Business Partners


Allgood Professional Services – Platinum Level

Do one thing and do it well. Allgood Professional Services is dedicated to assisting providers in recovering revenue from accident-related visits. Whether it’s a slip-and-fall or a motor vehicle accident, we make sure the provider is in the best position to receive maximum reimbursement for its charges.

Payment on accounts involving third party liability involves significant and complicated legal issues. From timely perfection of hospital liens to coordination of benefits with secondary payors, Allgood provides all the training and expertise necessary to ensure the best chance for proper and full payment on liability claims. And, because we have lawyers on staff, providers can rest assured its interests are being protected and accounted for every step of the way.

We also provide a full range of denial management services involving commercial and/or governmental payers as well as comprehensive management of a provider’s workers’ compensation claims.

And best of all, our risk-free pricing model is set up for success. Quite simply, we don’t get paid until you get paid.

Contact Kirby Yawn, at 706-955-7452, or Zach Scarboro at 912-571-2207 or visit their website at www.allgoodpro.com


Amerigroup – Gold Level

Amerigroup Georgia helps improve health care access and quality for more than 375,000 low-income Georgians by developing innovative care management programs and services. Members are assured care that is not only accessible, but also accountable, comprehensive, integrated and patient-centered. Amerigroup Georgia provides ongoing community relations and outreach to encourage members to become active participants in their health care. Through health education programs, members are empowered to choose and sustain a healthy lifestyle.

Please contact: Urcel Fields, RVP I  Provider Solutions, Steve Gibson, Director Contracting, Southwest & Southeast Regions; Vivian Scott, Director Contracting, Central & East Regions; Monica Lester, Director Contracting, Atlanta Region. Or  Paula.Horton @amerigroup.com  Director Contracting, North Region  1-800-600-4441 (Medicaid & CHIP)

 


Amplion – Silver Level

Amplion Alert is a game changer for patient care. The platform combines advanced nurse call, wireless messaging and alarm management in a single system to close care loops, drive accountability, quality outcomes and patient satisfaction. Safer patients. Smarter care. Assured. Learn more at www.amplionalert.com.

For more information, please contact Courtney Williams at 478-457-7226, or Karen Stone at 615-577-9018.


Availity Patient Access Solution – Platinum Level

With patient financial responsibility on the rise, a wave of new payment models in the market, and increased pressure to reduce operating costs, providers must take a proactive approach to patient collections in order to maintain a healthy cash flow.
Leveraging the point-of-service capabilities of RevPoint, acquired in June 2014, Availity gives patient access teams the ability to improve patient payments to achieve more timely and consistent cash flow. Improved cash flow is especially critical as the popularity of high deductible health plans means more of the payment responsibility moves to patients—and thus physicians and hospitals—to ensure timely payment

  • Get accurate information about your patients’ financial responsibility before their visit
  • Obtain insight into each patient’s ability to pay what they owe
  • Prepare a number of payment options to review with them
  • Improve consistency of communication with patients about their responsibility
  • Document compliance with your financial policies and procedures
  • Collect what they owe earlier in the process, protecting and accelerating your cash flow

Contact Mary Bowles at 502-689-5580, or Erin Kovacevic, Senior Sales Executive at 317-814-6747, or visit their website at patientaccess@availity.com


Avilys Sleep – Silver Level

Avilys™ is a Sleep Disorder Company that specializes in creating and managing sleep disorder centers (primarily in hospitals).  We perform sleep testing on adults and children (one year and above) using the latest equipment and guidelines provided by the AASM (American Academy of Sleep Medicine). In addition to sleep testing we provide information management and data transfer services allowing us to help organizations have access to physician’s and scoring technician’s outside their normal service area in the event these experts are not readily available.  This flexibility allows us to assist any hospital regardless of  size at any location have the same quality much larger hospitals have allowing you to stay competitive.

For more information, please contact Shane Mobley, phone (855) 228-4597


Azalea Health  – Gold Level

Azalea Health’s certified EHR with integrated Practice Management, Telehealth, RCM and billing services is the heart and hub of community hospitals, clinics and providers. With Azalea’s easy-to- use, comprehensive clinical and financial solution, you spend less time charting and coding and more time delivering quality care in your community.

Technology-enabled healthcare solutions and managed services are particularly important to ensuring equitable access to quality healthcare in rural settings. Azalea brings deep experience in working with rural providers and organizations, offering specialized rural health consulting and other professional services.

Rural health providers and health systems can tap into Azalea’s experienced team for assistance in obtaining rural health clinic (RHC) certification and compiling policies, regulatory compliance and guidance, implementation of policies and procedures, optimization of in-house workflow, coaching for unique RHC billing procedures and much more.

Additionally, Azalea’s comprehensive portfolio includes integrated electronic health records, practice management, electronic prescribing, interoperability services, personal health records, patient portal, telehealth, AzaleaM mobile platform integrated with Apple® HealthKit, as well as revenue cycle performance services. The Azalea platform also provides tools and resources to help customers meet their Meaningful Use and ICD-10 requirements as well as strategies to navigate accountable care and alternative payment models.

To learn more or schedule a live demo, please visit www.azaleahealth.com, call (877) 777-7686 or email Info@AzaleaHealth.com


Blue Cross and Blue Shield of Georgia – Silver Level

Fast Facts
At Blue Cross and Blue Shield of Georgia, Inc. (BCBSGa), we are proud to celebrate our 75th anniversary this year. As the state’s largest and oldest insurer, serving more than 2.3 million members, we employ approximately 3,000 associates throughout the state and are a valued and trusted partner to large and small employers. As a company of Georgians serving Georgians, we work hard to live out our mission of improving the lives of the people we serve and the health of our communities.

A Leader in Health Care Benefits – Nationally and Locally
BCBSGa’s parent company is one of the largest health benefits companies in the nation, with 34 million members in more than 14 states in its affiliated health plans – of which, 1.8 million are Medicaid customers.  As a company, we are committed to delivering industry-leading, innovative products, distinctive service, simplified transactions and world-class technology. In fact, A.M. Best, a leader among insurance rating agencies, continues to reaffirm BCBSGa’s “A” rating. Our unique business model allows us to maintain the strong local presence required to understand and meet local customer needs, and to build positive, long-term relationships with the medical care providers and our community.

