Most hospitals that I encounter have at least a few Preferred Provider Organization (PPO) Network contracts that include workers’ compensation. Some have dozens. These contracts range from super simple 1-page Letters of Agreement, to massively complex multi-line managed care agreements. Hospitals typically devote staff to developing and managing these contracts, but just as is true with Group Health or Commercial contracts, work comp contracts have the same propensity for errors and abuse and left unchecked these blunders could cost hospitals dearly.
As the Thanksgiving holiday rapidly approaches, it’s a time for us individually to reflect on our blessings and remember what we are thankful for. Like you, I will take the time to do that in the coming days. If individuals can be thankful, why can’t companies be thankful too? Here are four things EnableComp is grateful for this Thanksgiving.
At EnableComp, Fun is one of our six core values and it’s something that we try and incorporate into our regular work schedule. Whether it’s playing a game of ping-pong in the fun room with the CFO or challenging your colleague to a game of Mario Kart on the Wii, we know fun! One of the most fun filled weeks of the year is Revenue Services Week. This is an entire week devoted to our Revenue Services team that work hard all year long to make the company successful.
It’s no secret that hospitals are continuously battling thin margins by working to put the correct partnerships, processes and systems in place to avoid the big misses. The players on the PGA Tour are constantly facing the same battles. Finding the right partners to help lower the margin of error each performance year is key.
Medical billing reimbursement in Virginia has been a hot topic among industry pundits for years. As one of the few remaining “usual & customary” states where hospitals and physicians are not reimbursed at specific rates dictated by the state, the opportunity for creative interpretation of the rules has existed on both sides and bad actors have created a perfect storm for change. As a result, large gulfs between hospital charges and payments have generated thousands of disputes brought before the Virginia Work Comp Commission over the years and in 2015, the bubble burst.
The TNInvestco program recently announced that Complete Holdings Group is one of the top job creators in 2016 in Tennessee.
A few years ago, we did something pretty cool. We asked employees to describe the EnableComp culture in one word, to write it on a sticky note and place it on a designated wall in our office. No instruction beyond just that; our culture, one word.
Something amazing happened…
EnableComp was founded in 2000 by my longtime friend David Iskowe like many new companies: a potential customer asked an entrepreneur to do something for them!
FRANKLIN, TN – EnableComp LLC announced today a major growth investment by Primus Capital (Primus), a private equity firm based in Cleveland and Atlanta. EnableComp, based in Franklin, TN, is a healthcare technology enabled services company that partners with healthcare providers to maximize reimbursement from workers’ compensation payers. The investment by Primus will accelerate EnableComp’s existing foothold as the nation’s leading provider of work comp reimbursement solutions and allow it to expand its portfolio of solutions and client reach.
One of our major focuses at EnableComp is to monitor and report on legislative and industrial changes that have material impact to our business. As a national work comp revenue cycle company with over 600 hospital clients across the country, you can imagine that we (and the rest of the work comp community) have been watching Tennessee for quite some time as the changes within work comp have been significant over the past few years. Now with the State moving toward requiring work comp billing to be all-electronic in 2018, there are several points to consider for hospitals to be efficient and compliant with the proposed regulations.