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Issues

Like many other hospitals across the country, this health system struggled with a large volume of aging claims. With back office staff already busy working current receivables for its four locations in central Michigan, the cash potential of these older accounts remained untapped.

Eager to generate revenue from inappropriately denied claims and delayed payments from non-government payers, the health system turned to Convergent Revenue Cycle Management for help. Convergent has two decades of demonstrated…
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Answers

Convergent began at once working on the health system’s backlog of claims, tackling the high volume of mid-value claims aged 180 days and older. With experienced collectors working on and off site, Convergent made the transition to outsourcing simple and immediate. “Vendors always promise an easy transition, but it doesn’t usually work out that way. I was truly impressed with how seamless the Convergent transition process was. They worked with the information we gave them to deliver on their…
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Outcomes

The health system brought Convergent on board to collect accounts that would otherwise be written off, and Convergent has excelled at converting these problem accounts to cash. “Our experience with Convergent has brought revenue to our bottom line, improved our cash flow and reduced denials. They have delivered on every promise made during the sales process and set out in the contract,” said the director of revenue cycle.

With Convergent focusing on aged accounts, the health system’s billers…
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