For more information please contact R.J. Briscione or call him at (404) 682-9214.


Brasfield & Gorrie – Gold Level

Brasfield & Gorrie has consistently ranked as a leading construction firm in the country, and the reason more than 85% of our work today comes from repeat clients. Brasfield & Gorrie is consistently ranked in the top 3 healthcare contractors by Modern Healthcare magazine. For more than 40 years we have performed successfully on projects in more than 20 states. At Brasfield & Gorrie, our greatest strength has always been our people and their performance. Our 21 operating divisions maintain a combined staff of more than 3,400 highly qualified and skilled professionals.

Contact Tate McKee at 678.581.6354 or Jason Lewis at 770-364-4896


CareSource – Gold Level

CareSource was established in 1989 to address the health care issues of low-income citizens. Founded as the Dayton Area Health Plan through a grant from the State of Ohio, CareSource grew to serve the state’s most vulnerable consumers and laid the foundation for a new model of managed health care.

Today, CareSource is a leading, member-centric, regional nonprofit health plan headquartered in Dayton, Ohio. As one of the nation’s largest Medicaid managed care plans, CareSource serves more than 1.5 million consumers in Ohio, Kentucky, Indiana and West Virginia and has a total workforce of 2,700 employees.

CareSource partners with states and the federal government to increase quality, decrease costs and ensure members have access to affordable health care. Most recently, CareSource expanded the footprint of its qualified health plan CareSource Marketplace to the state of West Virginia and launched a competitive Medicare Advantage plan in Kentucky and Indiana.

CareSource is living its mission to make a difference in members’ lives by improving their health and well-being. CareSource understands the challenges consumers face navigating the health system and works to put health care in reach for those it serves.  CareSource is led by its founding CEO Pamela Morris.

Please contact Darren C. Morgan , VP- Health Partner Services at  937.531.2410 or Darren.Morgan @CareSource.com ;   Leigh A. Brock, Director of Network Development  at 937.224.3300  or Leigh.Brock @CareSource.com; Timothy B. Brown, Network Development Manager at 937.224.3300 or Timothy. Brown@CareSource.com.  Visit www.CareSource.com for more information.

 


Carr, Riggs & Ingram – Gold Level

With the uncertainties surrounding healthcare today, it’s critically important to partner with a CPA firm that has hospital-specific, local expertise to help you navigate your challenges. Carr, Riggs & Ingram’s (“CRI”) healthcare CPAs are focused on assisting our clients through today’s challenging healthcare environment. Our professionals fully understand healthcare trends, industry practices, and the relationship between rising healthcare costs and the need for maximizing efficiencies.

CRI provides services to not-for-profit, for-profit and governmental community and rural hospitals and health systems throughout the South.  Our hospital-specific services include financial statement audits, reviews, compilations, employee benefit plan (EBP) audits, cost reporting, taxation, community benefits reporting, IT advisory (HIPAA/HITECH), risk assessments and multiple others.

Contact Rob Hanson , at 229-402-0496, or visit their website at www.CRIcpa.com

 


CDH Partners – Architects – Silver Level

CDH Partners is a market led design firm, focused on clients and their needs and has 34 years of healthcare experience, expertise, and understanding the client’s issues. Services at CDH are integrated to provide the required complex and high performance solutions. The firm’s leaders are participatory, and committed to clear and consistent communication creating a culture of accountability. CDH is structured as integrated design teams of professional architects, interior designers, engineers, and specialists with a vision for building solutions to improve tomorrow. CDH Partners is committed to technology that allows design and information sharing methods, profoundly changing today’s practice. Clients want both thoughtful service and exemplary design; so the internal processes at CDH are focused as much on listening, communicating and documenting, as on building solutions.

Contact: Danny Mackey, (678) 784-3435 office, (678) 986-3985 cell, (770) 423-0016 corporate


CE-TECH – Gold Level

From Anesthesia to Sterilizers, CE-TECH provides multi-vendor services throughout the southeast. Our quality low-cost PM and Repair programs are prepared to help maintain your Biomedical/Imaging equipment. Custom contracts are offered based on customer’s needs, not the bottom-line. Factory trained and OCC Certified technicians are on-call 24/7 for customer support.

For more information please contact Scott Long, (800)333-7477. Visit our website at www.ce-tech.com.


Change Healthcare – Silver Level

InterQual Products – InterQual Criteria products are the gold standard in medically driven decision support.  They offer a robust, evidence-based, and validated approach to clinical decision-making that promotes care facilitation, quality, patient satisfaction and cost efficiencies. Our broad range of InterQual clinical content products address the full continuum of clinical services spanning all inpatient and outpatient levels of care and services including procedures, imaging, durable medical equipment and mental health. They are the industry-leading tools for determining the appropriateness of healthcare interventions across the continuum of care.

Our CareEnhance Review Manager combines the superior clinical content of InterQual criteria with easy-to-use, robust software to streamline your processes and facilitate reporting. Nested decision trees allow reviewers and care managers to quickly evaluate the criteria without the need to read long passages of text. Review Manager features include role assignment, review assignment, work list, follow-up review trigger, monitoring capability, customization, criteria search, review locator, outcome reasons tracking, book view (read-only), and reviewer’s comments.

Approximately 4,000 Hospitals use InterQual for a clinically validated approach to decision-making. About 1,400 use InterQual interactively in Review Manager software. The wide industry acceptance of these products increases their value in ensuring that decisions made by payors and providers are aligned.

For more information, please contact Dave Pullen, 404-434-9181 or visit www.changehealthcare.com.


docQmed – Gold Level

TRANSCRIPTION OUTSOURCING

EXPERTISE AND COST EFFECTIVE RESULTS

In its quest for superiority,docQmed, LLC maintains its goal of developing outstanding partnership with our healthcare customers and our docQmed, LLC transcription staff. When both are highly satisfied, production and customer satisfaction are at their highest levels. We pride ourselves on our professionalism and honesty. We recognize the importance of providing integrity that builds a trusting relationship around our commitment to our customers and their total satisfaction.  We encourage the team approach for each client by assigning specific transcriptionists to a client and designating a team leader who will assume responsibility for service, timely turnaround time,and customer satisfaction; with this approach, the clients and the transcriptionists form a bond of familiarity with each individual account.

