FAQs for Unified Health Services

Send your ANSI X12 837 claims to UHS using any clearinghouse and receive 835 remittance data that can be auto posted to any Electronic Medical Record or billing system. Customer preferences are determined and built into the implementation process and ongoing collaboration provides confidence to our customers.

UHS impacts the cost of doing business as follows:

• 100% of claims are sent to UHS via EDI thus eliminating the print mail costs which become a cost of UHS.
• Provider employee productivity increases by assigning current staff to other areas of the revenue cycle.
• Front end work improves the first pass rate resulting in improved cash flow.
• Net collections increase based on extensive Accounts Receivable follow-up & knowledge of UHS.
• Improvements to the overall process reduces bad debt.
• Payment lags improve:
  • Prework reduces the lag from date of service to submission date.
  • The payment lag between submission & the paid date decreases.
  • Overall, all Accounts Receivable days will go down.
• These activities increase cash and reduce the associated workflow expense.

Yes, UHS offers nationwide coverage, providing services in all fifty states. UHS has a sophisticated technology platform that tracks payers & employers by state. Our 25 years of knowledge if built into our system and processes where we maintain the knowledge for all the payer rules, edits, fee scheduled, eligibility, prior authorization, and dispute processes are known for each jurisdiction.

As part of the discovery process which each customer, UHS identifies opportunities for improvement. Based on this information, UHS partners with our customers to identify the picture of success. Using this benchmark data, UHS measures the improvement in performance and reviews it with each customer as part of our business review process. These outcomes improvements are typically related to increased cash, reduced payment lags, improved first pass rates, reduced denials, and an increase in the collections of the expected allowed.

UHS has a dedicated team of US-based experts that support each customer. Through a combination of using our technology and business review meetings UHS provides a communication loop with our customers. Through detailed reporting and experience within all fifty states UHS provides project planning, data integration, fee schedules, managed care contracting, reporting, and problem solving which provides our clients with effective and efficient support.

Unified Health Services leverages interfaces directly with most practice management systems (PMS’s) and Electronic Medical Records simplifies and shortens the implementation process.

UHS specializes in managing Complex Claims for healthcare providers, focusing on Workers’ Compensation claims. We use proprietary technology and a state specific knowledge base to support both an end-to-end Revenue Cycle Management and an Early Out bad debt accounts receivable solutions.

It is a contingency model that is used to price our services, where we only get paid when your claims are paid.

• UHS increases cash by 7 to 10% for most customers.
• Claim submission with the appropriate document will be billed within 48 hours.
• Average days to payment are less than 60 days.
• First pass rate of more than 80%.

UHS has been providing RCM support for Workers’ Compensation claims in the Complex Claims space for over 25 years where we have billed more than $7b in collections.

Below is a list of the common benefits most of our clients experience:

• Lowering processing costs.
• Eliminates manual work.
• Reduces the risk of not being paid.
• Increasing collection yields.
• Accelerates cash flow.
• Eliminates unpaid accounts.
• Reduced days in accounts receivable.

UHS can evidence our results by providing statistics related to the following metrics:

• A high first pass rate.
• Increased collections.
•  Improved cash flow.
• Reduced days to submission & days to payment.
• Improved provider & patient experience.
• Reduced overhead.
• Increased percentage of total claims paid.

We understand your concerns and have found it helpful to have organizations like yours speak to one of our clients so you can hear directly from them about their experience in working with UHS. UHS is open to discussing a no risk trial where we work on a portion of your old AR to prove that our product works. We are so confident in our solution that we will not lock you into an agreement with a long-term contract provision.

UHS collaborates with providers of varying sizes and rarely finds that cost is a barrier. As part of our process our business development team will provide a detailed assessment of whether we think our solution is a good fit for each prospect. When there is a fit, we typically help the customer to develop an ROI analysis supporting the initiative.

UHS can provide you the detail regarding the responsibilities of the parties and the amount of time required by resource. With this you will find we can complete most tasks on your behalf and most implementations in just a few weeks. UHS prides ourselves on being collaborative with our customers during the implementation, but realizes that conflicting priorities need to be considered carefully, and we do whatever can to provide insight without dramatically increasing your workload.

Yes, UHS provides RCM services for providers with both professional and institutional billing. Some case providers might call these lines of business both Hospital Billing & Professional Billing.

UHS offers an end-to-end RCM solution including the following:

• Eligibility Verification
• Benefit Determination & Prior Authorization
• Billing
• Contract Compliance & Appeals
• Accounts Receivable Follow-Up
• Payer/Employer Financial Engagement
• Cash Management - 835 & ACH Payments