Athenahealth, Transworld Systems Alliance Providing Medical Practices with Significant Return on Investment

athenahealth, Inc., the premier provider of web-based services, knowledge, and software for medical practices, and Transworld Systems Inc., the industry leader in profit recovery, entered into an alliance in early 2006, and now their mutual medical practice clients are realizing significant returns on their investment.

“athenahealth has given our practice an amazing level of visibility and control over our billing and claims processes, but once our delinquent accounts went into collections, they fell off the map entirely,” said Deidre Kiley, billing supervisor at a six-physician pediatric practice in Palm Beach, FL. “athenahealth referred us to Transworld Systems, and now it is extremely easy to track and get paid for past due accounts. We just click a button, select the delinquent accounts to send to Transworld, and all the work is done for us. In just four months, we’ve gone from collecting only 23 percent of our delinquent accounts to collecting 59 percent, totaling $19,000 in additional collected revenue.”

This alliance has provided over 115 medical practices and 1,000 physicians with a more efficient and successful collections process for delinquent self-pay and insurance claims.  Thus resulting in the return of more than one million dollars to their practices and providing a return on investment of over 700 percent.

“Trends in healthcare, such as consumer-directed healthcare are creating new challenges for medical practice collections,” said Derek Hedges, director of channel relations at athenahealth. “athenahealth’s billing services along with our award-winning software provides medical practices with a predictable and measurable system for collecting from insurance carriers. Our alliance with Transworld Systems only strengthens our ability to empower physicians in streamlining their collections amidst an increasingly complex reimbursement environment.”

athenahealth’s billing and practice management service, athenaCollector SM, applies an industry-unique combination of intuitive software, billing intelligence, and results-oriented services.  The service provides continually updated payer-specific coding rules and E & M coding reviews to help providers optimize reimbursement. All areas of the practice are able to share billing history information for patients and monitor performance on best practice metrics which are automatically tracked and reported throughout athenahealth’s client base nationally.  Through the system, physicians are also alerted to relevant payer rules that need to be considered to ensure proper documentation and efficient billing processes.

Transworld Systems’ GreenFlagSM Profit Recovery service handles account receivables across the entire credit-to-cash cycle from early past due accounts through hard-to-collect delinquent accounts. This alliance provides practices using athenahealth’s billing and practice management service the ability to view collections activities and administer delinquent collections directly through Transworld, which dramatically simplifies the entire revenue-cycle workflow. Transworld Systems has extensive experience in the healthcare industry and has been an MGMA? (Medical Group Management Association) AdminiServe? Partner since 1998.  AdminiServe is the branded name for the association’s preferred supplier network.

Ken Eissing, senior vice president of sales and marketing at Transworld Systems said, “There is tremendous potential through this alliance – for all of our customers – and the return on investment here is real and very significant.  Combining our top-of-the-line services is now providing medical practices with the ability to return to their primary responsibility – providing quality medical care.”