10 Most Reliable RCM Service Providers For 2023V3 1 (1).pdf

Emerging Technologies
Eﬀective Revenue
Management in
Healthcare Sector
Quality Performance
Fostering Financial
Transparency in the
Organization
March
Issue 02
2023
Scintillate RCM
HealthCare LLC
Enabling Perpetual Augmentations
Hari Shankar
CEO
Scintillate RCM
HealthCare LLC
Service Providers
10 Most Reliable
For 2023
Health
Everything
www.healthcareeverything.com
Transforming Healthcare

The best and
most ef cient pharmacy
is within your own
system.

-Pooja Shah
Importance of Reliable RCM
Services in Healthcare:
Improving Pa ent Outcomes
eliable RCM services are crucial in healthcare
Rbecause they ensure that healthcare providers
receive timely and accurate payments for the
services they provide. This, in turn, allows providers to
focus on delivering quality care to their patients without
worrying about financial issues.
Moreover, reliable RCM services can help improve patient
outcomes by reducing the financial burden on patients. By
ensuring accurate billing and efficient claims processing,
patients can be confident that they are only paying for the
services they receive, and they can avoid unnecessary
financial stress. This can help patients focus on their
recovery and well-being, rather than worrying about how
they will pay their medical bills.
Top RCM service providers are contributing to this effort by
leveraging technology and data analytics to improve the
accuracy and efficiency of the billing process. For example,
many providers are using machine learning algorithms to
detect errors and inconsistencies in medical claims, which
can help reduce claim denials and improve the accuracy of
billing. Additionally, some providers are using data
analytics to identify areas where healthcare providers can
improve their revenue cycle management, such as by
optimizing their billing processes or improving their
documentation practices.
Overall, reliable RCM services are critical to the success of
healthcare providers and the well-being of patients. As
such, top providers are continually innovating and
improving their processes to ensure that they deliver the
highest quality services possible.
In Healthcare Everything's recent edition of the 10 Most
Reliable RCM Service Providers For 2023, we walk you
through the complex process of RCM and their patient-
centric approach to providing the best innovative and high-
quality deliverable services.
We hope you have an amazing read!

Cover
Story
08
Scintillate RCM
HealthCare LLC
Quality Performance
Fostering Financial Transparency in
the Organization
Effective Revenue Management
in Healthcare Sector
28
18

Ctts
Ctts
EMPClaims
Offering Unparalleled Medical
Billing Services
Mental health
beneﬁts of hiring a
live-in caregiver
JTS Health Partners
Multifarious Services Augmenting
the Healthcare Niche
26 32
14 22
Svast Healthcare
Technologies
Providing Care to the Healthcare Providers
CXO

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10 Most Reliable RCM Service Providers For 2023
Brief
Company
ACP Billing
Services Pvt Ltd
acpbilling.com
Robert Dimaano
CEO
AthenaHealth
athenahealth.com
Bob Segert
Chairman & CEO
BOSS Healthcare
bosshealthcare.com
Clarus RCM
clarusrcm.com
Sudarshan Surana
Founder and CEO
EMPClaims
empclaims.com
Piyush Kedia
CEO
Featuring
JTS Health Partners
jtshealthpartners.com
Meraki RCM Solutions
merakircm.com
Omega Healthcare
omegahms.com
Scintillate RCM
Healthcare LLC
scintillatercm.com
Svast Healthcare
Technologies
svasthealthtech.com
Julie Stewart
CTO and Co-founder
Austin Pathak
CEO
Anurag Mehta
CEO
Hari Shankar
CEO
Kevin Weeks
CEO
AthenaHealth strives to create a thriving ecosystem
that delivers accessible, high-quality, and sustainable
healthcare for all.
ACP Billing Services Pvt is a Medical Billing Services
company in Orlando, Florida, USA with over 15+
years of Medicare & Commercial insurance
experience.
DJ Walker
CEO
BOSS Healthcare provides wide range of
differentiated services spanning the entire
continuum of the revenue cycle.
By integrating RCM services with Healthcare
Consulting services, Clarus RCM can help hospitals and
physicians increase their existing revenue stream,
uncover new payment opportunities and elevate RCM
performance.
EMPClaims is a Revenue Cycle Management company.
With over 10 years in the industry, EMPClaims
specializes in medical billing & coding, telemedicine,
workers comp and patient intake solutions.
JTS offers consulting and operational services that
align with performance improvement initiatives of
healthcare systems, hospitals and physician practices.
Meraki RCM Solutions is a leading revenue cycle
management company based out of Los Angeles,
California and with it's delivery center in India focused
to provide cost effective process improvement solutions
to medical providers and facilities in the healthcare
Omega Healthcare helps payers, providers, and
pharmaceutical companies increase efﬁciencies,
accelerate cash ﬂow, and reduce health management
costs while enhancing patient care.
Scintillate RCM Healthcare is a cost effective,
Revenue Cycle Management Medical Billing
company incorporated in Austin, Texas and Chennai,
India.
Svast Healthcare Technologies is a trusted RCM and
billing partner for physician practices and hospitals.
It guarantees to increase practice revenue for
healthcare providers with 99%+ collection rate.

