Boost Healthcare: the most powerful boost any agency needs

The Silicon Review

Boost Healthcare is a privately held, founder-led revenue cycle firm that joins revenue cycle leaders on their journey to improve their organization’s financial performance. The clients’ organization and revenue cycle are unique. Because of that, the team will never provide a cookie-cutter approach - each engagement is customized for success. The team is strategically focused in complementary areas, not end-to-end revenue cycle generalists. The team is experts that leverage technology, not generalists that depend on it for results. The team is on a mission to prove the impossible is possible by increasing revenue for the clients while building long-term partnerships with a unified mission. From local beginnings with a small but mighty team, Boost Healthcare now provides premium, expert-driven revenue recovery and advisory services to healthcare providers nationwide.

The standard is to be a trusted partner for every client. The team are narrowly focused on the areas of expertise, providing premium services that deliver best-in-class results. Unlike large publicly traded or private equity-backed firms, the team is nimble and delivers the results the clients deserve, not ones that are minimally acceptable and compromised by shareholders. Being founder-led means the passion is unmatched, the sleeves are rolled-up, and the team is all willing to get the hands dirty. The team empowers the people with proprietary technology, but is not reliant on tech alone. There is no substitute for experience.

Top services Boost Healthcare provides its clients

Zero-Balance Review: With margins under attack, healthcare providers must fight for appropriate reimbursement across all claims. Revenue cycle teams are stretched let the underpayment recovery experts prioritize the clients’ zero-balance accounts. Generate new revenue from the clients’ closed or underworked zero-balance accounts. As the clients’ safety net, the team work as an extension of the clients’ team. The underpayment recovery experts leverage the technology to identify opportunities to recover otherwise lost revenue from the clients’ commercial and government payers. The Zero-Balance Review is not limited by dollar thresholds or to know payment variances and denials - it's comprehensive and complete. Unexpected additional revenue often comes from:

Payer-related

Full & Partial Denials
Processing Errors
Stop-Loss/Outliers
Implants & Supplies

Revenue cycle related

Missing Diagnosis
Transfers/Modifiers
Missing Insurance
Payer Edits

Denials Recovery: Recover earned, but inappropriately denied revenue before it’s too late. Revenue cycle teams are stretched; don’t let the clients’ team get bogged down in the deluge of denials. Eliminate premature write-offs and reduce overall adjustments with expert-driven denials process. With the dedicated denials experts, the clients’ denials are analyzed, prioritized, and appropriately pursued for reimbursement. Whether immediately following receipt of a denial or some time thereafter, the denials experts are ready to join the clients’ team in pursuit of recovering earned revenue. The actionable reporting and detailed root-cause analysis pinpoint process improvement opportunities while providing leverage for upcoming payer negotiations.

AR Recovery: Don’t let unresolved claims become unrecoverable, stop the aging before they’re lost. With margins under attack, prioritize resources and let the team fight for the clients’ earned revenue. Identify opportunities to proactively reduce and prevent unnecessary write-offs. With most of the clients’ revenue coming from third-party payers, the recovery specialists operate as an extension of the clients’ team by resolving aging and uncollected AR. The team empowers the recovery specialists with purpose-built technology to do what they do best, recover the clients’ aging and uncollected revenue. With Boost Healthcare, the team doesn't commingle or pool together claims from multiple clients. The clients are assigned a dedicated team that operates as an extension of the clients’ own.

Payment Variance Recovery: With margins under attack, prioritize resources and let the team fight for these difficult dollars. Revenue cycle teams are stretched; don’t let the clients’ calculated variances bog the clients’ team down. Don’t waste resources on false positive variances; the team will optimize the clients’ variance calculations. Boost Healthcare's recovery experts’ work as an extension of the clients’ team to recover known payment variances that are uncollected and aging into despair. Even with the best programmed Expected Payment Calculator, most providers do not have adequate resources to pursue all identified variances, leaving many variances uncollected. Boost Healthcare specializes in verifying identified payment variances and relentlessly working with payers on the clients’ behalf to recover underpaid revenue.

Financial and Strategic Advisory: Payer negotiations can be a slog, let the payer experts negotiate more favorable terms. Mitigate the unknown risks of the clients’ investments with unbiased, data-driven analysis. Don’t settle for the usual annual increases; utilize the payer experts to boost the clients’ reimbursement. The payer experts join the clients on the clients’ journey to executing time-consuming payer-related initiatives by supporting the clients’ in-house team or taking the clients’ initiative from concept to completion. The team support the clients’ organic growth initiatives; ranging from service line expansion, alternative payment models, physician compensation plans, reimbursement optimization, and beyond. Before or after the clients’ acquisition, the team tactfully helps the clients determine whether to acquire and how to integrate a new acquisition. With detailed analytics, the team help the clients gain clarity on whether the clients are being appropriately or under-reimbursed for the clinical care delivered. With new fee schedules, payment models, and shared savings programs, the team helps the clients strategically plan the clients’ future.

Meet the leader behind the success of Boost Healthcare

Liana Hamilton, Founder and Managing Partner

Liana has been working with healthcare providers on accurate reimbursement and recovery for over 23 years. Prior to founding Boost in 2013 she was a Principal with Triage Consulting Group where she was integral to growing the firm from its infancy. She has worked with many of the big names in healthcare and is passionate about helping clients recover what is owed to them.