UC Health Selects Recondo Authorization-Denial Prevention and EligibilityPlus Software Services

Jun 27, 2011, 13:08 ET from Recondo Technology

GREENWOOD VILLAGE, Colo., June 27, 2011 /PRNewswire/ -- UC Health, the University of Cincinnati Hospital system, has selected Recondo® software services Auth-DP™ and EligibilityPlus™. UC Health selected Recondo services to reduce costly insurance denials owing to missing insurance authorizations and to deliver current and complete patient insurance eligibility data.

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"Assessing our best practices and using significant internal resources, we found that authorization-related denials remained higher than we wanted," said Doug Gardner, Director of Patient Financial Services for UC Health. "In addition, our staff spent much of their time accessing payer websites and making phone calls to determine authorization requirements and status. UC Health chose Recondo Auth-DP especially to reduce and eliminate these missing authorization-related denials and associated labor-intensive processes. Also, because Recondo deploys proprietary ReconBot™ technology to mine data from payer websites, we chose EligibilityPlus to provide us with complete, accurate, and easy-to-use eligibility data."

"We're pleased to work with UC Health to expand and enhance their existing best practices," said Fred Horn, Recondo Chief Operating Officer. "Activating our Auth-DP and EligibilityPlus software services will help UC Health eliminate costly manual-intensive processes and automate the UC Health revenue cycle."

About UC Health

UC Health brings together the region's top clinicians and researchers to provide world-class care to our community. From our flagship University Hospital to our state-of-the-art West Chester Hospital, UC Health delivers the absolute best in treatment and care.

Continually recognized for excellence and backed by the academic strength of the University of Cincinnati, one of the nation's top 25 public research universities, UC Health is revolutionizing how discovery-driven care is delivered.

About Recondo Technology

Recondo Technology delivers powerful software services connecting patients, providers, and payers across the spectrum of US healthcare. Recondo services bring efficiencies and cost savings to healthcare payment processing, which currently costs US healthcare a staggering $425 billion in annual expense. Recondo services automate the revenue cycle and payment cycle, from pre-scheduling to adjudication, with virtually no manual intervention.

SurePayHealth® offers an accurate statement of patient financial responsibility at Point of Service, verifying patient identity, eligibility, and benefits, and accurately calculating the patient fee. After activating SurePayHealth, hospitals increase cash collections by tens of thousands of dollars every month.

EligibilityPlus™ gives hospitals the most complete view of government and commercial insurance benefits available in the industry. With a complete understanding of insurance benefits, hospitals immediately identify specific coverage, simplify patient registration workflows, reduce claim rework, and assess patient liability.

Authorization/Denial Prevention (Auth-DP™) increases cash flow by reducing a hospital's costly payer denials. Auth-DP identifies precertification requirements and authorization at the front of the revenue cycle, increasing authorization coverage and reducing denials by as much as 75 percent.

Financial Assistance™ helps hospitals identify the most likely payment source for each patient, determine initial likelihood to qualify for Medicaid and offer state-specific Medicaid assessments and applications (for every state), and automate evaluation and classification of "presumptive" charity, including propensity to pay.

Claim Status™ automates the process of retrieving the status of open claims, and allows hospital staff to segment claims conforming to the specific process adopted by each hospital, then work each claim by various priority standards. Claim Status significantly reduces the time and effort to identify, track, and process claims.

Recondo offers Software as a Service (SaaS), requiring no capital budget and no additional hardware or software installation. Recondo applications are developed using high-speed, high-volume rules-based processing, giving hospitals unmatched and immediate access to real-time data. Visit Recondo Technology at www.recondotech.com.

SOURCE Recondo Technology