Complex Revenue Recovery Suite

Capture revenue others leave behind

Too often hospitals submit claims that are underpaid, written off, or lost in payer complexity. Our Complex Revenue Recovery Suite safeguards revenue, so providers receive full reimbursement for patient care.

Intelligent tech accelerates revenue recovery

EnableComp’s e360 RCM® platform brings that focus. Built on decades of recovery expertise in the most complex realms of the revenue cycle, our team uses e360’s AI-enhanced analytics to surface underpayments, uncover missed reimbursements, and accelerate full revenue capture.

Harnessing intelligent tech along with the most experienced revenue recovery teams in healthcare, we secure today’s revenue while building foresight that strengthens the financial foundation and protects against future revenue leakage.

Intelligent Technology

Intelligent tech accelerates revenue recovery

Hospitals are losing millions of dollars every year to revenue leakage and write-offs. Aging AR, zero-balance accounts, and misaligned DRG assignments are the points of greatest risk – dollars that will likely be lost without the right focus and tools.

EnableComp’s e360 RCM® platform brings that focus. Built on decades of recovery expertise in the most complex realms of the revenue cycle, our team uses e360’s AI-enhanced analytics to surface underpayments, uncover missed reimbursements, and accelerate full revenue capture.

Harnessing intelligent tech along with the most experienced revenue recovery teams in healthcare, we secure today’s revenue while building foresight that strengthens the financial foundation and protects against future revenue leakage.

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Complex Revenue Recovery Suite

AR Resolution

Stalled AR means delays and potential write-offs for hospitals. EnableComp targets aging receivables to fix errors, clear backlogs, and recover dollars that might otherwise be lost for good.

  • Accelerate cash recovery
  • Reduce bad debt
  • Clear AR backlog
  • Increase recovery rates
  • Improve payer follow-up

Zero Balance Review

A zero balance doesn’t always mean full payment was received. EnableComp reviews zero balance claims to detect revenue leakage, find missed dollars and recover underpayments.

  • Validate contract compliance
  • Identify underpayments
  • Strengthen negotiation leverage
  • Protect payment integrity
  • Uncover hidden revenue
     

DRG Validation

Coding errors invite denials and compliance risk. EnableComp’s DRG Validation reviews ensure accurate coding, strengthen contract compliance, defend against audits, and protect hospitals’ long-term revenue integrity.

  • Find revenue others leave behind
  • Correct DRG misalignments
  • Strengthen compliance assurance
  • Recover hidden revenue
  • Minimize future losses

Complex Revenue Intelligence™: Your proven advantage for revenue recovery

Complex Revenue Intelligence (CRI) is what sets our Revenue Recovery Suite apart. CRI unites the predictive power of our AI-enabled e360 platform with unmatched expertise in uncovering and collecting revenue at risk.

This unique blend of technology and experience allows us to detect hidden underpayments, pinpoint missed reimbursements, and recover revenue that would otherwise be written off. CRI strengthens financial stability by returning vulnerable revenue to the bottom line.

Real outcomes. Proven impact.

$2B

Annual cash collections

20%

Average annual cash uplift

25+

Years of complex claims and denials experience

50

National coverage in all 50 states, processing complex claims and denials

Our clients say it best

"Having this partnership [with Enablecomp] in place and those early returns has really allowed us to redirect our efforts and figure out where we can make strategic investments as a result of those [financial] successes."
Sarah Ginnetti, UConn Health, AVP, Revenue Cycle
"As a leader in specialty claims, our partnership with EnableComp continues to be a valuable asset to Northwestern Medicine."
John A. Orsini, Northwestern Medicine, EVP and CFO
"Choosing EnableComp was an easy decision for our hospital. They have maximized our workers' comp claim revenue and have allowed us to reallocate trained team members to other areas of our RCM department."
Judy Briggs, Regional One Health, Vice President, Revenue Cycle
"Their expertise and in-depth knowledge of Medicaid regulations across all states ensure accurate and timely billing and payment of our claims, resulting in improved cash flow to the institution. As a result of their reasonable and competitive fees, the increased cash flow is realized at a cost which is lower than if our in-house staff handled the claims."
Juan Seijido, Memorial Sloan-Kettering Cancer Center, Director, Patient Accounts

Connect with us to unlock hidden revenue

Learn how our e360 RCM® platform, decades of data-driven insight and specialized expertise help hospitals recover more revenue, faster.