Learn how unexpected revenue led to a long-term partnership.
The challenge
When Regional One Health decided in 2010 to partner with EnableComp on workers’ compensation claims, the move made perfect sense.
Regional One’s revenue cycle team lacked the in-depth knowledge of workers’ comp payer rules needed for efficient collections. They were struggling with varying payer guidelines for submitting claims, payer stalls, claims that had to be reworked, and claims that must be handled manually.
Although Regional One had some initial hesitation about relinquishing a segment of A/R to a vendor, all doubts evaporated after EnableComp began looking at a three-year backlog of paid and unpaid workers’ comp claims. The hospital quickly realized a significant return on investment.
“While workers’ comp is a small percentage of our total payer mix, it’s big money to get those claims paid correctly and on time. With EnableComp, I don’t have sleepless nights about workers’ comp claims.” -Judy Briggs, Vice President of Finance, Revenue Cycle Regional One Health
E360 RCM®: The powerhouse behind Regional One’s RCM success
The smooth integration of technology has been a key part of the partners’ seamless fit. EnableComp’s powerful specialty revenue cycle platform, e360 RCM, ensures timely and accurate payments without the need for Regional One to invest in expensive technology or update its systems.
With 25+ years of claims intelligence, EnableComp’s platform just keeps getting better. Built by tech innovators and specialty revenue cycle experts, this unified platform is powered by intelligent automation and supercharged by human-in-the-loop interaction.
With nearly 50% automation, e360 RCM is seven times more efficient than traditional workflows — providing built-in reimbursement modeling, automated denials management features, automated underpayment identification, and robust analytics that facilitate data-based decision-making. Federal, state, and commercial payer requirements are embedded in the platform and updated in real time, simplifying and optimizing workers’ comp claims for RCM leaders who struggle with the process and outcomes.
“EnableComp brought us additional money we probably would not have gotten ourselves. We did not expect that kind of money.” -Judy Briggs, Vice President of Finance, Revenue Cycle Regional One Health
The bottom-line impact
Since working with EnableComp, Regional One has seen a lifetime cash uplift of $243 Million, a 25% decrease in days to pay, and a $5 Million annual uplift for workers’ comp claims.
With decades of intelligent automation and expertise, EnableComp is the industry leader in specialty revenue cycle management solutions. Reach out to us today to learn more about what we can do for your organization.