Cover Story
Scintillate RCM
HealthCare LLC
Trust plays an important
role in the company's business.
An established trust encourages
the employees to take responsibility
in a timely manner to any escalation
or query that may come up and
make the required eﬀorts
immediately.
Cover Story

Hari Shankar
CEO
Scintillate RCM
HealthCare LLC

Providing high-quality patient care is a priority of
every healthcare service provider. However, when
the service providers oversee administration work,
manage expenses, billing, and handle the first stages of
patient accounts, it creates a scenario where seamless
execution of the transaction is crucial.
While hospitals, small practices and larger healthcare
systems are known for saving lives and treating patients,
every healthcare organization needs to develop successful
processes and policies for staying financially healthy. That
is where healthcare revenue cycle management comes in.
Healthcare revenue cycle management is the financial
process facilities use to manage the administrative and
clinical functions associated with claims processing,
payment and revenue generation. The process consists of
identifying, managing and collecting patient service
revenue. The financial strategy is crucial to ensuring
healthcare organizations stay in operation to treat patients.
Facilities use healthcare revenue cycle management to
collect profits and subsequently keep up with expenses.
Enabling a plethora of outstanding services that contribute
to enhancing the operational processes of healthcare service
providers is Scintillate RCM HealthCare LLC, a cost-
effective Revenue Cycle Management Medical Billing
company that allows the providers to focus on what they do
best, i.e., caring for patients while bringing transparency
and responsiveness in the business.
Being a perfect outsourcing partner, the company
implements an AI-based innovative solution that targets key
areas of improvement, such as—placing tools in place to
control or eradicate errors in the Data process, maintaining
adjustments or effective follow-up on no-activity claims,
conversion of paper transmissions to EDI, and increase in
Cash liquidation rates—to execute and improve end-to-end
Healthcare Revenue Cycle Management and Capital
finance.
Under the proficient leadership of Hari Shankar, the CEO,
the company operates on a scalable business model that not
only meets the business demands quickly but also delivers
'best in class' quality output that is HIPAA compliant.
The Commencement
Scintillate RCM HealthCare started in July 2018, dealing
with US doctors and hospitals. The company works on their
behalf for insurance and patient handling procedures. It's
been four years and Scintillate RCM has grown in terms of
client base and revenue across the US and India. Besides
these two countries, the company also plans to expand its
services to the UAE market, seeing a scope in medical
billing as it has the same billing system as the US.
Hari has been serving the US healthcare market since 2006,
climbing the ladder from junior to senior management
across multiple companies there. His work was based on a
three-year plan. That's when he decided to start a company
of his own. Following this thought, he returned to Chennai,
India and established a company.
Embracing the Vision and Mission
Scintillate RCM manages to drive the team forward and out
through challenging times by believing in perseverance and
resilience, which are its core values. These values are
cultivated within each employee from the beginning to
achieve goals efficiently.
Secondly, trust plays a significant role in the company's
business. Cultivating a sense of trust among the employees
is useful when building a meaningful relationship with the
clients. An established trust encourages the employees to
take responsibility in a timely manner for any escalation or
query that may come up and make the required efforts
immediately.
Assurance of Reliability
Appropriate outsourcing is essential when a doctor or a
hospital is handling a lot of patients on an everyday basis.
Despite the competition
in the market where businesses
offer the same set of services,
Scintillate RCM stands different
by relying on AI-based technology.
It aims to reduce the providers'
man hours and costs and
increase ROI through integrating
applications and tools.

Healthcare providers are often entitled to managing their
patient's finances and administration, making it difficult to
focus on treating them with quality care.
However, by outsourcing RCM, healthcare providers could
reduce their workload, perform all the administration of
their partners, and focus on treating more patients with
quality care. Scintillate RCM is here for just that. It ensures
that all the administrative tasks are taken care of, with
revenues falling into their places.
The company takes care of all the aspects of handling the
revenue cycle process for healthcare providers based in the
US market. Starting from coding, building, and posting AR,
to denial management, all services and functions are taken
care of. Despite the competition in the market where
businesses offer the same set of services, Scintillate RCM
stands different by relying on AI-based technology. It aims
to reduce the providers' man-hours and costs and increase
ROI by integrating applications and tools.

I'm a first-generation entrepreneur who
started everything from scratch. It was in
2014 when I asked myself, "Why not start a
company and make things better for our
clients and employees? Why not change
lives?" Although it was just a thought,
ultimately, I started the company.
It ran well until the pandemic hit us, and we
lost control over the business. We had to
lose our people and money. But ultimately,
we were entrepreneurs. We learned from
our mistakes and bounced back. We started
afresh, with a new plan in mind regarding
innovations and inventions within the
industry, as a way to seek more clients. That
kept us going and will do so forever.
I also strongly believe in my employees.
Without them, there's no performance, no
reputation, and no clients. Hence, I don't
consider myself to be a boss, but rather a
leader to inspire and motivates them to
perform more than what's expected.
For those who aim to become an
entrepreneur in the industry, I would suggest
that you never invest all your money into
your unique business idea, as there will
always be mishaps. Just make sure to pump
50% of the money, keeping the rest 50% of
the money as a backup when you face
failures which are bound to happen 90% of
the time.
Secondly, people will always tell you, "No,
there's a risk in becoming an entrepreneur."
You will also have people who will equally
encourage and motivate you. So be bold and
brave. That's half the success that you'd
achieve there.
Lastly, never assume that you'll start a
business and succeed immediately. That's
not going to happen. Rather, set practical
goals and vision. Entrepreneurship is when
you accept the thought that you will make
mistakes regardless and learn from them.
You have the liberty and strength to handle
problems, overcome struggles, accept
failures and succeed.
CEO's Thoughts on Turning Challenges
into Opportunities for Growth
Take, for instance, medical coding. Say, a patient visits a
doctor with a complaint that he's having a headache. He
elaborates on his problems and related medical issues, in
response to which the doctor prescribes some medication.
The patient takes the prescription from the doctor and goes
for treatment. Medical coding is where the patient's
diagnosis, i.e., a headache and procedures, i.e., an X-ray
and paracetamol have their respective codes that come
under ICD-10 and CPT-4. This form of coding is a primary
function of the RCM process. But the authorities in the
coding department often tend to make mistakes, as a result
of which payments from the insurance are delayed or lost.
Scintillate RCM eliminates this error and performs accurate
coding through Artificial Intelligence and automation,
ensuring the payments are no longer delayed.
When healthcare
providers realize that they
no longer have to look after
their workflow revenue cycle,
but simply rely on specific tools
and applications, they buy in
and develop a sense of trust
towards the company's
services and products.