UNDERSTANDING YOUR CONCERNS

Medical transcription; it sounds simple, but like you, we understand that transcription is a complex process that directly impacts your reimbursement cycle. Consistently great results can only be achieved if every step in the process — from dictation to report to final signature — is supported by a highly skilled staff, integrated technology, and management controls.

  • You face increasing costs and documentation demands
  • Recruiting, training and retention of your in-house qualified transcriptionists is extremely costly

Capital funds for new technology must be budgeted for future implementation often taking two or more years

Contact Stan Hurt at 865-691-1001 or Donna Glass at 865-584-0151


Draffin & Tucker, LLP – Certified Public Accountants – Gold Level 

Draffin & Tucker, LLP provides professional accounting and consulting services to health care providers, corporations, individuals, governmental entities, and nonprofit agencies. Draffin and Tucker is committed to the survival of rural hospitals in the Southeast. Their support is evident by the training and education they provide at no charge to HomeTown members. Their offices are located in Albany and Atlanta.

Contact Mike Reese, or Jim Creamer 229-883-7878


EnvisonUSA – Silver Level

If the name Envision USA is new to you, rest assured we are not new in the field of technology.  In fact, we have provided secure IT expertise in a Clinical setting to Hospitals, Physician Clinics, Nursing Homes, Pharmacies and Home Healthcare Services since the year 2000.  To elaborate, Envision USA is a subsidiary of SunLink Health Systems, Inc., (“SunLink”) corporately owned in Atlanta, Georgia.  SunLink is and has been the parent company to multiple Healthcare Facilities and related businesses located in the Southeast.  As such, Envision USA has always had the responsibility of formulating, designing, implementing and enhancing diverse IT solutions for all SunLink facilities and associated businesses.  Each facility has unique IT needs and we have offered innovative and customized solutions for each one disparately.

As Healthcare, the Affordable Care Act, and Informational Exchanges continue to evolve, IT needs are increasingly dynamic and secured technology is integral to the success of any Healthcare business.  In addition, with the increasing consumerism and transparency demand, patients expect their data and electronic medical records to be safe, secure, HIPAA compliant and accessible.  Confident that our staff has the utmost expertise and hands-on knowledge within secure clinical settings, we ventured outside of SunLink Health Systems, Inc. and offered our savvy IT solutions to other clients in need of our expertise many years ago.  We have helped in cost saving measures in a secure clinical setting by eliminating redundancy, proactively managing systems within compliant data environments, integrating electronic medical records interfaces to truly work for our clients’ needs in timely seamless workflows, executing network architecture to support data exchanges within fast-pace environments, and a myriad of other IT solutions including Cloud Services and Cloud migration project planning  to keep our clients current, compliant and efficient.

For more information, please visit www.envisionusa.net or call (770) 933-7011.


Evident – Gold Level

Integrated software solutions from Evident and Healthland help rural and community hospitals improve their financial and clinical operations.  As part of the CPSI family of companies, our healthcare IT solutions advance the delivery of quality healthcare to the communities we serve across the care continuum. The company you choose as your partner will play a critical role in setting you up for future success and transitioning to a world of value-based care and reimbursement.  We are that company.  Our future-focused EHR solution is built with today’s real world in mind. Spanning the continuum of care, you get optimized workflows – physicians, clinicians and office staff each have workflows designed specifically for them.  More information is available at www.cpsi.com

Contact Sean Nicholas , Vice President, Sales sean.nicholas@cpsi.com  or 251-662-4023

 


FFAM 360 – Silver Level

Managed by a group of senior level experts whose background span more than 50 years in  Healthcare Revenue Cycle Management, the FFAM360 group of Companies has created a comprehensive team of dedicated professionals that successfully maximize our provider clients’ reimbursement and cash flow objectives.

By taking a targeted approach to the treatment of Healthcare A/R and other Revenue Cycle processes, we are able to successfully augment payment for our clients.

For more information please contact Lillian Klook, VP Business Development and Client Relations at 404-523-0411 x 1701 or 678-895-6721; or Matthew Maloney, President, at 770-685-6540.


Georgia Partnership for Telehealth – Silver Level

Georgia Partnership for Telehealth, Inc., Georgia’s not-for-profit, state-wide telehealth network, is the leading agency focusing on increasing access to healthcare through innovative use of technology.

Getting connected with GPT are –Adult & Pediatric Specialists, Primary Care Providers, Nursing Homes, Mental Health, Child Advocacy Centers, School Health Clinics, Universities, Public Health Agencies, County Jails, Prisons,.  Contact us to start connecting and  for Consultative Services in network design, telehealth development and implementation. GPT is a network of 500+ partners who provide or receive telehealth services, 150+ Specialists & Providers who have provided 300,000+ consultations to date.

To access services or inquire about becoming a partner, contact Rena Brewer at 912-490-0058.


Health Management Associates – Silver Level

Health Management Associates (HMA) is a consulting firm specializing in the fields of health system restructuring, health care program development, health economics and finance, program evaluation, data analysis and health information technology and exchange. HMA is widely regarded as a leader in providing technical and analytical services to health care purchasers, payers, and providers, with a special concentration on those who address the needs of the medically indigent and underserved. HMA is a private, for-profit “C” corporation, incorporated in the State of Michigan in good standing and legally doing business as Health Management Associates, Inc.
HMA has clients across the country, including the major safety net health systems, private sector providers, and local, state, and federal governments. The firm has extensive experience and expertise in the design and implementation of health programs, particularly with respect to system development, managed care, long-term care, and behavioral health care.

The staff of HMA is composed of over 165 professional health care managers and analysts with up to thirty-five years of experience in the health and human services fields, including senior staff with long experience in clinical and administrative leadership of public hospitals. HMA brings a strong interdisciplinary expertise to clients. Staff backgrounds include health economics, public health policy and administration, health care finance and reimbursement, correctional healthcare, clinical services, managed care, pharmacy benefit design and management, social work, program development and evaluation, and information systems.

