TransUnion Healthcare

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TransUnion Healthcare's Current COVID-19 Response and Solutions

The following information was supplied by the vendor and has not been validated by KLAS.

Financial Assistance Screening & Insurance Eligibility
Reduce bad debt and identify more charity care-eligible patients in the wake of the pandemic

TransUnion Healthcare is actively monitoring the COVID-19 pandemic for our Financial Assistance Screening & Insurance Eligibility clients. Scenarios such as rising unemployment, ED surges, increased patient debt, staffing constraints, and newly insured and non-traditional visits will all have a significant impact on the typical financial clearance and insurance follow-up processes.

Protect your revenue with TransUnion’s Patient Financial Clearance solutions:

TransUnion’s Financial Assistance Screening solution qualifies patients for charity programs faster by using an objective interview process. It reduces staff time on Medicaid applications by automatically populating patient demographic information into state portals. The solution presumptively qualifies patients for charity and supports documentation for IRS 501(r) reporting requirements. With our Insurance Eligibility solution, which has connectivity to more than 880 payers, providers can capture accurate insurance information at all points in the revenue recycle to ensure earned revenue gets paid.

Optimize your Financial Assistance Screening & Eligibility Checks to respond to COVID-19 challenges:

Whether you are an existing client or a user of another solution, we recommend the following adjustments to your financial assistance screening & eligibility processes to protect your revenue in the wake of the pandemic.

  • Ensure Financial Assistance Policies are adjusted and consistently followed—run at 30-, 60- and 90-day intervals—and encompass provisions to address catastrophic events and financial hardship
  • Increase Financial Assistance resources to ensure charity determinations are accurate and compliant
  • Ensure financial clearance processes and eligibility checks are performed consistently
  • Proactively assign the proper financial classes: guarantor, payer, charity, TPL, etc.
  • Reevaluate intake policies and procedures to ensure financial clearance encompasses newly insured and charity scenarios—run at intervals to confirm financial classes are accurately applied

Insurance Discovery
Protect and recover your revenue in the wake of the pandemic

TransUnion Healthcare is actively monitoring the COVID-19 pandemic for our Insurance Discovery clients. Scenarios such as rising unemployment, ED surges, staffing constraints, newly insured and non-traditional visits will all have a significant impact on the typical claim submission and insurance follow-up processes. As such, we recommend that all healthcare providers ensure the appropriate safety net solutions, such as Insurance Discovery, are in place.

Protect your revenue with TransUnion Healthcare’s Insurance Discovery:

TransUnion Healthcare’s Insurance Discovery solution, which is recognized by KLAS as a Revenue Cycle Unicorn, leverages patented technology, unique data assets and extensive payer connectivity to find coverage that others miss. In addition to converting self-pay accounts to an insured status, the solution also reviews Medicaid accounts to identify Medicare or Commercial coverage that may be primary, and identifies Medicare/Medicaid dual eligible accounts for cost report preparation.

TransUnion Healthcare’s Revenue Protection solutions, including Insurance Discovery, have identified more than $6.4 billion in net revenue and cash over the past five years for our clients.

Optimize Insurance Discovery to respond to COVID-19 challenges:

Whether you are an existing client or a user of another insurance discovery solution, we recommend the following adjustments to your insurance discovery processes to protect and recover your revenue in the wake of the pandemic.

  • Re-allocate staff to address any outstanding inventories (for example, redeploy surgical admissions to billing). This will help you accelerate cash by clearing inventory and prevent evaporation by eliminating past timely accounts.
  • Move up any insurance discovery hold protocols to get cash in the door earlier.
  • Focus on your highest dollar accounts and those nearing their billing deadline.

A/R Recovery and Transfer DRG Underpayments
Protect revenue and recover underpayments in the wake of the pandemic

TransUnion Healthcare is actively monitoring the COVID-19 pandemic for our A/R Recovery and Medicare Transfer DRG clients. Scenarios such as ED surges, staffing constraints and increasing bad debt will all have a significant impact on the typical claim submission and insurance follow-up processes. As such, we recommend that providers take advantage of appropriate safety net solutions, such as A/R Recovery and Transfer DRG services.

Protect your revenue with TransUnion Healthcare’s Revenue Recovery solutions:

Our A/R Recovery Extended Business Office services leverage a unique combination of data, analytics and workflow to deliver maximum reimbursement from insurance payers faster than other vendors, while providing transparent insight into your A/R. TransUnion’s Transfer DRG solution leverages its STINGRAY™ platform’s superior processing and data integration capabilities to help hospitals identify and recover more Transfer DRG underpayments, even when coming in behind other vendors.

Optimize our Revenue Protection solutions to respond to COVID-19 challenges:

Whether you are an existing client or user of another A/R recovery solution, we recommend the following adjustments to your A/R recovery processes to protect your revenue in the wake of the pandemic:

  • Outsource zero balance accounts to capture more revenue from written-off accounts.
  • Leverage extended business office services for denials and A/R management to offset declines in internal billing office productivity.

For existing and new Transfer DRG clients, we recommend:

  • Taking advantage of our free Transfer DRG billing services to free up bandwidth and ensure that you capture all revenue opportunities before timely filing limits.
  • Clearly documenting in the Medical Record additional detail on plans for continued Home Health services to ensure overpayments are not incurred.

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