The company has patented multiple tools and applications
within the US and India that help its clients to control their
errors in coding, demo entry, cash entry and cash posting
areas. It understands the importance of running a business
that may lose revenue in the existence of an error.
While humans are prone to making mistakes, applications
don't. For this reason, the company has submissions,
machine learning, artificial intelligence, and incorporated
tools which could help the clients in making zero errors, all
of which are reviewed with 99% accuracy by its employees,
who are ICD and CPC-certified professionals.
This brings a key advantage to the company as it can ensure
its clients—an increase in AR cash liquidation rates, gross
collection ratio, net collection ratio, and control towards
adjustments. In addition, if a team of ten employees are
working together on a task, then by using an automation
tool, the need for manpower decreases, and 10% of the
requirement could be eliminated, saving costs, and profiting
from the investment.
Scaling the Horizons
In general, healthcare providers usually look for a solution
to reduce the losses that they experience. Hence, Scintillate
RCM's salesforce, based in the US, begins by proposing a
plan to its clients that involve a detailed and descriptive
analysis of their current problems, followed by ways to
handle them affordably. When these healthcare providers
realize that they no longer have to look after their workflow
revenue cycle but simply rely on specific tools and
applications, they buy in and develop a sense of trust
towards the company's services and products.
It's the trust factor through which Scintillate RCM has come
a long way in building relationships with its clients. It has
an entire portfolio of client testimonials that demonstrates
its position in the market and helps it grow further in
accordance with healthcare needs.
Looking forward, the business is heading towards a client
growth perspective by partnering with more EHR and EPM
providers to create a platform where all the hospitals and
healthcare providers could be a part of the platform. Thus,
whenever there'd be a requirement in terms of action, they
could reach out to the respective professionals.
On this note, Scintillate RCM is expanding across different
states of the US, providing multiple specialties to seek more
clients and expand the business portfolio. Next, the
company focuses on the UAE, as the country is a replica of
the US; when it comes to healthcare, Scintillate RCM is
currently setting up a business model there and is planning
to employ the citizens of the UAE there.
From the business perspective, Hari believes in himself
being updated and upgraded along with his employees. He
states, "As a company, we motivate our employees to join
any courses or curriculum that will help them improve and
grow." Hence, the company will continue to change and
improve the lives of its clients and employees.

EMPClaims
Offering Unparalleled Medical Billing Services
o smoothen the complex process of handling bills,
Tprocessing payments and revenue collection, a
Medical practice or Hospital must invest in
Revenue Cycle Management workflow. It is a process that
begins with checking in a patient and ends with collecting
patients' payments or writing off the bills.
It probably comes as no surprise that Revenue Management
Cycle is critical to the lasting success story of any
healthcare organization. Providing such a feasible
foundation of incoming and predicting cash, EMPClaims,
has the experience and the expertise needed to provide just
the right billing solutions to medical practices.
EMPClaims was founded in 2008 by the husband-wife team
of Piyush Kedia, CEO, and Snigdha Kedia, COO. Under
their leadership, the company focuses on working in
tandem with the medical staff to smoothen the entire
medical billing and claim process.
In an interview with Insights Care, both Piyush and
Snigdha talk about their offerings and how the company has
a stronghold in the revenue management industry.
Below are the highlights:
Please brief our audience EMPClaims and how it is
currently positioned as a trusted revenue cycle
management organization.
EMPClaims has been in business for over 14 years, and as
an indication of trust, our first customer from 14 years ago
is still our customer. Our average customer is a medical
practice with ten plus providers and our customer churn is
less than two per cent which is a great metric in this
industry.
Tell us more about your offerings, through which you
have ascertained your stronghold within the industry.
EMPClaims offers solutions for the full lifecycle of claims
management and uses a combination of technology and
services to optimize reimbursement and reduce operational
bottlenecks.
Patient Intake: The intake process is the starting point of
the patient's experience. This involves data collection from
the patient, getting prior authorization from the insurance
carrier, and collecting any medical records required.
EMPClaims offers a solution to automate this workflow and
improve the patient experience with a smooth intake
process.
Medical Coding: Incorrectly applied medical codes could
result in either a higher payment or under-payments. These
situations could cause compliance issues for the practice.
EMPClaims has a team of certified coders that can assign
the appropriate level of coding to ensure compliance and
optimal reimbursement. The team has experience working
with E&M Coding and Procedure Coding.
Value-based Care Solutions: The industry shift to value-
based care requires solutions that are different from fee for
Service solutions. Fee for service reimbursement depends
on procedure coding, and Value-based care requires risk
coding.
Most practices have both contracts and need workflows that
accommodate both lines of business. EMPClaims
technology and workflow solutions allow practices to
implement parallel workflows for Fees for service and
value-based care contracts.
March 2023
14|www.healthcareeverything.com