For more information, contact Kathy Ryland, Managing Principal, via phone at 404.522.0442, or visit www.healthmanagement.com


Healthcare Coding and Consulting Services – Platinum Level

HCCS is an HIM coding, auditing and consulting company that is founded upon uncompromising values and dedicated to the clients we serve and to each other. We rely on our domestic team of fully specialized, AHIMA certified coders to provide accurate and timely coding of all chart types in both paper and electronic format for hospitals on a backup and total outsource basis. Coding accuracy, which is our first priority, is crucial to compliance and capturing all legitimate revenue. Whether you are PPS or a CAH, accurate, expedient coding is critical to the viability of your facility.

Our services include, but are not limited to HIM Coding (Backup and Total Outsourcing), Coding and Clinical Documentation Audits, Clinical Documentation Integrity (CDI) Education, ICD-10 Education, and Interim HIM Management.

Contact Bill Cronin at 719-440-3057 cell OR James Cronin at 719-339-7739 cell.

 


Healthcare Resource Group – Silver Level

Healthcare Resource Group’s expertly crafted revenue cycle management services provide customized solutions for your healthcare facility’s unique needs. Our client-centric service suite provides the tools needed to optimize any part of your Patient Financial Services (PFS) and increases the efficiency and profitability of your clinic or hospital.

HRG uses industry leading technology and credentialed, experienced professionals in all areas of service including: PFS consulting and management, Complete Business Office (CBO), Extended Business Office (EBO), and Early Out Self-Pay (ESOP).

Please contact Lee Waller at 251-402-8168.


Healthcare Services Group – Presidential Level 

A health care facility derives many benefits from operating a spotlessly clean, aesthetically pleasing environment. Our staff is thoroughly trained to perform housekeeping, laundry, linen, facility management and food responsibilities with skill and sensitivity. Stringent quality-assurance standards insure that a facility will receive the most professional services in the industry.

The key to our client retention rate and orderly geographic expansion has been our ability to assemble the finest group of managers in the industry. Clients, who receive daily support from on-site management, are also actively supported by a company District Manager who is in close proximity to the client. The development of experienced management back-up is reassuring to owners and administrators.

Reducing client costs while improving overall quality is a most challenging assignment. This objective is met by standardizing operating systems, maintaining strict controls through a quality-assurance program and planning efficient production schedules.

Contact Matt Kirk at 678-206-3435. Visit our website at www.hcsgcorp.com or call 1-800-433-2710.


HealtHIE Georgia – Silver Level

HealtHIE Georgia Corporation is a network of rural Georgia hospitals and their physician communities working to improve patient care through health information technology. The network focuses on ways to build capacity and a network infrastructure that enables its participants to coordinate care and increase access to care for rural communities. Given the mandates of the Accountable Care Act, reimbursement complexities, Health IT vendor challenges, broadband access, etc., this supportive network is vital to the health of rural hospitals.

The HealtHIE Georgia member hospitals together are accessing grant and loan opportunities available to non-profit collaborative networks. Our state and federal partners, business partners, and Georgia Southern University are working with us to achieve the objectives. Currently, we have established the Georgia’s Rural Service Area network and clinical exchange.

For more information, please contact Mark Renfro, Executive Director, at 706-782-0764.

 


Healthland – Gold Level

Integrated software solutions from Evident and Healthland help rural and community hospitals improve their financial and clinical operations.  As part of the CPSI family of companies, our healthcare IT solutions advance the delivery of quality healthcare to the communities we serve across the care continuum. The company you choose as your partner will play a critical role in setting you up for future success and transitioning to a world of value-based care and reimbursement.  We are that company.  Our future-focused EHR solution is built with today’s real world in mind. Spanning the continuum of care, you get optimized workflows – physicians, clinicians and office staff each have workflows designed specifically for them.  More information is available at www.cpsi.com

Contact Sean Nicholas , Vice President, Sales sean.nicholas@cpsi.com  or 251-662-4023

 


HealthTrust   – Platinum Level

HealthTrust (www.healthtrustpg.com) Strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage our operator experience, scale and innovation.

Our legacy committed model is just the beginning.  While other GPOs are trying to align regional scale and market compliance, we are delivering on the pillars of total spend management.  Our esteemed membership and national purchasing power provides unrivaled price advantage on supplies.  And our accountability – including service line leadership, shared services experience, physician engagement and innovative pilots – provides industry leading benchmarks and best practices from the nation’s leading health systems.  This “operator advantage” informs every assessment and recommendation we make. Our inSight Advisory team is the differentiator in guiding and implementing performance improvement in cost, quality and outcomes.

Contact Jacob Reaves at 615-347-8439.


Hewlett Packard Enterprise– Silver Level

The Georgia Department of Community Health (DCH)  transitioned to a new Medicaid Management Information System (MMIS) and contracted with Hewlett Packard Enterprise (HPE) (formerly EDS) to serve as the new Medicaid fiscal agent beginning November 1, 2010.   DCH and HPE have been working over the past two years to enhance the Georgia MMIS.  HPE provides end-to-end IT services in applications, business process, and infrastructure technology outsourcing for increased productivity, innovation, and security so businesses can plan for future growth and governments can efficiently deliver citizen services.  The EDS name change inherits the global power and recognition of the HP brand with the former Electronic Data Systems technology services portfolio.

Contact Stanfinie Clayton, Provider Relations Supervisor, Hewlett Packard Enterprise – GA Title XIX Healthcare Account.


InnoVative Capital – Silver Level

InnoVative Capital, LLC is a HUD licensed FHA mortgage lender and SEC/MSRB-registered municipal advisor, specializing in the development and financing of major capital projects for rural,community and critical access hospitals. InnoVative Capital funds capital projects, debt refinancings, financial turnarounds and hospital affiliations using FHA 242 Mortgage Insurance,  tax-exempt and taxable bonds, bank debt, USDA, and equity strategies.

