Navicure Announces New Contract with Large Health System

Navicure, a leading provider of automated, Web-based revenue cycle management (RCM) solutions for physician practices, today announced its new contract with Methodist Medical Group, a Peoria, Ill.-based health system. Through this agreement, Navicure’s claims management solution will be used by all 26 multi-specialty physician practices in the Methodist Medical Group network. These practices employ more than 100 providers.

"Our goal is to take a more proactive approach to claims management," said MaryAnn Hastings, director, MSC/CBO for Methodist Medical Group. "We selected Navicure because we feel the solution’s advanced editing and reporting functionality will enable us to significantly decrease rejected claims by identifying the source and nature of potential claims errors, and quickly correcting them – all before the claim is submitted to the payer."

Navicure’s Dynamic Claims Status functionality enables claims to be easily tracked in any stage of processing and the cause of denials readily analyzed. The company’s comprehensive reporting solution ensures that all levels within an organization–from billing staff to executive leadership–have tools at their fingertips to quickly eliminate billing errors, identify payment trends and improve operational efficiency. All electronic transactions are processed in accordance with HIPAA’s privacy and security requirements, and hundreds of EDI connections are supported–resulting in the ability to process a greater number of electronic transactions by reaching all payers who offer electronic capabilities.

"It is nearly impossible for a practice’s billing department or rudimentary claims clearinghouse software to manage all the variables at play in healthcare reimbursement today," said James M. Denny, Jr., president and chief executive officer for Navicure. "Our solution catches and corrects even the most complex errors, removing this administrative burden from billing staff while ultimately enhancing profitability."

"Forward-thinking organizations like Methodist Medical Group realize this and we are thrilled to be working with them," said Denny.