Medical Billing: Excellence in medical billing requires
process control. Our clean claims submission rate is 94% on
average, and we have consistently reached 98%. This level
of diligence allows us to deliver a consistently high level of
service delivery to our customers.
Workers Comp Solutions: Workers' comp has a much higher
level of complexity than regular medical billing. The
employer is the insured, not the patient, and fee schedules
are regulated at the state level.
This requires a very diﬀerent workﬂow and technology that
can ensure accurate reimbursement. EMPClaims has
developed technology that allows us to ensure claims are
accurately processed with consistent payment.
EMPClaims was founded in
2008 by the husband-wife team
of Piyush Kedia and Snigdha Kedia.
Piyush Kedia has an MS in Finance, and
Snigdha Kedia is a Certified Professional Coder.
The company was originally an implementation
partner for EHR software and discovered a need in
the marketplace for RCM Services. When Piyush and
Snigdha started EMPClaims, only about eight per
cent of all medical practices used an EHR and this
number is higher than 70% now.
This transition has transformed customer
expectations and increased the portability of RCM
providers. They do not take their customers for
granted. They have always used best-in-class
technology and process controls to deliver
consistent service quality and meet their customers'
expectations. They have developed in-house
solutions for Patient Intake, Value-based care,
Workers' comp, RPA, and data analytics.
The
Husband-wife
Team
Piyush Kedia
CEO
EMPClaims
Solutions
Snigdha Kedia
COO
EMPClaims
Solutions
March 2023

What are the biggest challenges you faced during the
foundational years of the company? What are the most
important lessons you have learned in your career so
far?
One of the most important challenges and learning early on
was investing in the right technology. Using technology
effectively in RCM can drive operational efficiencies and
predictable outcomes. The cost of software is an important
driver but being able to measure the efficiency cost of the
software was equally important.
Over the years, we have chosen to work with customers
who choose to invest in good technology solutions and not
focus on buying the cheapest product. This allows us to
build partnerships with their team and deliver optimal
reimbursement.
COVID-19 proved to be the biggest disruptor since the
Dot-com bubble. What tactics did you apply at your
company to continue its operations and growth?
COVID-19 was a difficult time for the healthcare industry
and our customers had to adapt to a lot of changes in a very
short period of time. We focused on being a partner and a
support center for our customers. Most practices were
struggling with the new telemedicine guidelines.
We compiled our knowledge of telemedicine billing on a
google spreadsheet and made it publicly available through
social channels. We had thousands of billers who referenced
it. Most practices were struggling with staff shortages, and
we started supporting them with automation and remote
staffing solutions that eased their burden and allowed them
to take care of more patients.
What would be your advice to budding entrepreneurs
who aspire to be revenue cycle management services
providers in the industry?
This industry is increasingly being defined by technology
instead of people and the only suggestion to future
entrepreneurs is that they need to understand the nuances of
provider workflows changing payer guidelines.
How do you envision scaling EMPClaims Solutions
operations and offerings in 2022 and beyond?
The industry will continue to consolidate and transition to
Value-Based Care. We expect to invest more in technology
like RPA, HCC Coding and Risk stratification that will
allow us to offer a good service at a competitive price and
develop technology solutions for the Value-Based Care
market to continue supporting this transition. Unless there
is a shift in the market dynamic, this would be the focus for
the next two to three years.
We expect to invest more
in technology like RPA, HCC
Coding and Risk stratification
that will allow us to offer
a good service at a
competitive price and develop
technology solutions for the
Value-Based Care market to
continue supporting this
transition.
March 2023

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Revenue
Management in
Effective
Healthcare
Sector
he financial procedure organizations use to manage
Tthe administrative and clinical functions associated
with various phases of patient care from beginning
to end is known as healthcare revenue cycle management
(RCM).
When a patient requests medical services, the process
begins and concludes with the collection of all claims and
patient payments. In conclusion, revenue cycle management
in the healthcare industry is the strategy for streamlining
operations, ensuring consistent groups, and making
healthcare providers financially viable.
Any business must manage revenue, and focusing on
improving the revenue cycle is crucial for increasing claims
efficiency and reconciling costs to payments to maximize
cash flow. Additionally, data leaks could have significant
legal repercussions because important patient information is
housed in the healthcare revenue cycle process.
Ultimately, revenue cycle management
in the healthcare sector aims to develop
a method for identifying and resolving
friction points so that organizations can
receive full payment for services as quickly
as possible.
Let's have a look at the benefits of an effective
Revenue Management System :
Maximized Monetary Benefit
According to a report from Sage Growth Partners,
more than a third of health systems have faced more
than $10 million in bad debt every year. The situation
is getting worse because bills haven't been paid and
claims that haven't been paid or aren't paid enough cost
up to $125 billion a year.
March 2023