As a financial advisor and banker, InnoVative Capital’s unique service-mix, including its proprietary CFO HELPER® analytics, has developed, structured and financed the modernization of independent community hospitals nationwide.  With its municipal finance consulting practice, InnoVative Capital can supplement hospital cash flow and enhance debt capacity through the use of composite-financing from local tax-support and government guarantees. InnoVative Capital is proud to represent the rural hospitals of Georgia and to-date, has acted as the financial advisor or banker to ten community hospitals, including as the FHA 242 mortgage banker for Effingham Hospital’s $31 million modernization project and the $85 million financing of the new Meadows Regional Medical Center of Vidalia.

Contact Alan P. Richman, President and CEO, at 610-543-2490 x101


IHMS – Gold Level
Since 1996, Integrated Health Management Services (IHMS) has been recognized as a leader through delivering best-in-class Patient Screening, Medicaid Eligibility Services and , Third-party Billing and Receivables Management.  IHMS works with numerous hospitals and systems throughout the United States to maximize profitability, improve long-term performance and manage the dynamic environment of Medicare, Medicaid, Managed Care and First Party revenue reimbursement.
At IHMS our many service offerings are designed to reduce private-pay debt, increase cash, resolve aged receivables and totally improve patient satisfaction.  Our customers enjoy customized approach to meet their respective needs and fueling revenue optimization through our CMS Professional Certified Application Counselors and the latest technology.
More detailed on our service offerings please visit our website: www.IHMSLLC.com or contact Craig D. Deehring, Executive Vice President at 720-839-7605.

Ion IT Group, Inc. – Gold Level

Ion IT Group delivers high quality Technology Services only to healthcare organizations. So as the importance of healthcare IT increases so does the importance of aligning yourself with IT partners that share your visions, beliefs and concerns.

The threats against your systems and network have NEVER been greater. Our team will work with you to conduct wired/wireless network technology vulnerability and/or Privacy & Security Risk assessments. We can review or help you create your facility compliance goals no matter where you are on that journey. And with the ever changing threats, it is indeed a journey, NOT a destination.

In 2016 Telemedicine needs to be in your healthcare organization. It improves care and is now reimbursable! Our revolutionary remote patient monitoring application solution Vital Connex will improve your patient transition care instantly. And with our integrated secure messaging exchange services you can share this confidential patient vital sign information easily. With our telemedicine video solution, Vital Connex Consult you can see your patients No matter where your patient is located! Video consults are one of the most revolutionary ways to improve the quality of your patient care and increase revenue.

These combination of services allow for a rapid, scalable AND affordable solutions that are perfect for your healthcare organizations of any size. Ion IT Group is truly your Business Associate and partner that you need.

For more information, please contact Steve Cherry at (615) 424 2489; Robbie Morris at (615) 351 4796; or visit www.ionitgroup.com or www.vitalconnex.com


Iron Mountain – Silver Level 

Iron Mountain manages billions of informa­­tion assets for organizations of all sizes in every major industry around the world. Clients rely on Iron Mountain’s solutions for records and information manage­ment, data manage­ment, document imaging, and secure destruction to help them better use their information for business advantage.

Successful health information management lets you effectively govern your physical and digital records throughout their lifecycle. Your records retention schedule is the cornerstone of good health information management. It is an important step not only in achieving compliance, but also in controlling costs and risks, and in providing a foundation for governance across the enterprise.

For more information, contact: Donna Salyer, Business Development Executive at 404.308.0712 or donna.salyer@ironmountain.com


Kerry Dunning, LLC – Silver Level

Kerry Dunning, LLC provides consulting services focused on post-acute services, continuity of care, and case management/discharge planning. Primarily our services help all skilled nursing settings (SNF, SNU, Swing Bed and CAH Swing Bed) to evaluate audit risk, operational strengths and financial opportunity for existing programs while providing leadership for under-performing programs. Recently, our consultants have been involved in projects from establishing new swing bed programs to running mock surveys; from evaluating therapy services to preparing health care systems for quality and value based purchasing changes.  Coordinating all your needs provides your staff with the support to enhance clinical and financial outcomes.

Contact:  Kerry Dunning, MHA, MSH, CPAR, RAC-CT at 904-923-7229 or by writing her at Kerry.dunning@kerrydunningllc.com

 

 


Managed Health Care Consulting Services – Silver Level

Managed Health Care Consulting Services MHCCS has been serving Georgia providers for over 20 years  with experience and knowledge of payor and provider contracting for all products-commercial, Medicare Advantage and Managed Medicaid, along with competitive landscape and strategic positioning.  These services include:  review and analysis of market competitive rates and language, review and  renegotiations of existing contracts and addition of new as appropriate, contract communication, execution,  implementation, and  auditing and analyses if deemed appropriate and necessary.

For more information, please contact Alice Lambo at alicelambo@mhccs.com or 404.550.3242.  Visit website:  www.mhccs.com  


MCG Health – Silver Level

MCG Health, part of the Hearst Health network, helps healthcare organizations (in both the government and private sectors) implement informed care strategies that proactively and efficiently move patients toward health by ensuring that patients get the right level of care and the right activities for the right amount of time. MCG’s transparent assessment of the latest research and scholarly articles – along with data analysis – gives patients, providers, and payers the vetted information they need to feel confident in every care decision.

How do we do it? We combine gold standard content and innovative software solutions with quality analytics and benchmarking that can integrate seamlessly into virtually any EHR and case management workflow platform. Together, our products help drive effective care for 70% of commercially insured Americans, resulting in better outcomes and increased cost savings.

For more information, please visit www.mcg.com, or contact Betsy Parkinson, RN, BSN   |  S.E. Regional Sales Director  |  Mobile: 864-423-2444 |


MedPerformance – Silver Level

MedPerformance is a Revenue Cycle consulting and software firm committed to improving hospitals’ Revenue Cycle from patient access through billing. We have experienced consultants dedicated to, and software designed for, improving cash collections and increasing efficiencies and cost-effectiveness. We also specialize in improving your Case Management Team’s effectiveness through education and training.

MedPerformance has an all payor denial and appeal management software that has incredibly powerful and robust reporting capabilities. The real time dashboard reporting will let you know the financial impact of manually entered denials and those from your 835’s. The workflow tool will help your team members focus on the most important accounts. You can store and manage your paper medical record requests and not miss deadlines. Its ease of use is surpassed by none.

