This document summarizes the services of Cardon Outreach, a revenue cycle management company. They provide a full suite of services including eligibility screening, early out services, accounts receivable management, and disability advocacy. They work to maximize net patient revenue and reduce bad debt for over 800 healthcare clients. Key aspects of their approach include patient-centric screening using tablets, following up extensively with patients, rescreening patient files in real time, and combining payments for ease of resolution. They also work to increase payments through facility enrollment, claims editing, and negotiating quick settlements.

1. ®
Client driven.
Patient approved.
R E V E N U E C Y C L E M A N A G E M E N T S E R V I C E S T H AT W O R K .

2. We meet the mission of our
clients. One patient at a time.
®
“The deep experience that
Cardon Outreach provides in patient
advocacy promotes the collection of
robust data, and that translates into
benefits for our revenue cycle.
”– Director of Revenue Cycle Operations,
Client for 2 years
“Cardon Outreach’s customer
service is outstanding and they
work with us as a true partner.
”– Director of Patient Financial Services,
Client for 6 years

3. Our integrated
solution produces
optimal results.
We have evolved to meet client needs. More than two decades ago,
we began as a provider of Eligibility services. Today, many of our client relationships
still begin that way, but our company has evolved to be a provider of revenue cycle
management services that supports all self-pay account management needs for a
healthcare facility. Our customer base has realized that the strength of our people,
processes and technology extend beyond Eligibility and many of them have selected us
for a combination of Eligibility, Early Out, A/R Services and Disability Advocacy.
We take pride in our relationships. We are more than a service provider, we
are a trusted partner. This is evident through our long-standing relationships: one-third
of our customers have relied on our services for ten years or more, and 55% have
selected us for more than five years. This means a lot to us knowing that services are
often put out for proposal every year or two.
Your mission becomes our mission. The success achieved on behalf
of healthcare facilities can best be attributed to the combination of our passionate
advocates and our advanced technology. Together, more is achieved – sometimes as
much as 30% more than our competitors in head-to-head comparisons. Yet, we never
compromise your mission for the sake of numerical results. We began as a company
with compassion and integrity, and that’s the way we will always be.
Clients consistently realize increased net patient revenue and reduced bad debt, while
their patients experience improved access to healthcare.
Our Strength
in Numbers
• 23 years of experience
• 800+ healthcare facilities
• 1,000+ patient advocates
• 95% client satisfaction*
• 97% patient satisfaction*
• 85%+ conversion on
accepted accounts
• 90% of inpatient accounts
screened on site
* Measured during the HFMA Peer Review process.

4. Eligibility Services
ELIGIBILITY
Our patient-centric approach finds appropriate assistance to help pay for care, in fewer days than
other providers of eligibility services.
Our innovative screening process begins at the patient’s bedside with the utilization of customized tablets to capture information
quickly and easily. Every step is designed to focus on the patient, while effectively increasing the number of patients that can
be screened per day. Patients who cannot be screened in the hospital are quickly followed up with by our extensive network
of seasoned advocates. The field team not only assists with application materials, but they ensure appointments are kept and
transportation needs are met.
Our people are exceptional, and our technology has been built with decades of their knowledge in the industry. Our sophisticated
software platform helps our advocates quickly screen for all potential federal, state, county and community programs, and patient
files continue to be rescreened in real time until a final diagnosis is reached. This is especially helpful for organizations wanting to
provide evidence of due diligence as it relates to identifying the most appropriate coverage for their patients.
Disability Other Programs
• SSI Applications
• SSDI Applications
• Representation at Hearing Level
• Appeals Council Support
• Qualified Health Plan Enrollment
• State and County Programs
• COBRA Assistance
• Victims of Crime Services
• Indian Health Services
Medicaid
• Enrollment Assistance
• In-State & Out-of-State
• Long-Term Care Assistance
• OB Pre-Registration Program
• Medicaid Secondary

5. EARLY OUT
Early Out Services
We improve the patient experience by aggregating and summarizing patient hospital and physician
balances. Then, we accelerate revenue recovery through sophisticated account segmentation and
efficient patient communication.
Our Early Out services are a natural complement to the work we do for Eligibility clients. Once the search for
appropriate programs has been exhausted, we can continue to communicate effectively with patients to resolve
their account balance over time. We can even serve as an ambassador of the hospital’s charity program when
requested, assisting with the necessary paperwork.
• We make a series of calls
from a toll-free number, used
exclusively for each client at a
frequency that may not have
been possible through internal
teams or another vendor.
• We identify as the hospital
brand and ensure patients
receive exceptional service.
• Statements are issued with
each client’s logo, customer
service number, hours of
operation and hospital or clinic
address with client-approved
language.
• We send correspondence
to patients at a cost and
frequency that an internal team
or another vendor may not be
able to do.
• We offer patients the ability to
pay over the phone or through
a secure web site.
• We ensure the minimum
payment is not too high or too
low by working with each client
to achieve their revenue goals.
• We combine payments for ease
of resolution and process them
appropriately.

6. A/R Services
The identification of a potential payer differs from actually receiving revenue. We span the gap
between identification and payment, while at the same time increasing revenue, mitigating denials,
and avoiding bad debt.
Out of State
Denials
Management
• Facility Enrollment
• Facility Billing Support
• Physician Enrollment
• Physician Billing Support
• Electronic Claims Management
• Administrative/Technical Appeals
• Clinical Appeals
• Unresponsive Patient Denials
• Aged Receivables
We are often able to negotiate quick settlements within hospital parameters using our in-house legal support team,
and help hospitals stay in compliance by coordinating timely execution of our efforts around provider agreements,
Medicaid and Medicare laws. We increase payments by enrolling hospitals with out-of-state Medicaid agencies to
reduce first bill submission denials with our proprietary claims editor technology. We are committed to helping our
clients understand the root cause for their denials and how to prevent them in the future.
A/R
Accident
Liability
• Motor Vehicle Accidents
• Slips and Falls
• Other Liability
• Workers’ Compensation Billing
• Workers’ Compensation Denials
• Electronic Claims Management

7. Disability Advocacy
Our experienced disability team is comprised of attorneys, certified nurses, former Social Security
Disability Adjudicators, qualified representatives and hundreds of experts in the field.
Cardon Outreach’s Disability program is comprehensive and effective in converting disabled patients to either SSI or SSDI because
we have the legal, technical and medical capability to identify and pursue disability cases on behalf of the hospital and patient.
Our successful conversions can provide the following benefits to hospitals:
• Additional Medicaid reimbursement
• Higher DSH percentages
• Increased 340B cost benefits
• More Medicare-eligible patients over time
• Expanded long-term care options
• Most Appropriate Coverage compliance
We are often asked what differentiates us from
the competition. It’s not a quick answer because it
isn’t any one thing.
Our advantage is the combination of our four service lines, operating
through the use of a single technology platform (MPOWER), managed
by a knowledgeable staff serving patients with the utmost respect and
with regards to compliance with healthcare regulations. In the end, these
advantages combine to produce measurable revenue acceleration for our
clients. Let us prove it to you!
DISABILITY

8. We invest in the opinions of
clients, patients and peers.
®
855.801.1513
cardonoutreach.com
Cardon Outreach has
engaged KJT Group, Inc.,
a professional firm that
specializes in measuring
client satisfaction within the
healthcare landscape. This
independent approach helps
to guide process improvements
and service line development
that benefit the healthcare
facilities we serve.
*HFMA staff and volunteers determined that this product has met
specific criteria developed under the HFMA Peer Review process.
HFMA does not endorse or guarantee the use of this product.