EnableComp acquires Helix Advisory, advancing Zero Balance Review technology in its complex revenue recovery platform
Hospitals no longer leave money on the table because a claim is too small, too complex.
FRANKLIN, Tenn., August 12, 2026 — EnableComp®, the leading provider of technology-driven complex revenue cycle management (RCM) solutions, today announced its acquisition of Helix Advisory, a Cincinnati-based revenue recovery firm whose technology identifies underpayments that traditional rules-based audit systems are structurally unable to catch.
The investment expands EnableComp’s Zero Balance Review capabilities as part of its broader platform roadmap. The acquisition strengthens EnableComp's platform with three specific capabilities:
The ability to identify underpayments that standard audit logic cannot see
Clinical signal detection that flags discrepancies between how a case was coded and what a payer actually reimbursed
Root-cause analytics that trace why an underpayment occurred, so clients can prevent future losses, not just recover past ones
For EnableComp’s hospital clients, the integration means underpayment recovery that previously required a standalone audit vendor — or that didn’t happen at all because the claim fell below a manual review threshold — now runs natively inside the same platform handling their complex claims and denials.
“Most recovery programs are built to find what they’re told to look for. Helix’s technology finds what nobody told it to look for — that’s the difference between a rules engine and real intelligence,” said Frank Forte, CEO of EnableComp. “Bringing that into EnableComp’s platform means our clients stop leaving money on the table simply because a claim was too small or too complex for a standard audit to flag it. The work of unifying these capabilities into a single, more powerful platform is already underway — and what we are building is something the market has not seen before."
Hospital underpayments represent a persistent and largely unaddressed problem across the U.S. healthcare system. According to the American Hospital Association, hospitals are underpaid by more than $130 billion annually by Medicare and Medicaid alone — and commercial payer underpayments add significantly to that figure. The majority goes unrecovered not because the revenue isn't there, but because conventional audit technology is designed around predefined rules and claim size thresholds that structurally exclude a large share of the opportunity.
"The technology we built at Helix was purpose-built to find revenue that traditional recovery programs leave on the table,” said Zack Higbie, founder of Helix Advisory, who joins EnableComp as vice president of Revenue Recovery Products. “Joining EnableComp means we can bring that capability and the clinical expertise behind it to a much larger base of hospitals. Our early clients, large and small, are already seeing greater than 2% net revenue improvements on revenue that was previously unrecognized or written off.”
Greenberg Advisors served as financial advisors to EnableComp.
EnableComp names Maureen Ladouceur Chief Commercial Officer to accelerate growth
EnableComp today announced the appointment of Maureen Ladouceur as Chief Commercial Officer (CCO).
In this role, Ladouceur will lead EnableComp's commercial organization and accelerate investment in its commercial engine to drive rapid growth as the company deepens its position as the definitive partner for hospitals and health systems navigating complex revenue cycle management, a category EnableComp pioneered and continues to lead.
Ladouceur began her career as a registered nurse at Thomas Jefferson University Hospitals before moving into healthcare technology. Her clinical background informs her deep understanding of the operational realities hospital clients face.
Most recently, Ladouceur served as an Operating Partner at Welsh, Carson, Anderson & Stowe (WCAS), a leading private equity firm focused on the healthcare and technology industries, where she focused on commercial excellence across the firm's healthcare portfolio. Prior to this, she served as President at Norstella, the premier pharma intelligence provider, where she built the commercial organization from the ground up and led it through several acquisitions and rapid global expansion. Throughout her career, Ladouceur has brought a data-driven, client-first approach that has delivered consistent year-over-year growth. She holds a BSN from the University of Pittsburgh and an MBA from Penn State University.
"Maureen is the kind of leader who changes a company's trajectory," said Frank Forte, EnableComp CEO. "She spent her early career as a nurse. She knows what it means to be on the hospital floor, and she brings that empathy to every commercial relationship she builds. She has a remarkable track record of scaling organizations and driving growth, and she does so by making clients feel like partners, not accounts. That combination is exactly what EnableComp needs as we accelerate into our next chapter."
"I've spent my career at the intersection of healthcare and commercial strategy, and I know firsthand the financial pressures providers face," said Ladouceur. "EnableComp has built something truly differentiated: technology that cuts through the complexity of the most challenging claims and helps hospitals get paid for the care they deliver. I'm thrilled to join this team."
