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Press Release: Revint Solutions Announces Acquisition of Washington & West

Date: September 9

Acquisition bolsters Revint’s industry-leading enterprise revenue integrity offering by adding sophisticated complex denials and appeals capabilities

Revint Solutions, the leader in revenue recovery solutions and pioneer of the industry’s leading revenue integrity platform for healthcare providers, today announced the acquisition of Washington & West, LLC. This strategic acquisition adds breadth to Revint’s comprehensive revenue integrity solution set with leading Denial Recovery solutions.

Founded in 2002 by experts Linda Fotheringill and Tracy Wade, Washington & West is recognized as the industry “gold standard” for Denials and Appeals Management, combining expertise and technology to deliver outstanding results for its clients. The interdisciplinary team is comprised of clinicians, attorneys, certified coders, reimbursement analysts and recovery specialists, with an ability to recover all types of clinical and technical denials. Leveraging its proprietary Quantum Appeals technology platform to manage the recovery process, Washington & West provides the most comprehensive approach to recover funds from Commercial, Government and Medicare Advantage payers who have wrongfully denied, underpaid, threatened to retract or have retracted payments from providers. Washington & West has a long-standing track record of industry leading recovery rates and client service and its innovative approach is validated by a customer base of leading hospitals and health systems, including some of the nation’s most prestigious academic medical centers.

The Washington & West team will be remaining in place, with additional investment and expansion contemplated to help expand the Denials Recovery offering across Revint’s existing customer base.

“We are incredibly excited to be welcoming the Washington & West team to the Revint family,” commented Roger Davis, Chief Executive Officer of Revint Solutions. “Denials management is an acute and growing pain point for provider organizations, and we believe this combination will enable us to deliver even greater results and a more comprehensive ‘safety net’ for our client partners.”

“Revint stood out to us as an ideal partner for the next phase of Washington & West’s growth. They understand our customer centric approach and we believe that their broader platform can help our clients to maximize savings while maintaining the level of service that our customers have come to expect,” said Tracy Wade, co-founder of Washington & West. “Our team is excited and confident that the business will continue to grow and thrive under Roger’s leadership at Revint.”

Revint Solutions was formed with the goal of creating a unique, first-of-its-kind, end-to-end enterprise provider of revenue integrity solutions for hospitals. Revint’s approach of combining expert services with innovative technology delivers outstanding outcomes for its clients. Today, Revint partners with over 1,600 healthcare organizations in the United States and recovers over $500 million of underpaid or unidentified revenue for its clients annually. The Company’s solution set includes suites centered around Revenue Assurance (DRG Validation, Charge Capture, Transfer DRG), Underpayments (Denials Recovery, Underpayments and Workers’ Compensation), and Government Reimbursements (DSH, Medicare Bad Debt, S-10). Revint was recognized by Black Book as the highest ranked Revenue Recovery vendor based on customer satisfaction and client experience. All of Revint’s Revenue Recovery solution suites have HFMA Peer Review status.

Contacts

Nicole Cook, 302.304.0210
nicole.cook@revintsolutions.com

Press Release: Washington & West Announces New Executive Director of Business Services

Date: April 24

Washington & West, LLC is pleased to announce the promotion of Kathryn (Kate) Knitter to the role of Executive Director of Business Services, effective immediately.

Kate joined W&W in 2008 and since that time has taken on increasing levels of responsibility and management within the company.  Quickly mastering her initial role, she subsequently took on positions of Professional Relations Representative, Administrative Supervisor and Director of Commercial Recovery.  Over the course of her tenure with W&W Kate has brought outstanding levels of innovation and has been driving force in the growth and development of W&W’s Commercial Recovery department.

In her new role as Executive Director of Business Services, Kate will work collaboratively with all departments to align W&W’s strategic initiatives, process management, risk management, and the overall Company macro-vision.

Opportunity for Reimbursement from UHCIC

Date: November 21

On March 29, 2013 the Florida Department of Financial Services issued a “Notice to Medical Providers” regarding the liquidation of Universal Health Care, Inc. (UHC) and Universal Health Care Insurance Company, Inc. (UHCIC). The Notice was sent to providers whose records indicated they “may have provided medical services” to members/policyholders of UHC and UHCIC. If you have any denied claims for UHCIC it may not be too late to get paid for those claims.  Although the Proofs of Claim deadline was in 2014, we believe that we can file late claims for a limited period of time, until approximately November 30, 2016. If you have any claims denied by UHCIC with service dates between 02/01/2012 and 03/31/2013, we would be happy to pursue them on your behalf.

The Receiver has announced that Class 2 medical providers (i.e. those for whom Proofs of Claim were filed by the 6/30/14 deadline) will be paid in full at 100% of the claim pricing, and will be paid prior to any remaining class of creditor. Providers with late filed claims will be Class 8 creditors (not Class 2 priority). However, based on the published financial statements of the Receivership, it is expected that Class 8 creditors will also be paid in full at 100% of claims pricing. We are aware of providers who are expected to receive large payments on aged claims that were written off years agoWe can pursue any denied or underpaid UHCIC claims dating from 02/01/2012 through 03/31/2013, and medical providers are expected to be paid in full at 100% of the of claim pricing.

If you choose to pursue this opportunity please contact us at (410) 296-5192 or email Gail Robinson at g.robinson@washingtonwest.com.

 

CMS Announces 2016 Hospital Appeals Settlement Call

Date: October 28

On September 28, 2016 the Centers for Medicare and Medicaid Services (CMS) announced that it will “once again allow eligible providers to settle their inpatient status claims currently under appeal using the Hospital Appeals Settlement process.” At the time of the announcement no details on the new settlement offer were provided. Today, CMS announced that they will host a 2016 Hospital Appeals Settlement Call on November 16, 2016, from 1:30 to 3:00 P.M. CMS has created a Hospital Appeals Settlement Process 2016 webpage and indicated that details on the settlement process will be posted to the page in early November. Registration for the November 16th call is required and can be submitted through the MLN Connects Upcoming Events page.

Sarah Mendiola to Present at Association for Clinical Documentation Improvement Specialists (ACDIS) Annual Conference

Date: May 18

W&W Director of Clinical Services and Senior Attorney, Sarah Mendiola, will present at the 9th Annual Association of Clinical Documentation Improvement Specialists (ACDIS) Conference in Atlanta, Georgia on May 25th.  Ms. Mendiola’s presentation, titled Completing the Circle: The Importance of CDI Specialist Participation in the Denial Management Process, will discuss best practices for CDI specialist participation in denial management.  The interactive session will present actual examples of costly denials that could have been prevented with CDI specialist intervention. Examples will include 2-midnight denials, medical necessity for surgical denials (as outlined by CMS), and justification of MCCs that are difficult to support clinically while maintaining compliance guidelines.

OMHA Announces Settlement Conference Facilitation (SCF) Pilot Open Door Call

Date: September 17

An email on behalf of the OMHA Medicare Appellant Forum announced today that the Office of Medicare Hearings and Appeals’(OMHA) had scheduled an open door teleconference which will discuss  expansion of its Settlement Conference Facilitation (SCF) Pilot.  The open door teleconference will be held on October 15, 2015 at 1:00pm-2:00pm.

Washington & West, LLC
One Olympic Place, Suite 500
Towson, MD 21204
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