When you partner with EnableComp, you gain access to our industry-leading expertise and proprietary Intelligent Automation Platform to simplify the VA claims reimbursement process and remove the burden of payment from your Veteran patients and institution.
Navigating the VA claims reimbursement process can feel like a zero-sum game. As the number of Veterans seeking care from Community Providers continues to grow, so does your struggle with the exacting standards and ever-changing regulations that come with the territory.
No one knows VA like we do, and no one has more success in helping providers simplify and optimize their VA claim reimbursements. Our VA Board Certified staff attorneys and legal team live and breathe VA, and our VA revenue specialists work solely with military payers.
We work hand-in-hand with the VA leadership team to avoid suppressed or delayed payments and claim processing. We leverage these relationships to keep clients informed on policy updates and the current federal landscape.
Our proprietary software platform, E360 RCM™, interfaces directly and securely with clearinghouses and your EHR/HIS system — using RPA technology to automate workflows and ensure timely, accurate filing.
We have your VA claims covered every step of the way.
Based on your organization’s priorities.
Proprietary Discovery Solution
We utilize extensive foundational intelligence to validate and confirm expected reimbursement.
Preparation
Automation-enhanced estimation and accuracy checks for required data and supporting documentation prior to sending to the payer.
Timely Filing
Bill is packaged and submitted electronically, when possible.
Follow-Up
Aggressive follow-up and process monitoring.
Status Documentation
Notes updated daily to ensure visibility into the status of every claim.
Payment Review
Underpaid items are identified automatically and appealed.
Denial Management
We pursue full reimbursement on your behalf and help fine-tune internal processes to prevent denials from recurring.
Appeals
We appeal when applicable as well as represent your hospital in subsequent matters when allowed.
Detailed monthly reporting based on pre-defined priorities to help you measure progress and reconcile accounts.
A comprehensive solution that works all of your VA claims from every angle for maximum impact and ROI. Ideal for providers who are ready to focus solely on higher-priority claim categories by outsourcing their VA claims.
Your Day One Solution includes:
We start on day one and work claims from registration to reimbursement for consistently accurate and timely payments.
We inherit your open claims and manage aging accounts to a successful resolution for improved queue management and inventory reconciliation.
We help you negotiate the best rate possible and determine whether accepting a payer’s discount proposal is in your best interest.
We identify and prevent denials — providing root-cause analysis and reworking even the most complex claims to enhance revenue and yield.
We dig deep into claims that are considered “closed” and carry a zero balance to help you recover cash you’ve already written off.
Forecasts and strategies for healthcare providers.
The first step to getting paid by the VA.
How to avoid and resolve rejections for your organization.
Overcoming challenges to get paid on time.
Not sure if you’re leaving money on the table? We’ll conduct a high-level analysis of your open A/R, denials, and claims that are considered “closed” and carry a zero balance.
With your RevAdvise™ consultation, you’ll gain insight into your:
Looking for some quick wins? We’ll also show you how fast you can recover that revenue.
No cost. No obligation. No risk.
Our contract is always contingent on your results.
You’re in good hands with our team of legal experts, healthcare professionals, revenue specialists, and technology experts.
Our E360 RCM™ platform interfaces directly and securely with your EHR/HRIS system.
With seamless integration and service, all you’ll see is the boost to your bottom line.
