Revenue cycle management services designed to improve financial performance
PHOENIX--(BUSINESS WIRE)-- Adreima, a leading advocate for hospitals nationwide in Medicaid eligibility and revenue cycle management (RCM) services, today announced Johnston Health, a health care system in Smithfield, North Carolina, awarded the company management of Medicaid health insurance claims to increase reimbursements from the federal and state governments. Adreima was selected in a public request-for-proposal process.
“Partnering with Adreima provides our organization with much-needed expert knowledge of Medicaid’s complexities and relieves our case managers of the burden of administering claims so they can focus on providing patient care,” said Hal Perlman, Johnston Health's administrative director of patient financial services. “We expect Adreima will significantly improve our Medicaid reimbursement.”
The federal government rejects Medicaid claims for many reasons, including minor errors in the descriptions of patient care. Last year, for every dollar Johnston Health billed to Medicaid, only 12 to 16 percent was reimbursed. Adreima’s revenue cycle management services ensure accuracy of patients’ requests for Medicaid eligibility and charges on bills. The company advocates for patients wrongfully denied Medicaid coverage and advocates for hospitals so they are reimbursed correctly.
“We’re on a mission to help community hospitals and health care systems such as Johnston Health, increase their reimbursements so they have more funds to invest in patient services,” said Tim Robertson, Adreima’s vice president of business development. “We look forward to a long-term partnership with Johnston Health, our first client hospital system in the North Carolina area.”
Adreima advocates for hospitals nationwide, providing revenue cycle management services supported by a deep knowledge of state-specific issues and unparalleled in-house expertise in Medicaid and Disability eligibility and hospital reimbursement. Adreima improves financial performance for, and has built long-term trusting partnerships with, more than 70 hospital clients in 10 states. In addition to eligibility services, Adreima handles complex clinical reimbursement issues, manages wrongful denials of benefits or payments, and recovered incremental post-payment revenue. Named one of the “Best Places to Work” by the Phoenix Business Journal, Adreima was founded in 1990 and is a portfolio company of Waud Capital Partners, a leading middle-market private equity firm based in Chicago with significant health care investment experience. For more information please visit www.adreima.com.
About Johnston Health:
Johnston Health is Johnston County’s health care system. It includes Johnston Medical Center-Smithfield, a 179-bed acute care hospital, and Johnston Medical Center-Clayton, an outpatient campus that includes a freestanding emergency department, same-day surgery and diagnostic imaging departments. Johnston Health also has primary care practices in Clayton and Kenly and an urgent care in Smithfield.
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Renee Maler, 925-968-9495
KEYWORDS: United States North America Arizona North Carolina
INDUSTRY KEYWORDS: Health Hospitals Professional Services Insurance General Health