MedPerformance has an extremely easy to use Insurance Authorization and Tracking software. We also have Charge Audit software. Both of these modules are integrated with the denial and appeal management software.

MedPerformance can educate your physicians and team members and improve the effectiveness of your Medical Staff Utilization Management Committee.  We can help ensure your Case Management Team is in compliance with CMS and payor regulations.

Contact Rebecca Tarr at 813-786-8974


Morris, Manning & Martin, LLP – Presidential Level

The Morris, Manning & Martin Healthcare Group has a wealth of experience representing healthcare providers in a variety of business and regulatory matters. Our healthcare practice group provides clients with practical and reliable advice in structuring business relationships and transactions, working with state and federal regulators and resolving administrative and business disputes in creative and efficient ways. Our healthcare attorneys have extensive experience in coordinating and conducting compliance audits and preparing and implementing corporate compliance plans. In addition, together with attorneys from the firm’s nationally recognized technology group, we have developed HIPAA privacy and security compliance audit and compliance tools that are unique in the industry.

Contact Michele Madison at 404-233-7000 or Rusty Ross at 912-232-7182.


Peach State – Gold Level

Peach State Health Plan (Peach State) is a Care Management Organization that serves the Medicaid and PeachCare for Kids ™ population in partnership with Georgia Families. Peach State is a wholly owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services.

For information please contact Jeffrey West, at 478-738-8542.


PharmD on Demand – Silver Level

PharmD on Demand is a hospital pharmacy management and remote pharmacy services (RPS) company. Our core strengths are improving patient care and increasing operational efficiencies. We leverage the latest technology, innovative management processes, and the advantages of a virtual business model to bring high-quality pharmacy services to hospitals while providing positive outcomes for patients.

Remote Pharmacist Services (RPS)

Our Remote Pharmacy staff consists of only PharmD pharmacists with ​years of​ hospital experience ​in order to ​provide order verification, order entry, medication error prevention and clinical responsibilities ​with the highest level of service and quality​​. Our pharmacists are also available by phone to your hospital staff for any questions or concerns. By operating 24/7, our service​ can be fully customized to best fit the needs of your hospital​.​

Hospital Pharmacy Management

PharmD on Demand manages all aspects of pharmacy operation including consistent staffing, competitive employee benefits, software, IT, training, supervision of regulatory and accreditation body compliance, inventory oversight, and 340B management when applicable. By partnering with PharmD on Demand for these functions, your hospital realizes significant operational and financial benefits including the needed flexibility to deal with today’s dynamic market conditions.

Contact Matthew Efird at 706-781-5310. Visit www.pharmdondemand.com


Pinnacle Health Group – Platinum Level

Pinnacle Health Group is a proactive physician recruitment firm that has placed over a thousand physicians in opportunities nationwide. We help our clients succeed by providing state-of-the-art resources along with the consultative services of some of the most experienced recruiters in the industry. We have more than 20 years of experience serving rural communities. The vast majority of our placements have been small, rural communities like yours.

Our clients appreciate that we put a plan in place and design a campaign using in-house resources. Pinnacle combines our strong process, well-trained staff, and outstanding resources to place quality physicians. Cost-effectively reaching and impressing your target market is a key to our success. In addition to recruiting all physician specialties, Pinnacle also provides recruitment for Mid-levels as well as Locum Tenens.

Pinnacle Health Group looks forward to working more with HomeTown Health members and we are proud of the fact that ‘We bring healthcare to communities that need it!™’

For further information please contact AJ Suggs, at 800-492-7771 or 770-842-9069 (cell).


Praxis – Silver Level

With 40+ years in rural hospitals, Oklahoma’s Praxis Health Group goes where software can’t and others won’t: into your unstructured data. With meticulous care and 20+ years per employee, Praxis sifts through unstructured data comparing, checking, and analyzing information, finding 60% more claims, 30% more cash, and 120% better billing efficiency.  Schedule your free audit, let us improve your billing performance and collect money your current team or software isn’t.

Contact Kori Lykins, at 859-613-3600 or visit www.praxishg.com.


Prospective Payment Specialists – Silver Level

Prospective Payment Specialists (PPS) was established in 1992 with a specific value proposition for hospitals and health systems — assisting them in adapting to changes in payer policies by providing specialized expertise with up-to-the-minute information and personalized, exemplary service.  We have delivered on this mission by developing a business model where only true specialists work within their proven areas of expertise. The result is that we have built a staff that has deep knowledge of their subject matter and a passion for sharing that expertise with our clients.  PPS has had the privilege to provide revenue cycle and compliance services to over 3,500 hospitals across the country from large health systems, Critical Access Hospitals, and for 4 out of 6 of the largest health systems in the country.  Over the last 20 years, we have provided exceptional and personalized service to our clients.

For more information please contact Samantha Caldwell or call (800) 477-5017


Quadax – Platinum Level

Quadax offers the total package in clearinghouse and revenue cycle services.  Our premier electronic transaction management tools supported by a reliable, responsive customer service organization provides the perfect blend to assist providers to achieve their revenue cycle goals of increased cash flow with increased efficiency and decreased expense.The Quadax EDI Services organization has been carefully structured to deliver first-class support to every client, because service is who we are.  The expertise of our Edits & Documentation Group (EDG) and the partnership of our dedicated support staff give Quadax clients the edge, enabling them to collect better, collect faster, and collect more while attaining excellence with proven process improvement strategies.We equip you with Xpeditor, featuring comprehensive claims management and editing, with Xtensions for remittance management, denial management, eligibility and claim status transactions, and support for Axis, our Audit Control application for management of RAC and other audits.The mission of Quadax Incorporated is to improve the financial performance of organizations in the healthcare industry by creating efficiencies in their revenue cycle with innovative strategies, products, and services built on superior technologies, delivering relational service with integrity and dedication.  We put people first, corporately embracing integrity, respect, teamwork, and dependability.