March 2023

When RCM is implemented correctly, denial rates drop,
which increases cash flow and speeds up payment times.
The procedure improves the system's accuracy and reduces
the likelihood of errors occurring during insurance
verification, coding and claim processing, thereby
increasing collections.
Streamline Processes to Lighten the Load
A facility that functions like a well-oiled machine will
reduce the administrative burden placed on your staff and
guarantee consistent collections, which will keep your
organization financially viable. Notably, an electronic
workflow can assist in streamlining all aspects of the
system, including the coordination of front-to-back
communication, timely payment closure for a patient's
journey, and elimination of lost paper documentation. This
gives you more time to concentrate on providing high-
quality care.
Reduced Cost of Administration:
In healthcare, revenue cycle management is the entity
responsible for streamlining the processes. The providers'
administrative burden is lessened when the revenue cycle is
outsourced and automated, allowing them to concentrate
more on providing high-quality care to patients.
Enhance Patient Experience by Improving Touchpoints
With the right technology and skilled revenue cycle
management professionals, an effective process that reduces
standard billing and coding errors can be achieved. This
necessitates streamlining the procedure and enhancing each
touchpoint of the patient experience. As you know, patient
satisfaction is a factor in evaluating the quality of care
hospitals provide. As a result, your patients will experience
less unnecessary stress as a result of this.
Better Claim Scrubbing for Fewer Denials
Denials are the result of payment claim errors. As a result,
patients receive better care because your staff has more time
to focus on them. Your facility's system will be more
accurate thanks to optimized revenue cycle management,
leaving little room for error. You can reduce the number of
denied claims and receive reimbursements more quickly if
you code the first time correctly.
Faster Collections Process to Improve Revenue
When you join the proper arrangement of programming
arrangements with mechanization instruments, constantly
consuming errands like information assortment, protection
confirmation, and coding will take less time than physical
ones. You can speed up the entire process by automating the
steps of the cycle, including data charge entry, eligibility
checks, and follow-up payments.
Additionally, you become more effective and efficient when
you simplify tasks and offer your medical colleagues and
administrative staff a more straightforward system,
resulting in faster collections and improved cash flow.
Establish Eligibility with Automation
Numerous medical care suppliers require approval for tests,
methodology, prescriptions, and other clinical benefits since
insurance agencies routinely re-think the choices of
specialists.
Software solutions based on rules can quickly analyze
coverage eligibility and prior authorization. As a result,
there is a significant increase in time spent treating patients
and a decrease in routine administrative tasks.
When healthcare organizations rely on manual processes to
determine eligibility and authorization, administrative costs
rise exponentially. Recent studies indicate that clinics incur
approximately $7.50 per transaction for manually
performed preliminary charges.
To conclude,
As a dedicated healthcare revenue cycle management and
medical billing company with global capabilities and
specialized solutions, we can make our workflow and
processes more transparent and controllable.
- Shreyasi Shelke
March 2023

JTS Health
Partners
Multifarious Services Augmenting the Healthcare Niche
he healthcare consultancy sector has witnessed
Trobust growth in recent years, resulting in increased
healthcare access and coverage across the country.
This creates an opportunity and an increasing demand for
services; however, it also brings in new challenges for
healthcare service providers.
Grasping this scenario, healthcare consulting facilitates the
organizations to navigate the usual and novel challenges
and actively assists them with immersive strategies to
overcome the adversities.
Consultants are also experts in data, analytics and
technology. They offer a unique approach to solve the
challenges by creating a data-driven approach to improving
operations and increasing revenues. They also provide
recommendations on the best viable technologies to
stimulate organizational growth.
Whether a consulting team is implementing new HIT
systems to improve efficiency or modelling and projecting
revenue cycles, they build tools to enable healthcare
providers to improvise their operations eventually.
This is where JTS Health Partners shines as an
exceptional healthcare management consulting firm. It is
focused on enterprise Revenue Cycle Management (RCM),
Health Information Management (HIM), Health
Information Technology (HIT) and Healthcare Analytics as
a Service (AaaS).
Under the leadership of Julie Stewart, CTO and Co-
founder, JTS offers consulting and operational services that
align with performance improvement initiatives of
healthcare systems, hospitals and physician practices.
In an interview with Insights Care, Julie sheds light on the
company's legacy, her professional tenure and valuable
opinions on the company's future.
Please brief our audience about JTS Health Partners
and how it is currently positioned as a trusted revenue
cycle management organization.
JTS Health Partners was established in 2009 under its
holding company, JTS Ventures, Inc., (est. 2002). Our
internal goals are simple; every client is a reference, and we
pride ourselves on having 95% referrals over the past
decade.
As a company, JTS is determined to assist healthcare
executives with the delivery of the highest quality of
services (internally and externally) with a focus on a "best
in class" customer service model. Because the complexity
of the healthcare environment continues to grow, JTS
continuously improves and expands our expertise so we can
remain "trusted advisors" for our clients.
JTS serves as a trusted
advisor to executives and
management teams and
remains focused on
providing our clients with
tremendous value and level
of service.
“
“
March 2023

