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At CaptureNet, our passion is innovation of technology-driven performance solutions to boost recovery  and improve the patient’s experience with the billing process. Our objective in founding CaptureNet was to disrupt the status quo self-pay world with technology innovations to drive materially improved recovery performance and to respond to the increasing client demand for patient satisfaction with the billing process.   Introducing PayorNet With batch-mining prior to billing, PayorNet discovers, verifies, and then automatically bills found coverage via RPA prior to patient billing, thereby...

IRS 501(r) regulations enacted in 2014 require hospitals to make reasonable efforts to determine whether individuals are eligible for financial assistance before engaging in “extraordinary collections actions.”   IntelNet—CaptureNet’s Presumptive Financial Assistance Solution While many of the presumptive financial assistance systems involve generic scoring solutions developed from national population datasets, CaptureNet creates a customized model that is much more comprehensive and accurate. Its custom scoring solution draws vital information from a combination of non-FICO credit data, externally derived demographic data, and internal hospital records. Recognizing the limits of...

Expensive and Frustrating Process Gaps   MAP Award recipient, for a large non-profit health system, I oversaw the installation of Epic. So many things about Epic were better than our system at the time…. Unfortunately for the Revenue Cycle side, countless more were not. Many of the automated processes that we had in place before Epic, were not available after conversion. Having to add staff for the new manual processes required was in opposition to our long-standing expense control best practices, which...

Asking outdated RFP questions related to early out processes places hospitals at risk of ruling-out prospective vendors whose technology and processes surpass legacy/status quo vendors’ abilities. In the early-out world, phrasing questions that do not adequately probe/consider/assess innovation that surpasses the current knowledge/experience base, limits bonafide possibilities to materially improve recoveries and enhance your patients’ billing experience.   Today’s best practices require more--they require the science of sophisticated behavioral and statistical analytics at the account level to truly understand individual guarantors’ attributes...

[vc_row full_screen_section_height="no"][vc_column][vc_column_text]When you hire a third party to assist with your hospital’s self-pay recovery efforts, access to real-time data can make the difference between a successful partnership and unsuccessful one. Your financial investment into the relationship should be a profitable one, and you should be provided with the ability to drill down into the partner’s performance and use the data generated by their efforts to further enhance the performance of your revenue cycle. CaptureNet provides its clients with a robust Business...

Robotic Process Automation (RPA) is a technology powered by virtual robots that work in tandem with existing software applications to automate manual and repetitive tasks. The process does not take the place of human staff but rather uses simple rules and business logic developed by those individuals to eliminate redundant and tedious tasks. The result: less time wasted and more time spent on higher revenue generating activities. Many processes are great candidates for RPA. RPA is most valuable for processes that...

[vc_row full_screen_section_height="no"][vc_column][vc_column_text]While over 1,000 hospitals trust MEDITECH to make business and clinical processes more efficient, the one area where MEDITECH hospitals often come up short (and often without the knowledge of hospital executives) is in the area of self-pay recovery. “MEDITECH Hospitals struggle with self-pay recovery, an accounts receivable segment where balances have increased significantly in recent years,” says Bryan Healy, Managing Principal and Co-Founder of CaptureNet. “MEDITECH does not natively address these challenges. Fortunately, CaptureNet, a fully-integrated self-pay solution rooted in...

Mary Lee Decoster is no stranger to the challenges faced by professionals working within the hospital financial management field. Mary Lee is a 50-year industry veteran. In this interview, Mary Lee shares lessons she has learned throughout her impressive career.   CaptureNet (CN):  Thank you for agreeing to sit down with us for this interview!  Please give our community an overview of your career experience. Mary Lee Decoster (MLD): I’ve worked in healthcare receivables management for my entire career – over 50 years...

CaptureNet is a proud sponsor of the Healthcare Financial Management Association’s (HFMA) HERe initiative. The HERe initiative aims to inspire not only women but men invested in the professional development of women leaders in the health care field with the tools and resources they need to succeed.   In honor of our support for this program, we are dedicating this month’s blog to introducing CaptureNet’s Vice President of Client Operations, Amber Kirkpatrick and the contributions she has made (and continues to make)...

According to the CDC, the Affordable Care Act has decreased the uninsured population in the United States to 9.1%.  As the number of uninsured Americans has declined, the number of Americans covered by High Deductible Health Plans (HDHPs) has increased significantly. The latest census data provided by the America’s Health Insurance Plan (AHIP) reports over 19.7 million Americans have HDHPs with these plans accounting for approximately 36% of all plan types.  Many of the individuals subscribing to HDHPs are ill-informed about...