Financial, Reimbursement Services and Supply Chain Solutions
RAC Audit Management
Stay on top of your RAC and other audits with Audit-TRAX, a workflow management tool that eases your administrative burden and provides facility operational enhancements and customized outcome reports for managing all of your audits from beginning to end.
Download AuditTrax All Audit Brochure.
SUNRx: Powering Compliance & Savings
Covered entities work closely with 340B administrators such as SUNRx to manage their 340B programs and to help ensure compliance with federal regulations.
As a compliance-focused 340B administrator, SUNRx helps covered entities maximize 340B programs so they can expand access to affordable medications and healthcare services for low-income and uninsured patients. SUNRx delivers a hands-on approach, and provides industry-leading program design, implementation, regulatory expertise, and unparalleled customer support.
SUNRx is backed by the integrated strength of its parent company MedImpact Healthcare Systems, Inc., a trend-focused pharmacy benefit manager (PBM) that provides real-time claims processing connected to a cash program. An integrated program allows you to adjudicate cash prescription claims so you can pass along savings to low-income and uninsured patients, as well as process 340B claims for all of your patients to help you maximize your program.
SUNRx provides comprehensive, auditable technology solutions and high-touch customer service with a hands-on approach to program implementation, contract pharmacy setup and ongoing program management. We offer:
- Customer Service Experience
SUNRx has extensive experience implementing and managing
340B programs since 2006, and provides industry-leading audit
support as evidenced by our positive audit findings. Clients and
state hospital associations recognize our account teams as the
most knowledgeable and customer-focused in the industry.
SUNRx also offers integrated pharmacy bene_ t management
(PBM) through its parent company, MedImpact Healthcare
Systems, Inc., an independent, trend-focused PBM.
- Commitment to Compliance
SUNRx helps covered entities: maintain accurate and current
340B database information; recertify eligibility annually; prevent
diversion to ineligible patients; prevent duplicate discounts; and
prepare for program audits.
SUNRx technology integrates low-cost solutions, real-time processing,
some of the most advanced compliance protocols and a cash program
that allows entities to pass program savings on to their low-income and
SUNRx’s 340B program can be implemented with any electronic
medical record system, wholesaler, switch vendor or pharmacy to serve
their patients for maximum flexibility and the greatest financial benefits.
Denial, Review and Appeal Management
The Florida Hospital Association Management Corporation Denials Management Services (FHAMC DMS) has efficiently and successfully reviewed and appealed denial cases for Florida Hospitals in which a vast majority of the appealed cases were recovered. FHAMC has won an impressive 100% of the recovery appeals taken to an administrative law judge and most appeals result in a favorable determination at the MAC/QIC levels.
FHAMC DMS has a team of Physician Advisors, UR/Case Managers, AHIMA Certified Coding Specialist with hospital coding experience, and legal advisors to help your hospital to efficiently manage your response to all payment denials.
Download Denial Management Services brochure.
Coding and Transcription
DocuVoice is a marketing/consulting company providing targeted Reimbursement Solutions with a key focus on assuring hospitals maximize their entitled reimbursement dollars. These solutions are provided by experienced healthcare business partners that DocuVoice has strategically selected to meet the needs of coding, medical necessity and documentation requirements within an acute care setting. DocuVoice services include remote coding services, Physician conducted audits (including medical necessity) and Physician query software. The bottom line is these solutions provide additional hard dollar gains with a significant Return on Investment (ROI).
iVantage Health Analytics / The Chartis Center for Rural Health
iVantage Health Analytics provides hospitals and healthcare systems with performance management analytic tools for benchmarking, strategic planning and payment optimization.
iVantage's unique approach, which combines sophisticated tools with hands-on expert guidance, is engineered to create actionable and measurable performance improvement for our clients.
Some of the nation’s largest health systems, regional providers and community hospitals rely on our cloud-based reporting and analytics to help identify and prioritize opportunities for market, clinical, financial and operational improvement.
Benchmarking & Performance Management
The iVantage benchmarking and performance management tool enables hospitals and health systems to identify and prioritize opportunities for operational clinical quality and cost management improvement. With exceptional accuracy and detail, iVantage Performance Manager™ analyzes performance over time and compares to affiliates, industry peers and self-selected cohorts.
Physician Office Performance Management
iVantage's physician office performance management tool helps hospitals identify variance and prioritize opportunities for cost reduction at their physician practices.
Market Planning and Strategy
iVantage's strategic market planning tool, iVantage Market Intelligence™, offers hospital strategists, planners and merger and acquisition teams access to current, actionable market intelligence.
iVantage's reimbursement analytics tool, iVantage Reimbursement Analyzer™, aggregates all payor, patient and payment data into a single application to optimize managed care contract revenue.
The Chartis Center for Rural Health
The Chartis Center for Rural Health brings an unmatched capability to assess the performance of rural healthcare assets with their deep consulting and rural-relevant analytic experience. The CCRH builds upon the well-established iVantage history of experience providing thought leadership to rural health leaders. This rural-relevant expertise and a proprietary database of operational indicators is critical in the assessment of the efficiency and effectiveness of rural assets when comparing like facilities across the nation.
