Medical Billing Companies & Consultants in Hudson, OH

Etactics Inc develops browser-based revenue cycle software and pairs it with service support for healthcare organizations, among them businesses that manage billing for providers. The company does not take over billing work as an outsourcing vendor. Instead, it equips billing staff with what they need to file claims, resolve denials, issue patient statements and collect payments.

According to Etactics, it has worked in revenue cycle management for over 20 years, serves more than 7,000 customers nationwide and processes roughly 20 million data items every month. Business directories list Hudson, Ohio, as the location of its office.

Who Etactics Serves

The platform is built to adapt to organizations of different sizes and setups. Its principal customer segments include:

• Billing firms that process claims for a large roster of providers
• Hospitals, along with health systems operating multiple locations
• Agencies delivering behavioral health services
• Pharmacies that supply long-term care facilities
• Businesses outside healthcare that issue invoices in large volumes

When it comes to billing firms, Etactics emphasizes the ability for a single team to supervise numerous client accounts through one portal. The company also highlights adjustable workflows and built-in denial management, which allow these businesses to expand their client base without a proportional rise in back-office effort.

Core Products

IntelliClaim serves as the company's clearinghouse and covers the full claim lifecycle. Before a claim goes out, the system runs automated CCI, LCD and NCD checks in addition to user-defined rules. Users can verify eligibility and track claim status either instantly or in batches, fix errors directly in the portal, and convert ERAs into easy-to-read EOBs.

Etactics states that upward of five million claims pass through the clearinghouse each month. AppealsPlus analyzes remittance data to catch denials and short payments, assigns them to work queues and monitors their progress on boards modeled on the KANBAN method.

The tool generates appeal letters and payer forms with fields already completed, and it includes KPI dashboards, exports to Excel and a searchable library of CARC and RARC codes.

For patient billing, IntelliStatement delivers statements that can carry an organization's branding, print in full color and appear in two languages. It also supports collection campaigns guided by data, corrects mailing addresses, follows mail delivery, stores statements in an online eView archive and places automated reminder calls through ReminderPlus.

Payment Hub is a payment portal that meets PCI DSS requirements, taking both card and bank transactions and offering saved wallets, automatic payments and payment plans. Through its Customer Access Plus integration, a single person can oversee multiple accounts.

Rounding out the portfolio are RevVitals, which diagnoses revenue performance, and K2 GRC, a governance, risk and compliance product that handles policy management, simulated phishing tests, dark web surveillance and employee training.

How It Works With Clients

Etactics positions itself as an engaged partner that backs its technology with personal service. Each customer is assigned a dedicated client manager, receives complete help with payer enrollment and has access to support staff located in the United States. Testimonials published by the company describe easy transitions from other clearinghouses, assistance configuring ERAs and training sessions.

In one featured case study, a network of 100 healthcare organizations submitted 1.9 million claims, and 99.5 percent of them were accepted on first submission without errors. A behavioral health customer attributes a drop in its Medicaid denials to the company's KPI reports.

For organizations evaluating vendors, the chief appeal is a single integrated system for claims, denials, statements and payments that can connect with practice management and ERP software already in place.