NaviMedix, the national leader in real-time healthcare communications, has acquired TopLine Solutions Inc., the market leader in healthcare payment and collection solutions, and has partnered with ClearCycle, Ingenix and Moneris, the industry’s premier financial information and services providers, to deliver the industry’s first “all payer-all patient” payment solutions for healthcare providers. NaviMedix, a trusted business partner to over 625,000 physicians and clinicians subscribed to its flagship NaviNet(R) platform, will introduce a suite of low-cost revenue cycle management solutions that will assist physician practices and other provider organizations in managing the challenges posed by increased patient financial responsibility for healthcare services.
Due to the evolution of consumer-directed health plans (CDHP) and other market factors, patients’ payment responsibility has grown substantially, and most providers are only now fully realizing the impact this payment shift has on their finances. Collecting payment from the patient can be expensive, difficult, protracted and sometimes unsuccessful. This problem, already significant today, will only get worse as CDHP adoption increases. NaviMedix, whose NaviNet platform enables healthcare providers to perform real-time financial, clinical and administrative communications with multiple payers and healthcare companies, is the first in the industry to meet the critical need for an effective and pragmatic solution to address healthcare payment and collection.
NaviMedix has acquired Topline Solutions and partnered with ClearCycle, Ingenix and Moneris to offer a set of “all-payer, all-patient” solutions that will enable providers to cost-effectively manage the business challenges of determining, managing and collecting full payment from all their patients and all health plans with which they do business. The NaviMedix offering will:
— Enable providers to easily determine, capture, process and reconcile patient responsibility for service.
— Support auto reconciliation of all patient and payer payments via NaviNet’s direct connections with health plans’ claims transaction systems.
— Enable providers to realize the benefits of practical “real-time” claims adjudication.
As a partner to both providers and payers in providing claims-related transactions, NaviMedix is uniquely positioned to offer practical estimation, collection and reconciliation tools for physicians struggling to cope with the growing amount of patient self-payments. The company’s new revenue cycle management solution suite will enhance the NaviNet platform and complement the broad set of over 400 NaviNet transactions offered today, fitting easily into existing physician office workflows and requiring little to no training while improving the office balance sheet and patient service.
“This NaviMedix revenue cycle management solution suite is a critical piece of the equation to enable real-time adjudication in today’s complex healthcare payment infrastructure,” said Tim Hargarten, chief executive officer of NaviMedix. “It will accurately estimate patient financial responsibly and will easily reconcile payments from all sources. Only NaviMedix is in the position to offer providers those capabilities all in one solution – we have trusted relationships with providers and payers nationwide, and no one knows more about payer systems, the healthcare payment infrastructure, and delivering patient-related information and transactions into the provider office.”
In addition to further enhancing the value of the NaviNet platform for NaviMedix health plan customers, the solution suite will improve plans’ provider relations, boost call center efficiencies and support efforts to promote consumer-directed health plans. The combination of the NaviNet platform and NaviMedix’s national network of over 625,000 providers is a built-in channel for the company to efficiently distribute its new “all-payer, all patient” solutions and services to the provider community. The NaviMedix revenue cycle management suite will be available in 2009.
Providers interested in joining the NaviNet Network may visit www.aboutnavinet.com
About NaviMedix
NaviMedix is the national leader in real-time healthcare communications, with a network of over 625,000 enrolled providers in all 50 states using its solutions and services. NaviNet(R), the company’s sophisticated Web-based communications solution, allows providers to interact with the country’s leading health plans, including four of the six largest payers, and other sponsoring healthcare service organizations. NaviNet enables sponsors to reach a national network of providers who tap into the solution frequently for medical and business interactions. NaviMedix solutions deliver relevant information from multiple sources into the provider office to support financial, clinical and administrative decision-making and drive more effective physician engagement. For more information, please visit www.navimedix.com or call us at 617-715-6000 or 800-805-7569.
Comments