promedica

ProMedica, a healthcare organisation serving north-west Ohio and south-east Michigan, has implemented Medical Reimbursements of America’s (MRA) AcciClaim across its network of 11 hospitals to help resolve complex accident claims.

The HFMA peer reviewed accident claims management solution is a technology-based solution that optimises reimbursements from accident claims.

The AcciClaim solution includes patient advocacy, billing compliance, and higher reimbursements, often reducing out-of-pocket expenses for patients by helping them identify other parties with responsibility for payment.

Acute care and PPCS revenue cycle director Hayley Studer said that to best serve its patients, the ProMedica Revenue Cycle team realised it needed to focus on its strengths.

"Our team is successful helping patients navigate the challenges of health insurance billing."

"We wanted a partner that could help our patients effectively find their way through the complex billing issues following motor vehicle accidents," Studer added.

"We successfully implemented in all hospitals in less than six weeks and have been impressed with MRA’s system, professionalism, and expertise in legal knowledge, implementation, training, and customer service."

With the AcciClaim solution, ProMedica’s Revenue Cycle team gains a new partner that helps to resolve complex, difficult-to-collect accident claims in a patient-friendly manner that simultaneously generates more revenue.

"We wanted a partner that could help our patients effectively find their way through the complex billing issues following motor vehicle accidents."

MRA president Lyle Beasley said that being chosen by a health system as well-respected as ProMedica is the ultimate compliment for MRA.

"ProMedica’s forward-thinking leadership is investing in their core competencies and outsourcing non-core services to best of class partners," Beasley added.

"We embrace their strategy and believe their innovative care delivery and revenue cycle models are the future of healthcare."

For hospitals interested in improving financial performance from accident claims, MRA offers a complimentary AcciClaim Performance Analysis that evaluates past financial results and identifies future new revenue opportunities available from the AcciClaim solution.

Ohio-based ProMedica is a mission-based, not-for-profit healthcare organisation with 11 hospitals and more than 320 facilities that offer comprehensive diagnostic, medical and surgical specialities in cardiac and vascular, oncology, orthopaedics, neurosciences, and women and paediatric services.


Image: Bixby Medical Center, Michigan. Photo courtesy of Dwight Burdette.