Tag: Gaffey

Plano, TX and Pleasanton, CA Sep 23, 2015 –
Webinar: Avoiding the ICD-10 Fallout
Time: Wednesday, September 23rd @ 11 a.m. PST | 2 p.m. EST
Panelist: Derek Morkel, CEO of GAFFEY Healthcare
If you’re a healthcare finance or financial operations professional, you already understand the importance of revenue and maintaining a steady cash-flow for your organization – both of which will be put to the test upon the ICD-10 go-live.
In our next webinar, we review how our cloud-based automated claim statusing platform, AutoStatus, can quickly be implemented before the deadline and used to not only boost collector productivity but also as an ICD-10 mitigation strategy by:
• Detecting denials 14 – 21 days earlier
• ​Closely monitoring and reporting on collector efficiency
• Leveraging more detailed claim data than contained in a 277
• Eliminating the time-intensive task of checking claim statuses by phone or payer website, allowing collectors to focus on revenue generation

Plano, TX and Pleasanton, CA Jun 23, 2015 – GAFFEY Healthcare, a leading provider of next-generation revenue cycle and business analytics software for the healthcare industry, today announced that CIO Review, a technology and business magazine for corporate decision makers of enterprise IT, has chosen GAFFEY Healthcare for its 20 Most Promising Workflow Management Solution Providers.
The list is featured as a Workflow Management Special of CIO Review’s June edition and is intended to help enterprises match various workflow management and automation technologies to their specific business needs. Criteria for review included demonstrated depth of knowledge and industry expertise in delivering workflow technologies. Final nominations for the list were determined by a panel of CEOs, CIOs, analysts and the CIO Review editorial board.
What qualifies GAFFEY Healthcare above others is a history of innovation that dates back close to 30 years as one of the first pioneers of applying EDI to claims management. Today, over 200 hospitals and health systems utilize GAFFEY Healthcare’s cloud-based suite of business office efficiency & productivity tools – AlphaCollector & AutoStatus – to automate tasks and leverage data to realize their highest levels of financial performance.
“We’re honored and thrilled to be included on this list by CIO Review,” stated Derek Morkel, CEO of GAFFEY Healthcare. “Being selected is a validation of the important role that automation technologies like AlphaCollector and AutoStatus will continue to play within healthcare to eliminate manual processes and, in turn, reduce costs for providers within an increasingly competitive and challenging landscape. Furthermore, it’s a testament to our team’s vision, hard work and tireless drive to provide the best possible technology to our healthcare provider clients,” he continued.

Plano, TX and Pleasanton, CA Apr 30, 2015 – Healthcare is evolving at breakneck speed in almost every respect with no sign of slowing down anytime soon. Innovation is required to not just keep up with trends but also stay ahead.
Since our founding in 1987, we have always felt that it was our obligation to continuously make advancements to our products and stay ahead of the curve to meet not only the current but also the future needs of our healthcare provider customers.
In our next webinar, we review the technological components of revenue cycle management that will be crucial for future heathcare provider sustainability, including:
• Data Analytics & Intelligence Platforms
​• Business Office Efficiency & Productivity Tools
• Next-generation Billing & Remittance Technologies

Machine Learning Blog: How ML Accelerates Claim Automation & Revenue at GAFFEY Healthcare
Plano, TX and Pleasanton, CA Apr 27, 2015 – Machine learning can help modern businesses utilize their data to become more profitable. GAFFEY Healthcare is a leading healthcare technology solution provider, and they help their customers – who include over 200 healthcare systems, hospitals and physician practices – accelerate their revenue cycle. Microsoft and GAFFEY Healthcare recently collaborated on a pilot to deploy ML in GAFFEY’s claims automation and processing engine at a couple of hospitals using Azure cloud services, and are now working to move this system into production for many more of their customers.
The cash flow at healthcare organizations is frequently slowed down by insurance companies postponing claim payments. GAFFEY now uses ML to make predictions around:
Whether a human collector is needed to accelerate the claim payment process, and
How long it will take for an insurance company to pay a claim (0-60 days, 60-90 days, or 90+ days) based on historical patient and claim payment information.
GAFFEY is now able to target workflow processes to help its customers speed up their payment collections, while keeping its labor cost lower by eliminating non value added touches.
To make predictions, a binary classification model was developed to determine whether a human collector is needed to have the insurance company pay the claim, and a multiclass classification model was developed to predict how long it will take for an insurance company to pay a claim. Azure Machine Learning was used to develop the two models, which work on the same input data composed of insurance and claim information. Boosted decision trees gave the most accurate results, both for the two-class and multi-class models. The trained models were then used in the scoring workflow shown in Figure 1 below, and deployed as a web service. The web service takes the claim and insurance information as the input, and outputs the probability of a human collector being needed and the predicted length of time for a claim to be paid.
In addition, Azure cloud services were utilized to set up an automated data pipeline for GAFFEY. Figure 2 below illustrates how the on premise data in their system is automatically pulled and aggregated into the cloud using Azure Data Factory. The ML models described above are consumed by a daily batch request to the machine learning REST API for the new claims, and the results are automatically pushed back to their data center for use in their claim processing rule engine.
By deploying this automated data movement and processing pipeline and utilizing ML, GAFFEY has been able to improve their operational efficiency through accurate predictions on which claims should be worked on and when, resulting in better cash flow management and lower costs for their customers.