Julie Stewart
CTO and Co-founder
JTS Health Partners

JTS serves as a trusted advisor to executives and
management teams and remains focused on providing our
clients with tremendous value and level of service. Our
trademark is client satisfaction, and our client
representation remains within many of the top nation's
healthcare organizations.
Utilizing our Revenue Cycle Management historical
expertise, JTS created RCM Analytics, nCREAS™, a
proprietary, predictive, prescriptive solution for enhancing
operational and financial performance. JTS applies
nCREAS™ to consulting, operational support and/or EBO
solutions for clients to enable greater productivity, focus
with precision and revenue goals.
A substantial portion of our Revenue Cycle Management
service is through our Extended Business Office (EBO)
solutions. Our EBO solutions provide expertise, support
and staff augmentation in healthcare revenue cycle. JTS can
support a particular interim goal or partner to drive greater
efficiency and outcome for your revenue cycle organization
by partnering to reduce accounts receivable inventory.
Our Health Information Management services and solutions
offer consulting, coding, auditing, auditing education,
interim management, staffing support, outsourcing and co-
sourcing models for the acute and physician settings. We
combine business operations with information technology
to procure, analyze and secure vital protected health
information (PHI).
Health Information Technology (HIT) is another area in
which we offer consulting, workflow engineering, project
management, implementation, cyber, privacy and security
for all phases of enterprise implementation.
Our experience within the HIT industry positions us to
provide expert evaluations and recommendations to clients
that will help to reduce spending, mitigate risks, and
improve the overall operational efficiency of their
HIT-related workflows.
Julie, tell us about your professional tenure in the
industry and your contribution in scaling JTS Health
Partners' success to greater heights.
I have spent the better part of three decades creating
business solutions combining consulting and technology. I
have enjoyed creating solutions that enable accurate and
time effective business decision opportunities for business
leaders.
My background in software design and development,
solutions design and implementation, network operations,
project, and program management, as well as organizational
management, helps me lead both internal and client-
oriented services and solutions.
In addition to leading the rollout of the analytics platform,
nCREAS™, I lead the Technology and Operational
organizations to ensure effective and secure workflow
processes. Managing the risks of our clients and the privacy
of their patients is one of my top priorities, which includes
managing the methodology around People, Process, and
Technology.
I am a metric based, results-oriented executive with
information technology, consulting, organizational
management experience focused on improving the
outcomes of healthcare organizations.
What are the biggest challenges that you faced during
the foundational years of the company? What are the
most important lessons that you have learned in your
career so far?
While assuring the most significant industry expertise to our
clients, our earlier years provided lessons on establishing
shared company fundamental values and recruiting to meet
those values in addition to industry and technical expertise
requirements.
JTS has developed and implemented a robust cultural
program to ensure the execution of our mission is
successful, both internally and with our clients. This
enables our employees to have a successful professional
and personal experience while providing the highest quality
of service to our clients.
The most important lesson I have learned personally in my
career is to value and trust my knowledge, experience and
decision making. For many of my early career years, both
technically and organizationally, when directions were
challenged, I spent an exhausting amount of effort
questioning accuracy and validity.
While it is extraordinarily important to value collaborative
thoughts, ideas and opinions from colleagues and other
experts, age and experience have taught me the value of my
knowledge and experience depth, making a more
straightforward process toward desired goals and outcomes.
March 2023

The pandemic greatly impacted all aspects of our economy,
and healthcare more than any other. Hospital labor
shortages and increased costs continue to impact the
industry. As a revenue cycle management company, JTS
was fortunate to have remote office technology and
processes already in place and the ability to quickly
transition more staff to virtual workspaces.
Comprehensive technology and established security
processes and procedures for managing PHI and
maintaining HIPAA compliance is of utmost importance in
the remote work environment. JTS' ability to quickly pivot
and provide staff augmentation and interim management
has helped our clients navigate this difficult labor
environment.
Additionally, JTS took a long-term approach to the
uncertainty of these years. We applied more planning,
design, development, and implementation of key analytics
platforms to support precise understanding and accurate
decision making to leadership in the revenue cycle
organizations of health systems.
Analytics are key to improving decisions and enabling an
organization to continue forward, even while labor
shortages abound. Within HIM and RCM service lines,
improving our platforms to provide additional insights has
been invaluable to our customers.
New insights and applied learning are vital to both personal
and industry success; that concept is not any different for
the revenue cycle management space. Healthcare is not
only ripe for, but now ready for, modern technologies. For
young entrepreneurs, I would encourage them to learn and
grow within the revenue cycle space to apply new technical
insights to business needs to improve health service
providers.
The industry is ever-changing and evolving, and their ideas,
knowledge and applied contributions can and will be
effective. Making a difference to improve the revenue of the
hospital and physician systems enables consistent and
improved care to be provided to patients.
How do you envision scaling your company's operations
and offerings in 2022 and beyond?
JTS prepared for future growth by investing expertise and
development in analytics applied to the whole revenue
cycle practice to pinpoint decision making, process
improvement initiatives, and consistent education for our
clients. The use and accuracy of these tools are critical for
the speed and efficiency of revenue deliverables.
As a revenue cycle management consulting firm, JTS is apt
to scale staffing for any part of the revenue cycle for our
client engagements. The increase in remote work-based
arrangements has only enhanced our commitment to apply
the right talent for each client to achieve measurable and
high-quality results.
Please give us a few testimonials of your
clients/customers and awards/recognitions that
accurately highlight your company's position in the
market.
"JTS is a client-driven organization. You will have their
attention, including reasonable response time from Tom
Stewart, and they will make you feel like you are the only
client they have." William Franquet, Vice President,
Revenue Cycle, Evangelical Community Hospital.
"JTS Health Partners is a highly professional organization
with honesty and integrity. Their change management and
information technology leadership and expertise within our
Cerner Clinicals, POE, and Physician Adoptions projects
were excellent. They truly operate as a 'Trusted Advisor' to
our organization." Pam Austin, Chief Information Officer,
Ballad Health.
"JTS Health Partners is a true partner. They go significantly
further than the typical consulting group to clearly
understand your needs, challenges, and specific
circumstances to provide the best solution for the situation
at hand." Jann Lefler, Retired – Former Director, Financial
Planning and Decision Support.
March 2023