The Chartis Center for Rural Health offers the industry leading rural-relevant services to provide:
Rural-relevant insights into the performance of rural providers
- Comparisons of health system “rural sisters” to each other and to other systems that have made similar investments in the partnership and acquisition of rural providers.
- Technical and advisory assistance to mine analytics to identify strategic and operational opportunities and develop interventions to “move the needle” and improve position and performance.
- Perspective and appreciation of the rural health safety-net function and an understanding of the health disparities in the communities they serve.
CommerceVantage™ combines the latest in accounts payable technology and payment disbursement to offer innovative solutions that streamline accounts payable processes and create revenue for AP departments without changing current banking relationships.
Capitalize on process efficiencies and generate monthly revenue share earnings by activating a CommerceVantage™ AP Card payment program, utilizing the Visa® Network. This flexible solution requires no software to host and the Commerce Bank Vendor Enrollment team will actively contact and enroll vendors on your behalf to maximize your earnings. CommerceVantage™ AP Automation modernizes invoice receipt and capture, approval workflow, and payment by utilizing a single payment file. Enhance process efficiencies and gain real-time visibility to your AP information, enabling your staff to spend time on strategic tasks such as spend analysis, discount capture, and optimizing working capital overall.
CommerceVantage® delivers innovative accounts payable products and services that automate invoice processing, workflow and payments. Combining the latest in technology with high-touch service, CommerceVantage tailored solutions eliminate manual, paper-based tasks; reduce expenses; create efficiencies; and provide an opportunity to earn revenue.
Download the CommerceVantage AP Slick
Direct Business Rewards:
The Commerce Bank Direct Business Rewards credit card blends the power of a Purchasing Card with the streamlined processes of a Business Card. Encompassing up to $1 million in annual purchases, this program exceeds the traditional benefits of a Business Card while using a simple application for approval.
Download the CommerceVantage Direct Rewards Slick
Vizient (formerly Provista)
As a trusted supply chain partner with over 20 years of health care experience, Vizient connects hospitals to a robust and reliable network of suppliers, distributors and service providers.
With over 1,500 agreements and more than $55 billion in combined purchasing power, we help 1,500+ hospitals and 12 state hospital associations access products and services – medical and surgical, pharmacy, laboratory, orthopedics and cardiology, capital equipment, IT and telecom and more.
The pharmacy program also offers more than 11,000 products and $27 billion in annual purchasing volume, ensuring continuous access to supplies. Plus, the private label portfolio, NOVAPLUS®, offers hospitals short- and critical-access and hard-to-get drugs.
But Vizient offers more than contracts. Personalized purchasing solutions are provided to over 150,000 customer sites. Hospitals can streamline the contracting process and get an accurate view of performance using our Data, Analytics and Management tools all on a member-only website.
With Vizient's commitment-free, cost-free services, hospitals are free to self-contract on products. From contract- or program-specific to fully committed agreements, each hospital can choose its perfect plan.
Vizient empowers hospitals to make smarter, more efficient purchasing decisions with the help of a dedicated partner by their side. That’s Vizient. That’s purchasing empowered.
Class Action Capital
Class Action Capital is a market leader in class action settlement claim management. They work on behalf of over 5,000 corporate clients, including a large number hospitals, healthcare facilities and state hospital associations, helping to recover refunds on their behalf from recent class action settlements.
Class Action Capital help their clients monitor and identify settlements in which they are eligible and perform the necessary work to recover their share. Many hospitals do not have the time, resources or relevant data available to file a settlement claim, and Class Action Capital will work with them to submit a fully comprehensive claim recovery, while minimizing the use of their employees’ time, internal resources and the risk of errors when managing claims themselves. Class Action Capital works on a contingency fee basis, so there is no up-front cost, risk or hidden fees.
Remi's Equipment Maintenance Management Program replaces multiple service agreements and extended warranties with one agreement that costs less and is more flexible than the Original Equipment Manufacturer (OEM) or Independent Service Organization agreement. Remi does not maintain or repair equipment but provides a single point of contact for managing service events and is service vendor neutral. The Remi solution delivers coverage that includes the costs associated with parts, labor, travel, emergency repair and preventative maintenance.
- Cost Reduction: Save 15 - 22% off your current service agreement pricing with the quality and coverage of your existing service.
- Vendor Neutrality: Provides an unbiased vendor solution that delivers timely and qualified service in accordance with OEM specifications.
- Consolidation: Manages the maintenance of multiple equipment types under one fixed-price agreement with the flexibility to customize equipment coverage.
- Administrative Efficiency: Reduces the time you spend administering multiple serivce agreements from various equipment manufacturers and service providers.
Remi offers an extraordinary level of industry experience and technical expertise that few can rival. Its goal is to enhance performance, improve vendor responsiveness and eliminate the distractions related to managing your equipment portfolio. But most importantly, Remi strives to extend the useful life of your electronic equipment and dramatically reduce equipment maintenance management and repair expenses.