Healthcare leaders launch RCM company: 7 things to know

HealthCare Futures, Premier Healthcare Systems and RSI Enterprises have joined forces to launch a revenue cycle management company.

Here are seven things to know.

1. HealthCare Futures is a business and technology solutions provider, while Premier Healthcare Systems is a self-described "healthcare finance and servicing company." RSI Enterprises is a receivables management company serving various industries, including healthcare.

2. Together, they are launching 80/20 Healthcare Solutions.

3. The RCM company will serve Arizona Health Care Cost Containment System providers, with a focus on the collection of third party liability claims and payer denials, according to a news release. AHCCCS is the state's Medicaid program.

4. One of the company's solutions is the 80/20 Healthcare AccessGranted program. The program aims to immediately advance reimbursement from AHCCCS claims to the provider within 48 hours of billing, the release states. According to the company's website, 80/20 Healthcare Solutions receives payment only "if the medical provider receives a higher reimbursement than AHCCCS provides."

5. 80/20 Healthcare Solutions also offers the AdvancedDenial Solutions program, which focuses on claim denials.

6. Partners of 80/20 Healthcare Solutions include hospital executives, physicians and other healthcare professionals.

7. David Lamparter, managing director of 80/20 Healthcare Solutions and former CFO of Phoenix-based John C. Lincoln Health Network, said: "We all had decades of experience in healthcare finance, from every discipline and perspective, and, collectively, we were seeing the same problems. We saw a need for a platform centered on distinctive, effective ways to address revenue cycle management, so we built one."

 

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