RECOMMENDATION(S):

Approve and authorize the Purchasing Agent, on behalf of the Health Services Department, to execute a Purchase Order with Experian Health, Inc. in an amount not to exceed $180,000 for purchase of license support of the Electronic Claims and Remittances System Software for the period July 1, 2016, through June 30, 2017.

FISCAL IMPACT:

100% Funding is included in the Hospital Enterprise Fund I Budget.

BACKGROUND:

Since 2001 the Patient Accounting Department has used Experian Health revenue cycle products to simplify claims processing and expedite receipt of payments. CCHS uses the following Experian Health modules for accurate posting of payments and adjustments: 1) Electronic Claims Processing: Billing forms are represented exactly and submitted directly for faster payment. 2) Remittance and Payment Processing: enables quick and accurate posting of payments and adjustments to the Patient Accounting System. 3) Real-time Transactions Eligibility: checks for eligibility before claims are submitted to ensure expedited payments. 4) Financial Reporting: provides detailed reports, financial dashboard, and financial analysis tools.