the most important part of our process is being a part of yours.
Self-Pay Early Out
Through Account Management Services, our early out partner, we improve the health of our clients’ revenue cycle.
With years of firsthand experience, we’ve built our process from the provider’s perspective, delivering Early Out (Active A/R) solutions that can only come from decades of healthcare management experience.
In today’s marketplace, the continuum of care extends well beyond discharge. As an extension of your business office, the level at which AMS integrates itself with your systems and processes drives results! Through the constant reconciling of inventory and advanced data analysis, our integration allows for an unmatched level of partnership.
We provide a seamless, consistent presentation to your patients-aligning ourselves around your strategies, and protecting the reputation you’ve worked hard to earn.
Offering advanced analytics and transparent reporting to monitor and identify shifts in client revenue cycles, combined with a dedicated 100% CPAR-certified insurance department, AMS has the ability to handle high volumes of claims and data with leading industry experience. The result: effective resolution of both patient responsibility and undiscovered or unresolved insurance with complete responsibility and total account resolution for our clients’ self-pay Accounts receivables. Click here for more information.
At Apex Asset Management, we understand the specific needs of healthcare collections. Our technology and expertise allow us to accelerate cash flow and increase recovery, while managing our clients’ medical portfolios within the guidelines of their individual policies and procedures.
Our commitment as our clients’ Third-Party Bad Debt partner is to operate and customize our process within the framework of each individual organization, helping to resolve accounts in a way that is consistent with their procedures and sensitive to their position in the market.
Our account flows are mapped using a combination of patient and hospital/medical practice data, tailored to specific write-down practices and insurance flows–resulting in maximized recovery and resolution with minimized burden of compliance and monitoring from your staff.
Eligibility Insurance Screening
Using a Batch Eligibility custom-developed application, our ability to uncover billable health insurance for our client’s extends well beyond traditional industry vendors. With an unmatched hit rate and built-in accuracy, we are able to increase efficiency, accelerate cash flow and improve your patient satisfaction.
In addition to uncovering billable primary, secondary, and retroactive insurance, our dedicated insurance department has the ability to handle high volumes of claims, submitted seamlessly though your own system. With provider-based experience to resolve even the most complex unpaid or denied insurance accounts, we accelerate payment and free your staff to focus on other opportunities.
For our hospital clients wanting to enhance their charity write-off process, Apex incorporates our Presumptive Charity solution seamlessly into our bad debt flow. Immediately upon listing, just as our eligibility scrubs ensure all third party payers have been exhausted; our Presumptive Charity solution then identifies those in the community in need of assistance. With minimal impact on bottom line revenue, this powerful tool reduces your bad debt write offs, optimizes charity assignments, and we seamlessly integrate back into your system.
Our Presumptive Charity models are always validated with your patient history and tailored to enhance your charity policy.
Large Balance Review
The value of these claims can have a significant financial impact on your bottom line. With a dedicated high-balance review team, Apex investigates every avenue of reimbursement and recovery.
Should a client elect to pursue legal action, Apex will review qualified accounts for legal collection. Our resources and technology ensure accurate recommendations, resulting in suit of only those accounts that will successfully generate reimbursement for our clients while respecting their position in the community.
Our commitment as our clients’ Third-Party Bad Debt partner is to operate and customize our process within the framework of each individual organization
With the launch a custom 270/271 search engine, Apex loads accounts based on the financial class of each client, and scrubs for uncovered primary, secondary and retroactive coverage. Processing real-time eligibility services, Apex submits 270 transactions using payer-specific algorithms. The result: an unmatched rate of discovery, rivaled only by that of its own accuracy from human review of valid coverage.
Through a cross section of the Federal Poverty Guideline and each patient’s unique propensity to pay, Apex offers our clients the automated ability to meet internal write-off requirements while providing a community service through reducing/forgiving account balances for those in financial distress. Not only is this Form 990 Schedule H compliant model fully customizable to each of our client’s needs, but it’s based off their very own patient population’s historical data for an unparalleled level of accuracy. When bundled with batch eligibility, our Presumptive Charity model becomes a very valuable tool to increase charity while minimizing cash flow impact.