Software as a Service

Recondo Services Help Hospitals ...

Collect at Point of Service with ...

Receive Enhanced Patient Eligibility, with ...

Prevent Authorization-Related Denials with ...

Meet UnitedHealthcare Admission Rules with ...


Recondo Technology develops software that brings efficiencies and cost savings to health care payment processing, which currently costs the medical industry a staggering $375 billion in annual expense.

In the US currently, health care spending is approximately $2.5 trillion, annually. The cost of getting paid is more than 15 percent, or about $375 billion, annually. Compared to other industry segments, health care payment processing remains extremely inefficient; for example, the retail segment settles payments for less than two percent of revenue, and financial services settles payments for less than one percent. If health care could settle payments even for 10 percent of revenue, savings would exceed $120 billion.

SurePayHealth Increases Cash Collection at Registration or Point Of Service

Recondo Technology offers a unique approach for helping providers calculate patient financial responsibility and collect that money at Point Of Service (POS). The Recondo® SurePayHealth® service accurately calculates how much of the statement is owed by the patient, and that calculation is available to the provider and patient before care is delivered. SurePayHealth provides the calculation and statement in real-time and is fully automated.

Recondo SurePayHealth Quickly Pays for Itself

Hospitals pay a very affordable monthly fee for SurePayHealth. Industry data shows that a typical patient with commercial insurance owes a hospital $200 to $400 (on average), based on region and type of service. Consider a single department, outpatient radiology, in a mediumsize hospital. With a typical monthly volume of 5,000 visits and an average patient obligation of $389, the hospital has the potential to collect $1,945,000. But without collecting at POS, the hospital typically loses 60% of the potential amount, or $1,167,000.

Using SurePayHealth is fast and easy. Recondo activation professionals load your patient schedule file, chargemaster, commercial payer contract terms, and master patient index (MPI) into SurePayHealth.

SurePayHealth then processes each scheduled patient through the service, and calculates the patient portion of the bill. Because SurePayHealth has the industry's most extensive real-time link to payers, the service generates a statement with an accurate calculation of patient financial responsibility, including patient eligibility, plan benefits, YTD deductibles, co-pays, co-insurance, and out-of-pocket status and limits.


EligibilityPlus ...

  • Increases staff efficiency and productivity by reducing clerical errors and omissions that delay or prevent payment
  • Alerts user to important eligibility-related responses such as HMO enrolled, Medicare B only, hospice enrolled, and other payer
  • Auto-populates data from a 271 into fields on your PC screen with no manual intervention
  • Gives each hospital the ability to customize screens for their particular requirements

EligibilityPlus Improves Revenue Management and Reduces Cost

EligibilityPlus™ offers providers the most complete view of patient insurance benefits available in the industry. EligibilityPlus achieves this unprecedented benefit detail by combining standard eligibility Electronic Data Interchange (EDI) transactions with benefits available only on payer web portals.

With a complete understanding of patient insurance benefits, providers can identify specific coverage, simplify patient registration workflows, reduce claim rework, and assess patient liability.
 

Auth-DP Automates Authorization Management and
Reduces Denials

Authorization-Denial Prevention (Auth-DP™) allows your patient access staff to identify whether an authorization is required, and the status of that authorization, prior to service, ensuring that you provide service only with the approved authorization in place. Recondo Technology believes as much as 90% of claim denials may be preventable through improved up-front execution of verification and authorization.

Omni278 Makes the New UHC Admission Notification
Requirement Fast, Easy, and in the Correct 278 Format

Currently UnitedHealthcare (UHC) requires hospitals to submit notification to UHC of each inpatient admission within 24 hours of the admission. If the hospital does not provide notification within 24 hours to UnitedHealthcare, the claim may be subject to payment reductions, often as much as 50 percent. Omni278™ is an easy-to-implement service for delivering the admission notification to UnitedHealthcare. Omni278 accepts various forms of data and formats and submits an accurate and timely electronic 278 transaction to UnitedHealthcare.

Contact Recondo today at 888 RECONPAY to learn more about all the services we offer to increase your hospital's cash flow.

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