EnableComp earns 2026 USA TODAY Top Workplaces Award, extending workplace recognition streak to eight years
EnableComp has been named a 2026 USA TODAY Top Workplace, a national award recognizing companies that foster outstanding workplace cultures based on employee feedback. This marks the eighth consecutive year EnableComp has earned workplace recognition, reflecting the company's sustained commitment to building an exceptional, people-first culture, and the second consecutive year it has earned the national USA TODAY designation.
The award honors organizations with 150 or more employees that have created exceptional, people-first cultures. This year, more than 40,500 organizations were invited to participate.
" Eight consecutive years of this recognition tell a story that no single award can capture. It means our people consistently show up, grow, and choose to stay, and that directly translates into the results we deliver for our clients. Building a culture people want to be part of is one of the most important things we do as a company," said Frank Forte, CEO of EnableComp.
The winners are determined by authentic employee feedback collected through a confidential survey conducted by Energage, the HR research and technology company that has administered the Top Workplaces program since 2006. Results are calculated based on employee responses to Workplace Experience Themes, which are proven indicators of high performance.
EnableComp supports employee growth through mentorship, leadership development, and career advancement opportunities, including its Emerging Leaders program. The company also supports hybrid and fully remote teams, helping employees across the country stay connected to the company's mission, clients, and one another.
EnableComp launches AI Transformation Series on building an enterprise AI operating model for complex RCM
EnableComp®, recognized for resolving the toughest challenges in Complex Revenue Cycle Management, today announced the launch of its AI Transformation Series, a multi-part thought leadership series that shows how the company built an enterprise AI operating model in a regulated healthcare environment.
The first paper, The Blueprint, is available now. It documents how EnableComp redesigned its software development lifecycle around AI, moving from individual tool adoption to a structured operating model with specialized agents, defined workflows, governance, and human oversight. Additional papers will be published throughout 2026.
"We're publishing this series because healthcare AI needs more transparency," said Frank Forte, CEO of EnableComp. "There are plenty of claims about what AI might do. We think the more useful conversation is how it actually gets built, what it takes to govern it, and what teams learn when they put it into production."
As healthcare organizations push AI from pilot projects into daily operations, the real test is not whether a tool can make one task faster. It is whether AI can be built into the way work is designed, governed, measured, and improved. The Blueprint shows what that shift takes in practice.
The Blueprint reports measured production results from an enterprise-wide transformation, not a single team pilot, including a 3-5x improvement in development velocity on existing codebases and 5-7x acceleration in new feature delivery. The paper also documents the governance and implementation lessons required to move from experimentation to production.
"The Blueprint is our way of showing the work behind the results," said Brian Kenah, Chief Technology Officer at EnableComp and co-author of The Blueprint. "It documents the structure, decisions, lessons, and tradeoffs behind an AI-first development lifecycle in a healthcare environment. That level of practical detail is still rare in the market."
The series begins with how EnableComp builds software because everything that comes next is built on that foundation. The next paper will document how the company turned the methodology inward, using it to encode 25 years of complex claims expertise into its AI systems.
EnableComp named #1 in Black Book Complex Claims and AR Recovery Services for third consecutive year
EnableComp, a leader in Complex Revenue Cycle Management, announced today it has been ranked #1 by Black Book Research in Complex Claims and AR Recovery Services for the third year in a row.
Black Book released the 2026 rankings at HFMA AC26. The findings come from its annual State of Health & Hospital Systems Revenue Cycle Management Technology & Services report, which covers 49 hospital RCM categories.
Black Book updated its 2026 category structure, but the territory and winner remain the same. EnableComp was ranked #1 in 2024 and 2025 under Black Book’s previous Specialty RCM for Complex Claims and Revenue Integrity category and now holds the top ranking in the updated Complex Claims and AR Recovery Services category.
The recognition reflects growing urgency among financial leaders: in a separate HFMA AC26 survey, Black Book reported that 81% of respondents identified payer friction response, denial prevention, prior authorization, or cash acceleration as among their top investment priorities.