Mental hea h
benefits of
live-in caregiver
hiring a
O
ut of all the reasons adult children may choose to
hire a live-in caregiver, mental health may not be
the first reason they give. That is because when
they finally get to the point to hire, there is already a
pressing concern that their loved one cannot be alone, and
the family members do not realize the mental health impact
they are currently experiencing. However, looking deeper,
there is a two-fold benefit for our clients and their families.
Hiring a live-in caregiver is beneficial for a client's mental
health because it can make them feel a sense of safety and
security.
In the outbreak of COVID-19, the world was forced to shut
down; everyone needed to isolate not only for their safety
but as well as their families. From my experience working
as a nurse during the pandemic, I saw how tough it was for
those who lived alone and those who depended on their
relatives to assist them with their ADLs (Activities of daily
living) and IADLs (Instrumental activities of daily living).
All of a sudden, the only form of communication they had
with their families and friends was by phone. I started to
notice more behaviors were occurring, and frequent falls
were happening. It was clear to see the negative mental
impact our clients were feeling.
What we discovered was that the families were searching
for solutions, feeling vulnerable and guilty. Many asked,
"should I take my mom or dad home?" sometimes ignoring
that they did not have the adequate space at home, training,
or the capacity in their schedules to dedicate the time and
attention to their loved ones needed to thrive. When I
started the business with In home personal services, I
noticed that most of my clients' families lived out of state,
which led to heightened levels of poor mental health due to
a sense of helplessness the families felt. After speaking with
the families to identify their needs and provide education
and reassurance in our services, they could feel a sense of
trust in our caregivers as if they were an extension of their
family.
Knowing that our caregivers were well-trained, professional
caregivers gave them a sense of ease. The caregivers were
by their side, giving only their full attention to their clients
and allowing the pandemic to be bearable. They attended to
their needs and wants but still allowed them to maintain
their independent lifestyle.
March 2023

Overall, there are not many words to describe the peace of
mind when it comes to the ones we love, and we do not
often realize in our busy lives how our mental health can be
aﬀected for someone we love is not getting the care or
attention they need. We are so proud to be oﬀering this type
of service to improve the quality of life for our clients as
well as the mental health of their families.
- Rachelle Ventura, RN
March 2023

Financial
Transparency
Fostering
in the
Organization
ou are the beginning of a responsible business.
YResponsible business depends on your values and
actions, as well as whether you actively embrace
transparency in your business decisions, whether you are a
young professional at a large company or a young
entrepreneur.
Today's young professionals and entrepreneurs are held to a
high standard and expected to implement transparency early
in their businesses. When it comes to issues about a
company's performance, internal processes, sourcing,
pricing, and business values, it is essential to be open and
honest about its operations.
The key to creating a positive work environment is
transparency. Employees will begin to make educated
guesses about the company or their colleagues if they fail to
be open about your business operations. Unnecessary
rumors and gossip result from this. As a result, your
company's culture should be heavily influenced by
transparency.
Let's take a look at the main benefits of enhancing financial
transparency!
Understand why you make money
The internal report about the trading disaster at the bank
mentioned above said that "no initiative was taken to check
the truth of affirmations" provided by the trader, "even
when they lacked probability." The signs weren't generally
March 2023

March 2023
Quality Performance

hailed to bosses, and "when the ordered progression was
cautioned, they didn't respond," the report said. The trader
asserts that his superiors must have known what he was
doing because he was making a lot of money.
It's a fascinating tale about how failure blinds people. "The
stars were making money, so we left them alone" is a
common refrain. It is also interesting how frequently we
hear a statement of plausible deniability: "When
circumstances change, the losses accumulate, and finger-
pointing begins," We had no idea what they were doing or
the dangers they were putting themselves in. By itself, that
statement suggests a failure in governance. This theme's
contribution to compensation is also a governance issue.
Know and control your "Trust Positions"
Asset and enterprise value protection may be as significant
over the long term as enterprise value creation. The
shockingly significant losses businesses suffer due to the
unauthorized or improper use of financial derivatives have
undoubtedly dominated the news.
Because their actions or inactions can potentially expose an
organization to significant risks, the employees hold
positions that we might call "trust positions." While skilled
individuals are many viewpoints on overseeing risk,
depending on them without free checking and detailing is as
stupid as not figuring out the dangers inborn in their
exercises.
Understand your Risk Profile
An enterprise risk assessment (ERA) is a systematic,
forward-looking analysis of the impact, likelihood, and
speed of potential upcoming events on an organization's
ability to achieve its business goals within a specified time
frame. The evaluation of the available data, metrics and
available information, as well as the application of
judgment by the stakeholders involved, are all parts of the
ERA process.
The most significant enterprise risks ought to be identified
first by the ERA. These risks put the company's strategy
and business model at risk. They might involve substantial
risk exposures.
Second, every company's day-to-day operations expose it to
various operational, financial, and compliance risks. These
are known as risks associated with ongoing business
management. Among the activities generating these risks,
numerous trust positions may not be considered essential to
the business in the ERA process. They might involve
procurement, handling hazardous materials, information
technology, customer service, internal operating procedures,
and exotic financial instruments.
Encourage a "Speak Up" Culture
As GM's Barra acknowledged, culture is crucial to fostering
transparency. Managers are encouraged to present the
complete picture of potential outcomes of prospective
transactions, deals, investments, and projects in a risk-
sensitive and risk-aware culture.
When deciding whether to take advantage of an
opportunity, managers should consider the negative and
positive aspects. For instance, how bad would it hurt if
things didn't go as planned, and is the organization
adequately compensated for taking on the downside risk by
the potential upside opportunity?
Opportunities tend to captivate managers quickly. Similarly,
they may be tempted to make concessions that could
jeopardize safety. They might put the upside opportunity
ahead of the downside risk.
People can speak up and be heard by decision-makers in a
risk-sensitive and risk-aware culture. It provides the
organization's members with, Ideally, not just the most
intelligent people in the room but all the key personnel.
To sum up,
Promoting financial transparency requires a commitment to
openness and a willingness to be accountable to
stakeholders. By following these steps, organizations can
build trust and confidence with stakeholders and ensure that
their financial practices align with their mission and values.
- Shreyasi Shelke
March 2023