Contact:  Blair Elledge @ 912-268-2597 or visit our website at www.quadax.com/xpeditor


Reimbursement Solutions Group, LLC – Silver Level

Reimbursement Solutions Group (RSG) is a full service third party reimbursement company specializing in the needs of small rural healthcare providers.  At RSG,  we recognize that Medicare/Medicaid reimbursement is one of the most complex and critical issues facing rural healthcare providers.  Our services include the preparation of regulatory Medicare and Medicaid cost reports, annual hospital financial surveys, DSH survey, and many others.  Our advisory services focus on helping rural healthcare providers maximize their reimbursement potential.  Our goal at RSG is to be more than another consultant; we want to be considered by our clients as an economical alternative to employing a full time director of reimbursement.

Contact Jesus Ruiz at 404-788-4861 or Jesus.ruiz@rsgga.com, or visit our website at www.ReimbursementSolutionsgroup.com


RGL Associates, Inc. – Gold Level

RGL Associates, Inc. is a Revenue Cycle Management firm that specializes in Extended Business Office Services (EBO). These services include:

· Early out, self pay collections
· Insurance billing/follow-up
· Payment plan monitoring
· Bad debt collections
· Patient Payment Portals
· Eligibility
· Cost Estimating
· Revenue Dashboard

Some of our services can be on a short term basis, such as a system conversion, or an a/r clean-up project. We can be very flexible based on the needs of your facility. The goal of RGL Associates, Inc. is to increase your profits while enhancing your image through quality of service. In business since 1964, we have built a solid foundation based on trust, experience and hard work.

Our proven processes, expertise and ability to work side-by-side with our clients makes RGL a great fit for any hospital looking to maximize return on investment (ROI) while maintaining excellent customer service.

Allow us the opportunity to show you how we can increase your bottom line!

For more information please contact Ronnie Lemmond, 1-800-522-1955 x109 or Justin Starling, 1-800-522-1955 x160.


Southeastern Pathology Association – Gold Level

Southeastern Pathology Associates (SEPA Labs) is a CAP accredited full service anatomic pathology laboratory located  in Brunswick, GA.  In business since 1992, SEPA is committed to providing superior service to our patients and physicians while exceeding expectations through our dedicated pathologists.  Today SEPA includes 26 speciality pathologists with 13 subspecialities.  SEPA services 25 hospitals and free standing surgery centers and provides medical directorships for 19 hospitals throughout Georgia and Northern Florida.  We are your Hometown Health laboratory and look forward to learning about the needs of your hospital!

For more information, please contact Sara Berger at 904-673-7388


Southland MD – Platinum Level

Southland is a physician-owned and operated group that provides Emergency Medicine, Hospitalist and Outpatient Care to hospitals and health facilities. Southland was developed to bring high quality medical services back to hospitals and communities that were being run by large, distant staffing companies in which there was no consistency in physician quality or care. Southland is striving to bring back the idea of the small town family doctor with the added bonuses of the training and experience of some of the area’s best medical practitioners. With an emphasis on quality, efficiency and patient satisfaction, Southland physicians are now treating patients throughout South Georgia and North Florida.

Southland physicians are local Family Medicine and Emergency Medicine physicians who have spent years working in the Emergency Medicine and Primary Care fields. This experience gives them clear insight into the Healthcare problems faced by hospitals and communities. Our executive team works closely with the our physicians, mid-level practitioners and hospital administration in all services provided allowing us to stay involved in all aspects of emergency room care and special needs of the hospital.

With a core group of over 200 physicians and mid-level practitioners, Southland works with hospitals and healthcare facilities every day, streamlining throughput times and improving customer satisfaction.

Our executive leadership includes:


Spoto & Associates – Silver Level

Serving North and Central Georgia, Spoto & Associates, LLC is a healthcare consulting firm that provides managed care consulting services to healthcare providers. These services include: analysis of a hospital’s managed care position and present contract realization, contract analysis and negotiation and contract implementation.

For more information, please contact Beth Spoto or (404) 261-3676


Sterling Risk Advisors – Gold Level

Sterling Risk Advisors is a full-service risk management and insurance brokerage firm servicing the commercial, professional, and personal needs of clients across a diverse spectrum of industries. Since 2003, Sterling Risk Advisors has been and continues to be one of the fastest growing privately held insurance brokerage firms in the Southeast. As a trusted strategic partner focused on premier customer service, Sterling Risk Advisors has an unequalled commitment to serving Healthcare Facilities/Hospitals and other Healthcare Enterprises. Sterling Risk Advisors understands that we must first know our clients’ business to know how to best serve them. Our Healthcare Services Team includes skilled and dedicated professionals who have decades of expertise in the healthcare field, including two former hospital administrators, and are aware of the clients’ position at any point in time. As your trusted strategic partner, Sterling Risk Advisors provides only the best advice and counsel, creating long-term relationships that are mutually beneficial to both parties. Our industry success is founded upon integrity, mutual trust and respect. Please feel free to contact Bartley Miller to learn what sets us apart from the remainder of the industry and how we can become your trusted advisor.

Healthcare Practice Leadership: Contact Bartley R. Miller, Principal at bartley@sterlingra.com or 678-419-5373; John W. Miller, II, Principal at jmiller@sterlingra.com or 678-424-6503.

Healthcare Practice Associates (Client Advisors): Contact Marjorie Hardenburg, at mharden-burg@sterlingra.com or 678-424-6552; Tammie Johnson at tjohnson@sterlingra.com or 678-424-6509.


Technical Financial Solutions, LLC (TFS) – Silver Level

TFS specializes in HIPAA Security Risk Assessments addressing Core Measure 14 of Meaningful Use and the HIPAA Security Rule.  TFS works directly with healthcare organizations to conduct a risk analysis, security rule gap analysis and vulnerability scanning.

Our unique approach is one that is active and ongoing.  TFS strives to guide our clients on their road to meaningful use, acting as their “Partner in Compliance”.  Our approach is based on four phases each year:  A complete risk analysis in phase one, followed by three remote quarterly phases to document your progression toward compliance.

TFS team members are immersed in the industry, studying the regulations and government updates so that we can bring the latest relevant news to you.  Our goal is to work directly with you, documenting and answering questions real-time as you work to implement solutions on your road to compliance.

