Med-Metrix

Med-Metrix provides end-to-end Revenue Cycle Management (RCM) services tailored for hospitals and physician groups. Their service offerings encompass Patient Intake, Revenue Integrity, Revenue Collection, and Business Insights & Administration. Med-Metrix has automated tens of millions of transactions and offers a customized 6 to 10-week training program through Med-Metrix University to enhance RCM skills. Their outsourcing services typically increase cash collection by 2-5% of contracted revenue, and their Denials Management service overturns 60-70% of denials on average. Additionally, their collection workflow increases yield by 1.5-3% on average, delivering a 4x-10x ROI for numerous healthcare systems and providers nationwide. Med-Metrix has expanded its capabilities through acquisitions of brands like Healthware Concepts, Miller & Milone, LLC, ARMCO Partners, PatientPal, and Tritech Healthcare Management. Their suite of RCM technology includes real automation (RPA), AI machine learning, and more, supporting 24/7 operations in complex reimbursement environments. Med-Metrix’s Patient Intake services aim to reduce errors and improve revenue, while their Revenue Integrity services prevent inaccuracies in pricing, coding, and claims processes. The Business Insights Stack provides actionable insights into revenue performance, payer denial activity, and service line profitability. Their Denials & Revenue Recovery services feature automated denial and appeals management with a high overturn rate. The Payment Variance Recovery service identifies underpayments and lost charges, and the Transfer DRG service ensures proper use of CPT, HCPCS, and DRGs. Credentialing & Provider Enrollment services manage administrative tasks throughout the revenue cycle, and the Liability Estimator helps staff collect accurate payments at the time of service. Lastly, their Vendor Management technology facilitates successful partnerships without additional client effort.