Svast Healthcare
Technologies Providing Care to the
Healthcare Providers
In a world where the evolution of technology is at its
peak, medical science is also experiencing innumerable
advances. Quality improvement in healthcare means a
systematic approach by a healthcare organization that
monitors, assesses and improves the standards of quality
healthcare.
Any healthcare organization can exert some control over
internal dynamics, such as provider productivity, patient
volume and fees for services. However, it is an arduous task
to influence external factors such as patient payments or
claim reviews from insurance companies. RCM plays an
important role especially for hospital-based physician
specialties, due to the complexities of billing and revenue
collection.
Svast Healthcare Technologies is one of the leading end-
to-end revenue cycle management organizations trusted by
independent physician practices offering solutions to access
the financial health and well-being of the practice in a
practice evaluation.
The company's mission is to improve the financial
performance of independent practitioners by delivering
personalized service through best-in-class people, processes
and technology.
In an interview with Insights Care, the team of Svast
Healthcare Technologies sheds light on the company's
journey as a trusted RCM organization in the healthcare
niche.
Please brief our audience about Svast Healthcare
Technologies and how it is currently positioned as a
trusted revenue cycle management organization.
Our services include New Practice Set-up, Growth
Marketing, Credentialing, Coding, Billing, Denial
Management, Account Receivable Management, Quality
Reporting, Practice Staffing, and Book-Keeping.
Independent practices trust us because they can get all their
needs taken care of in one place, and our team works as an
extension of their practice to find out ways to improve the
financial performance of practices and patient experiences.
We consider our client's business as our business.
Independent practices trust us because they can get
all their needs taken care of in one place and our team
works as an extension of their practice to find out
ways to improve the financial performance of
practices and patient experiences.
March 2023

Our stronghold and consistent results are because we
combine deep RCM knowledge of our staff with Six Sigma
Quality Processes and use multiple Technology Tools
across the RCM workflow combined with the power of
Data Analytics. Our fee is the most competitive in the
industry for the vast scope we cover for our clients.
Due to limited resources and time, such a unique
combination of Knowledge, Quality, Technology and Data
Analytics is very hard for independent private practices to
develop in-house.
Knowledge + Process + Technology + Analytics also
enables us to deliver results and improve private practice
revenue by up to 15% on a sustained basis. As a result, our
clients pay us only a part of what we add in revenue for
their practices. Therefore, it is a solid win-win proposition
that gives us a stronghold in the industry.
What are the biggest challenges you faced during the
foundational years of the company? What are the most
important lessons you have learned in your career so
far?
During the foundational years, the biggest challenge was
finding the right team members that had the RCM
knowledge and mindset of continuous learning and
improvement. The second challenge was to run lean
operations to keep funds for marketing to win new clients.
As we picked up some steam, the third challenge was to
form a culture and Svast way of doing things that channel
everyone's energy towards a common goal.
From an entrepreneurship standpoint, the biggest lesson we
learned was that we had limited resources – capital and time
March 2023

and we needed to use them very prudently. Hence, we
initially kept our focus on a few specialties and selected
geographical areas instead of spreading ourselves thin. That
helped us play for our strength, win clients and perform
better. And then we slowly expanded to other areas.
We offered financial flexibility either through discounting or
delay in payment to our client at the time of COVID. Due
to the loss of a few clients, we had to furlough a few
employees to manage the costs. We negotiated a lease to
end early for the office space and adopted the model for an
entire team to work from home. We kept a channel of
communication open with our employees about the
financial performance of our clients. We increased the
marketing spend. Due to these measures, nine months after
COVID started, we were on a growth path again.
Focus on a certain market or a niche, do not try to be
everything for everyone. For example, focus to target
clients in a particular specialty or a particular geographical
area. Invest in digital marketing for lead generation and
growth. Invest in employee learning and development.
How do you envision scaling your company's operations
and offerings in 2022 and beyond?
We are adding about 50 new clients every year. We have a
very strong marketing, sales and onboarding engine that
helps us onboard so many clients and set up the right RCM
process for them. To continue to scale, the team knowledge
needs to grow, so we are investing in the training of our
employees like AAPC certification, Six Sigma certification,
PM/EMR system training, and leadership training. To
manage many clients and to improve our productivity and
quality, we are also investing in our processes, automation,
use of technology and data analytics.
We have recently added Practice Staffing services. Using
this service, practices can lean on us to hire staff that works
in their practice location, but we provide the benefits and
HR management. This takes away a big pain to find and
offers good benefits to employees that every independent
practice wants but cannot afford. We see this has a major
expansion area.
Please give us a few testimonials of your
clients/customers and awards/recognitions that
accurately highlight your company's position in the
market.
"Just wanted to say THANK YOU. We started, I believe,
formally around 02 Feb 22 (2/2/22). If you believe in this
kind of stuff, Angel Numbers: Number 222 symbolizes faith
and harmony. It heralds a new era in your life and ushers in
fresh possibilities. Every aspect of your life should be in
harmony with one another. And although just over one
month, I appreciate you and your team and am grateful to
have 'stumbled' across you all”
Physician, Pulmonary and Critical Care Practice
"My first impression was that I felt secure. The onboarding
experience was exceptional. You helped us organize better.
We had a point of contact and an IT contact introduced to us
via video conference. I genuinely feel confident in the
billing company. Your pricing is beyond fair. The quality of
service is exceptional. I have to say that we cannot do this
without you. We are not going anywhere!!"
Practice Manager, Internal Medicine
March 2023

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