“Complex claims are not standard RCM work, and hospitals cannot afford to treat them that way,” said Frank Forte, CEO of EnableComp. “Payers are getting more aggressive, cash is under pressure, and the cost of getting these wrong keeps rising. Earning this recognition three years in a row shows that providers continue to value the specialization and performance needed to recover revenue in the hardest parts of the revenue cycle.”
Built on 25 years of solving complex claims and revenue challenges, EnableComp's Complex Revenue Intelligence™ fuses deep domain expertise, proprietary data, and the AI-driven e360 RCM® platform. This powerful combination helps healthcare providers identify revenue risk, reduce denials, and protect financial performance. EnableComp delivers three integrated solution suites spanning complex claims, complex denials, and revenue recovery. Its solutions address some of the most challenging areas in the revenue cycle, including Veterans Affairs, Workers' Compensation, clinical denials, DRG downgrades, DRG validation, and zero balance reviews.
About Black Book Research
Black Book Research provides independent, unbiased insights into the healthcare technology and outsourcing markets, surveying healthcare financial and operational leaders nationwide annually. Over 3.3 million healthcare decision-makers have participated in Black Book studies since 2011, rating vendors across 18 key performance indicators critical to financial and operational excellence. Black Book does not accept vendor payments or participation fees, ensuring fiercely independent vendor rankings.
EnableComp acquires H/ROI, creating the industry's most comprehensive complex revenue platform
Strategic acquisition strengthens EnableComp's ability to capture hidden revenue for healthcare providers from complex clinical denials and DRG validation
FRANKLIN, Tenn., January 12, 2026 — EnableComp®, recognized for resolving the toughest challenges in Complex Revenue Cycle Management, announced its acquisition of Health Resources Optimization, Inc. (H/ROI), a premier clinical denials and revenue recovery firm serving top health systems in the Northeast. As hospitals face sustained margin pressure from denials and payer scrutiny, the acquisition expands the revenue EnableComp captures for its clients by resolving and preventing the most challenging clinical denials — DRG downgrades and medical-necessity denials — and by recovering lost revenue through expert post-bill DRG validation.
The acquisition reinforces EnableComp's commitment to redefining revenue cycle management by focusing exclusively on the most complex challenges: complex claims, intricate denials, and specialized revenue recovery. By combining H/ROI’s three decades of results-driven experience with EnableComp’s expertise, AI-driven technology, and national reach, healthcare providers gain a partner capable of safeguarding margins and recovering revenue written off due to clinical complexity and resource constraints. Integration across the combined organization has progressed quickly, delivering deeper clinical insights and more accurate processes in the most challenging parts of the revenue cycle — helping clients reduce risk, navigate unprecedented margin pressure, and improve financial performance with greater confidence and efficiency.
“This acquisition enhances our ability to drive revenue improvement across the most complex parts of the revenue cycle — areas where missing a single opportunity can lead to substantial revenue loss for hospitals,” said Frank Forte, CEO of EnableComp. “Hospitals are facing intense margin erosion and need a partner built to handle this complexity. Our Complex Revenue Intelligence™ (CRI) approach combines our unique expertise and intelligent technology to surface revenue risk and guide recovery. Our clients are already benefiting from H/ROI’s exclusive clinical denials and revenue recovery capabilities, and we are delivering even more insights into costly revenue gaps and supporting them at scale.”
"Joining EnableComp is a natural evolution that enables us to deliver even greater impact for healthcare providers," said Ann Russo, Co-Founder of H/ROI. "Our team has spent decades mastering clinical denials and nuanced revenue recovery — specialties that require clinical judgment, deep payer knowledge, and persistence — not just automation. By combining our expertise with EnableComp's AI-driven platform and national scale, we can help our clients achieve faster resolution, higher recovery rates, and the confidence that comes from having the industry's leading specialists in their corner."
Serving over 1,000 hospitals and recovering $3 billion annually, EnableComp applies AI in proven, practical ways through its e360 RCM® platform to improve accuracy, identify underpayments earlier, and resolve complex claims, denials, and revenue recovery issues faster. Looking ahead, EnableComp is increasing its investment in clinical expertise and specialized technology that help healthcare providers protect margins and recover revenue. By strengthening partnerships with providers and continually improving its platform, EnableComp is transforming the Complex Revenue Cycle from a constant challenge into a source of greater financial stability, resilience, and confidence in patient care.
Greenberg Advisors served as financial advisors to EnableComp.
