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ERN

Don’t Leave Revenue on the Table

ClaimCure is our certified consulting service where our expert consultants work alongside your team to identify inefficiencies in your revenue cycle and implement solutions that optimize your reimbursement process, prevent denials, and ensure regulatory compliance. We provide customized strategies to help you improve cash flow, all while ensuring that patient care remains the top priority.

Why Effective Financial Strategies Matter

$745B

of uncompensated care since 2000.

67%

of denial claims are recoverable.

63%

of healthcare organizations say staff development and training positively impact financial outcomes.
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Don’t Let Billing Inefficiencies Hold You Back

Your ability to practice medicine is the direct result and product of cash flow. When that flow is interrupted by inefficiencies or payment delays, the foundation of your practice is at risk.

Aging Accounts Receivable

As accounts age, their value diminishes. Delayed payments lead to more write-offs and reduced cash flow, ultimately threatening your ability to provide continuous care.

Unfair Payment Practices

Payors often use administrative practices and loopholes to deny or delay claims, impacting your revenue stream. Without a comprehensive approach to handling these denials, these practices can result in lost revenue and wasted resources.

Late Reporting

Slow and delayed reporting of claims or payments creates bottlenecks, causing operational inefficiencies and missed opportunities to address outstanding claims in a timely manner.

These headaches all share the same solution: ClaimCure

How ClaimCure Works

Revenue Cycle Consulting

ClaimCure’s ERN Certified Compliance Consultants are skilled in dive deep into your revenue cycle, from front-end intake to back-end billing, to identify inefficiencies and improve processes by integrating health administrative laws. We deliver a comprehensive implementation guide with actionable findings and recommendations to drive long-term results.

Key Services

  • Customized policies and procedures for admissions, authorizations, transfer, and appeals
  • Denial management strategy and roadmap
  • High dollars claim resolution
  • Staff training on administrative laws and denial prevention
  • Metrics, flow charts, and rebuttal scripts
  • Payer-provider contract review and recommendations

Pre-Litigation Consulting

For unresolved claims, ClaimCure helps you determine the next steps. Our consultants review accounts to identify unfair payment trends, escalate issues to regulatory agencies, and analyze provider-payer contracts to determine if litigation is necessary. We assist in preparing cases for litigation, including evidence collection and expert witness services.

Key Services

  • Claim denial root cause analysis with administrative law integration
  • Unfair payment trend reporting for regulatory complaints
  • Pre-litigation analysis and case preparation
  • Document collection and expert witness services

ERN Onsite Compliance Audits

Our onsite audits identify missed revenue opportunities and process inefficiencies in your Business Office and Patient Access departments. By addressing issues such as emergency admissions, medical necessity denials, and post-stabilization care, we help you recover revenue, with project outcomes ranging from $150,000 to $50 million. We also provide ongoing support with monthly offsite audits to ensure continued success.

Key Services

  • ERN Certified Compliance Auditors with expertise in unfair payment prevention
  • Detailed implementation plans and payor corrective action recommendations
  • Access to a comprehensive library of regulatory documents
  • Patient/Provider hotline for care disagreements and untimely authorization cases

The Benefits of ClaimCure

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Maximized Cash Flow:

Improve your financial health by reducing denials and speeding up claim resolutions.

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Denial Prevention:

We help you avoid future denials through process improvements and expert denial management strategies.

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Ongoing Support:

We offer year-round consulting to ensure continued improvements in your revenue cycle.

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Regulatory Compliance:

Our consultants are trained in the latest health administrative laws, ensuring your operations are fully compliant with all state and federal regulations.

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Increased Revenue Recovery:

By addressing aging accounts and enforcing payment compliance, we help you recover lost revenue.

Consulting You Can Trust

ClaimCure is a division of ERN, leveraging over 25 years of experience in healthcare reimbursement advocacy. Our team consists of certified professionals who combine deep expertise in revenue cycle management with a commitment to improving patient care.

Ensuring patient data confidentiality and compliance.
Demonstrating the highest level of expertise in medical billing.
Experts in coding and compliance for healthcare providers.
CERTIFIED IN HEALTHCARE ADMINISTRATION LAWS AND DENIAL PREVENTION CONCEPTS

Trusted by Clients Nationwide

“We learned more in one day than we had in months of trial and error. The practical knowledge and strategies ERN shared were immediately useful, and we saw improvement in our claim resolutions almost instantly.”

— AAHAM MN Gopher Chapter Member

Training Session Attendee

"Ed Norwood and his ERN team and suite of services are the ultimate no-brainer for every Healthcare Revenue Cycle leader. In my 15+ years of personally training under Ed, sending my Business Office staff and leaders to be trained by Ed, consulting with Ed, and accessing his dispute resolution services – I know first-hand that Ed’s approach DELIVERS above all others. And yes, I know that there are 9 dozen other vendors who make grander claims –it has become our healthcare industry’s ultimate cliché. Ed is the real thing folks. His approach runs circles around all of them. His game-changer training is the ounce of prevention every healthcare organization needs. His clinical and non-clinical appeal win rate and time frame will bring home your dollars QUICKER and LESS COSTLY than your in-house appeals team or your preferred law firm. Better yet-- is that when you engage with Ed Norwood / ERN, your teams will quickly learn how to most effectively prevent denials, and when needed they will fight to win. That is because Ed’s perfect formulation of strategy + knowledge transforms and empowers your organization’s FRONT LINES of Patient Access, Case Management, Billing, Collections, and of course Appeals. Ed is the real thing."

— Yaman Kahf

VP Revenue Cycle Pipeline Health

"I have worked with Ed on numerous projects over the years and he is one of my favorite people. I have found him to be a most excellent trainer of various levels of personnel from CFO to Billing and Admitting staff. I've sat in on a number of training sessions and I have to say - probably the best I've ever attended."

— Debbie Esparza

VP of Payer Strategy & Relationships at CommonSpirt Health

"Ed's special skills changed my nephew's life. He has a rare disease and was not getting care because of insurance denial. He had no movement in any of his limbs. With rehab, we have hope of a full recovery. Thanks, Ed."

— Julie Ward

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"I had the pleasure of hearing Ed last summer in LA. I knew at that point my organization needed him! As result, he spoke to my Case Management Directors in April at our National Symposium. I believe the time spent with my leaders is a game changer and so do my CMDs.

I highly recommend Ed. He will change the landscape of your practice and provide you the tools to level the playing field with payors. He is articulate, enthusiastic and engaging. His knowledge is a MUST HAVE in your toolkit to success!"

— DeVonne Grizzle

Chief Clinical Officer at Quorum Health

"Ed is an amazing person and trainer we reached our yearly goals since acquired his services. He has inspired my staff with knowledge and self-growth. There are many organizations that provide assistance, but Ed provides 110% of his experiences and skills. I recommend his team for performance improvement and healthcare revenue cycle challenges."

— Anna Galvez Hernandez

Director of Patient Accounting AHMC HealthCare

Elevate your Potential with ClaimCure