Engage Health Solutions
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Ensure payment accuracy. Futureproof your claims To find out more about Engage Health Solution, our team and how we can help you, click the link the link below.
Engage Health provides curative consultative and technological solutions designed to ensure health reimbursements are made accurately across the entire reimbursement continuum. Our proactive approach is focused upon early-on identification, prevention and modification of internal practices which frequently result in payment inaccuracies. Using our unique audit and provider experience, Engage Health deploys a team of clinical, coding and reimbursement policy subject matter experts to analyze, identify and, most importantly, correct payment irregularities. As a result, Engage Health can improve the financial metrics of health organizations by reducing unnecessary costs, by decreasing the resources required to address inappropriate payments, and by mitigating revenue leakage where inappropriate payments typically occur. https://engagehealthsolutions.com/
09/30/2025
Join us tonight!
The Advanced Insights Healthcare Townhall goes live at 7:00 PM EST on Zoom.
Topic: Strategies for Compliant CAMP Treatment in a Complex Regulatory Environment
Featuring: William O’Malley, COO, Engage Health Solutions
Don’t miss this opportunity to hear expert insights on compliance, payment integrity, and audit strategies in today’s regulatory environment.
The only constant with compliance regulation is change.
Engage Health Solutions can help. Our team of experts has extensive experience in all areas of the claims process, and we know how to keep you in line with the latest regulations. We'll work with you to develop a comprehensive plan that will minimize your financial risk and maximize compliance.
You need a partner you can trust when it comes to compliance - someone who has created policies and regulations and can help you stay on top of changes as they happen. With Engage Health Solutions, you'll have just that.
Contact us at: [email protected]
08/19/2022
Denials are a serious problem for Health Systems. On average 18% of claims submitted will be denied by a Payor.
Engage Health Solutions can help you recoup or retain your payments and keep future denials to a minimum. Our team of experts has experience on both the payer and provider side, so we know how to respond in a targeted manner to achieve the best outcome.
We have a 100% positive outcome rating from our clients, so you can be sure that we will improve your revenue cycle by getting claims paid. Plus, our services have a high ROI and will save you time and money in the long run.
Sign up for a free consultation with Engage Health Solutions today!
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01/14/2022
In 2021 CMS released new guidelines in the Medicare Program Integrity Manual addressing voluntary refunds from providers and suppliers. These changes are causing concerns for providers relative to how to address voluntary refunds. Check out our blog to find out why there is so much concern.
CMS Voluntary Refunds -Concerns for Providers CMS emphasizes requirements of providers when payment errors have been identified. Providers need to be concerned about reporting requirements.
12/23/2021
Earlier this month the U.S. Department of Health and Human Services and the Health Resources and Services Administration announced the distribution of $9 billion in Provider Relief Fund from a pool of $17 billion. This relief fund is being distributed to healthcare providers that suffered financial loses due to COVID-19. Check out this article to find out more about the relief fund and if your company qualifies.
One More Audit - $10,000 or More in Provider Relief Fund Payments U.S. Department of Health and Human Services announced the distribution of $ 9 billion to Healthcare Providers that experienced losses due to COVID-19.
12/20/2021
With the pause of audits ending, auditors are back with aggressive audit activity against all types of Medicare providers and suppliers. Check out the final article of the three part series by Steven Greenspan JD, LLM to find out more on what to expect in the new year. .
Auditor Update: Part III The final part of the three part series on RAC, Program Integrity and other audit activity to prepare providers for what is to come in the new year.
12/17/2021
Short-Term Acute Care Programs should be aware of the new Severe Malnutrition target area that CMS added to PEPPER (Program for Evaluating Payment Patterns Electronic Report). Check out our article to find out more about the new target area and PEPPER.
Severe Malnutrition Added to Short-Term Acute Care PEPPER Severe malnutrition is reported to have a high error rate and recently became a focus in the recent PEPPER Reports
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