TFS is a Georgia based IT audit firm currently serving over 40 hospitals across the US in the area of HIPAA Security and serves over 80 hospitals through IT general controls auditing as a part of their financial statement audits.

Contact Tony Scott at912-275-8460 x323 (ofc) info@tfsus.com or visit us at www.TFSUS.com


UltraGroup – Presidential Level

UltraGroup partners with rural hospitals, offering a comprehensive solution for the behavioral health needs of the elderly population. The UltraGroup team provides an extensive range of services, alleviating hospitals’ burdens for resources and expertise.

UltraGroup provides management services for both Inpatient and Outpatient Geriatric Behavioral Health Programs. Our Management Services Include:
– Medical Director and Staff Recruitment
– Development and Implementation
– Clinical Services
– Financial and Operational Services
– Community Education/Marketing Support

For details, visit UltraGroupHealthcare.com,  or contact Karen Fauer, CFO (423) 648-9880.


UnitedHealthcare of Georgia, Inc. – Silver Level

UnitedHealthcare is dedicated to helping people nationwide live healthier lives by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. The company offers the full spectrum of health benefit programs for individuals, employers and Medicare and Medicaid beneficiaries, and contracts directly with 780,000 physicians and other health care professionals and 5,900 hospitals and other care facilities nationwide. UnitedHealthcare serves more than 40 million people in health benefits and is one of the businesses of UnitedHealth Group (NYSE:UNH), a diversified Fortune 50 health and well-being company.

Please contact Pamela R. Lewis at 770-300-3611 or pamela_r_lewis@uhc.com, or visit www.unitedhealthgroup.com


USF Healthcare Consulting – Silver Level

 USF Healthcare Consulting manages the Rural Healthcare Programs of the Universal Service Fund for  non-profit and government hospitals and clinics.  The Universal Service Fund has programs that can provide subsidies of 65% or more for Internet, data voice communication services.  We represent over 200 hospitals and 900 healthcare locations saving our clients over $10 million annually.  Our specialists handle all administrative aspects of these programs so our clients can focus on the delivery of healthcare.

Contact Geoff Boggs at 502-228-1907, Mark Boggs at 502-292-2225, or visit www.utilityauditservices.com


Valis – Silver Level

Our company’s overall mission is to increase patient access to specialty care services in multiple healthcare settings through effective adoption of telemedicine services. The VALIS advantage is our customized and comprehensive approach to telemedicine program assessment, ROI analysis, implementation and support. We go beyond providing recommendations for telemedicine providers and equipment. VALIS helps organizations develop a vision and strategy in-line with their overall goals, then provides the tools to realize and sustain that vision. We help in planning and implementing an integrated comprehensive telemedicine program that supports the objectives of the clinical, operational and administrative teams.  VALIS consultants have expertise in a number of telemedicine services lines including Stroke Care, Intensive Care, Behavioral Health, Hospital Medicine, Orthopedic and Pediatric Care. We also provide ongoing client engagement, wide-ranging support, outcome monitoring and reporting, all to ensure the continued success of your telemedicine program.

Visit our website at www.valiscare.com or contact Donna Jennings or 276-614-8804.


Vision Biomedical Services – Gold Level

Vision Biomedical Services specializes in medical equipment asset management. This includes medical equipment preventive maintenance and repair, contract management, and new equipment purchases. We not only manage existing manufacturer contracts, but in many cases are able to replace them with higher quality, lower cost solutions. Our services include maintaining general medical equipment, anesthesia, sterilization, and imaging.
Contact Greg Herndon at (866) 571-9770

WELLCARE – Gold Level

WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. WellCare, headquartered in Tampa, Fla., serves approximately 3.8 million members nationwide as of June 30, 2016.

In Georgia, WellCare serves approximately 580,000 Medicaid and PeachCare for Kids® plan members, 38,000 Medicare Advantage plan members and 23,000 Medicare Prescription Drug Plan, as of June 30, 2016.

For more information about WellCare, please visit the company’s website at www.wellcare.com  or view the company’s videos at https://www.youtube.com/user/WellCareHealthPlan.  Contact Brandi Williams at 229-364-2630.


Wireless Consultants – Silver Level

One area in business that is overwhelmed with out of control spending are telecommunications services. The large number of providers, continuously changing plans and always improving technology make managing this critical function of your business very complex and confusing. This does not have to be the case any longer.

Wireless Consultants is an outsourced Telecom Department.  Their team of industry experts audit your existing telecom needs and then ensure those needs are matched as efficiently and affordably as possible. Once the best plan is in place for your business, they will continue to monitor your usage and plans to ensure your telecom bills are on point each month. They also assist clients with all of their technology needs including wireless devices, landline phones, internet connections, and voice over IP. Best yet, they work for you – not the telecom providers.  Wireless Consultants does not take any kickbacks or commissions from the service providers.  Never again will you have to worry about being overcharged or over sold by telecom providers or spend hours with vendors trying to deal with a service or billing issue.

Their clients receive a professional, detailed, and personalized monthly report for each telecom bill so you know how effective they are saving you money. The best part of this service is they derive their fees from a percentage of savings on a monthly basis. This incentivizes the Wireless Consultants team to save you as much as they possibly can without jeopardizing service quality.

“My team and I thrive on turning the tables on the telecom providers!  We love saving our client’s money in ways they never thought possible!  Because of our large client base, we are able to negotiate with telecom providers in ways a single business simply cannot. This backed by experts who speak their language fluently, guarantees the providers we deal with give you their best deals, and then we make them give you more. When you win, we win!”

Contact Daniel C. Host, President, Wireless Consultants at 912-536-8842 or Dan@MyWirelessCo.com.


Women’s Telehealth – Silver Level

Women’s Telehealth is a telemedicine professional service company that provides maternal-fetal medicine (MFM) services to high risk pregnant patients via telemedicine in rural and urban areas throughout the southeast in private practice, government and hospital settings.

For more information, please contact:   Tanya Mack, President, 404-478-3017; Bob Foley, Director of Operations, 404-478-3017; or, Dr. Anne Patterson, CEO, 404-478-3017.  Visit www.womenstelehealth.com