How much time do your billers spend checking patient claim statuses? Automate the process and put an end to non-revenue generating tasks.
Plano, TX and Pleasanton, CA Mar 11, 2015 – Last week, we made the official announcement that our automated claim statusing software, AutoStatus, is now available as a stand-alone product, completely independent of the AlphaCollector platform. The amount of interest and number of responses that we received was impressive and, in order to meet demand, we’ve decided to host a free webinar to showcase AutoStatus and its collector productivity-enhancing capabilities.
Overview: AutoStatus is a cloud-based screen-scraping platform that interfaces with Medicare and over 200 commercial payers to automate the process of retrieving patient claim statuses & updating accounting systems in a fraction of the time it takes by phone or web portal. It improves business office work-flow by notifying collectors of what claims have been processed, adjudicated or if immediate follow-up is needed. The results are drastic time-savings for collectors and, ultimately, cost savings for facilities.
Who should attend: CEOs, CFOs, Business Office Directors/Managers, Patient Accounting Directors/Managers, Patient Financial Services Directors/Managers
Facilities: Hospitals, health systems, physician groups & surgery centers.

Plano, TX and Pleasanton, CA Feb 5, 2015– When it comes to improving your facility’s cash flow, having the right tools and processes in place is paramount. Many healthcare organizations, both large and small, suffer from having inefficient billing and collections systems as a part of their revenue cycle infrastructure, and as a result, leave millions of dollars in patient revenue on the table.
To help resolve this issue, we developed two leading web-based collections management and claim statusing applications – AlphaCollector & AutoStatus.
AlphaCollector’s cloud-based virtual business office platform simplifies collections workflow and provides unprecedented reporting capabilities while AutoStatus interfaces with payers & Medicare to status electronic claims automatically, eliminating the process of retrieving and updating claims manually. When combined, business offices can eliminate non-value added touches by automatically statusing claims and putting them into a workflow for collections.
Features and benefits of AlphaCollector & AutoStatus:
• Maintain a single point of control over all your AR streams from one system
• Integrate with any patient accounting practice management system
• Increase collector productivity up to 75% and save an average of 15% on the cost per collector
• Reduce management oversight time by up to 80%
• Cloud-based architecture requires no hardware or licensing fees
• Analyze AR on any data points and for multiple facilities
• Assign accounts by collector(s) to create work groups
• Review hundreds of account notes in one snapshot
• Leverage aggregated data for vastly improved oversight and decision making
• Integration of AutoStatus with AlphaCollector improves collections by automating tasks and queuing claims into workflow technology

Plano, TX and Pleasanton, CA Dec 22, 2014 The end of the year is upon us, granting the opportunity to reflect and assess the past 12 months. 2014 was an incredible year for the GAFFEY Healthcare team and we have much to be thankful for, beginning with our amazing clients.
In Retrospect
Many years ago, we declared it our company mission to help healthcare providers optimize their financial and operational performance by providing best-in-class automation technology that increases efficiency & productivity while cutting costs in the Revenue Cycle. By every measure, we held true to that goal throughout 2014. As a company, we we continued with our unprecedented growth and expanded our presence as an industry leader in Revenue Cycle. More importantly, our hospital clients continued to reap the significant cash-flow benefits and improvements across revenue cycle metrics that automation solutions like AlphaCollector, AutoStatus and Claims Management can provide.
To the Future
As we look toward 2015 and beyond, GAFFEY Healthcare remains committed to a product roadmap that not only continues to make refinements and add functionality to all of our flagship products but also one that focuses on the future, strategic needs of our customers. It’s clear that the Big Data Revolution has taken hold within healthcare, and with our newly-released business intelligence platform, AlphaAnalytics, providers will be able to leverage and make actionable the massive volumes of data that they generate.
Without a doubt, 2015 will bring its share of changes and challenges to healthcare. To our customers, we thank you for continuing to look to us as a trusted partner. To everyone else, we hope to talk soon.
Warmest Regards,
Derek Morkel
CEO, GAFFEY Healthcare

Plano, TX Dec 18, 2014–
Substantial change within healthcare is certainly underway as it transitions to a new model at a pace never seen before. This transition presents a number of changes and challenges that can seriously disrupt the financial health of providers. Healthcare finance professionals not only need to understand the paradigm shift but also how to adapt.
This webinar will cover the various ways the revenue cycle will be disrupted as well as the technologies that can support your organization in successfully managing the transition.
By attending this webinar, attendees will:
• Gain a deeper understanding of the future state of healthcare
• Learn what tools are mission critical for the future
• Better understand the key role of data and the Enterprise Data Warehouse

Plano, TX and Pleasanton, CA Dec 18, 2014 – Substantial change within healthcare is certainly underway as it transitions to a new model at a pace never seen before. This transition presents a number of changes and challenges that can seriously disrupt the financial health of providers. Healthcare finance professionals not only need to understand the paradigm shift but also how to adapt.
This webinar will cover the various ways the revenue cycle will be disrupted as well as the technologies that can support your organization in successfully managing the transition.
By attending this webinar, attendees will:
• Gain a deeper understanding of the future state of healthcare
• Learn what tools are mission critical for the future
• Better understand the key role of data and the Enterprise Data Warehouse

Plano, TX Nov 20, 2014– GAFFEY Claims Management (GAFFEY CM) is the health care industry’s most comprehensive SAAS-based claims and Billing Software suite. GAFFEY CM drives the industry’s best results through the use of advanced workflow technology to automate the claims editing, billing, and remittance process.
By combining technology, EDI experience, and including a suite of Managed Services to support the entire billing process end-to-end, GAFFEY Healthcare customers have the highest Clean Claim Rates, Initial Claim Acceptance Rates, and lowest AR days in the industry.
Bundling support services with EDI and Payer management enables greater performance by any metric from pre-billing to remittance and denial management. GAFFEY Healthcare customers typically realize an increase of 2-6% of Net Patient Revenue when utilizing the full suite of GAFFEY Healthcare solutions.