Our Programs

AusHealth Hospitals offers scalable and flexible patient billing, resolution and revenue recovery programs which suit each stage of the revenue lifecycle. Our solutions gives us the opportunity to become familiar with your accounts, potentially right from patient presentation, and allows us to customise approaches to give your patients a better financial experience and substantially increase your cash-flow.

The Accelerator Program

Accelerator progam

Our Accelerator Program allows AusHealth to partner with you throughout the entire revenue lifecycle, from when the patient first sets foot into a hospital or Health Service to the eventual payment(s).

Our goal is debt prevention, that is, engaging early by working with patients and educating them about their billing, helping them understand what is actually owed and guiding them through to account settlement before they become overdue.

Effective early engagement with AusHealth relies on using advanced analytics to understand and assess the risk factors that might result in an account becoming overdue, as well as enhancing the protective factors that promote payment. Gives management tighter control over the revenue cycle.

AusHealth uses both selective and universal debt prevention based on customer and debt segmentation techniques to balance revenue recovery and patient relationships.

Download our Patient Billing and Recovery Services brochure for more information.

The Mobiliser Program

Mobiliser program2

Our Mobiliser Program allows AusHealth to partner after invoice generation [completed by your team], but prior to it becoming due.

Our goal is the same as the Accelerator Program - debt prevention.

AusHealth staff work with patients guiding them through to account settlement before they become overdue.

Quickly understanding and assessing the risk factors post invoice as well as enhancing the protective factors that promote payment are important in this Program.

AusHealth uses both selective and universal debt prevention techniques based on customer and debt segmentation techniques to balance recovery maximisation and patient relationships.

Download our Patient Billing and Recovery Services brochure for more information.

The Pathfinder Program

Pathfinder program

Our Pathfinder Program is called upon during the final stage of the Revenue Management cycle. When debtors have gone cold: our Pathfinder program is required to manage and recover receivables for delinquent accounts.

Our goal is to maximise the return of the outstanding debt whilst engaging productively with the patient.

AusHealth specialises in balancing the collections process at this stage against the sensitivity required.

We combine superior debtor interaction with techniques such as profiling, segmentation, skip tracing, data washing, payment arrangements, hardship, and field calls.

And whilst we undertake every action to bring a positive result, we can and have under taken legal action to recover outstanding monies. We do everything within our powers to avoid legal action appreciating it is time consuming and expensive

We endeavour to maximise collections whilst maintaining the vital long-term relationship between health service and patients.

Download our Patient Billing and Recovery Services brochure for more information.

Program Comparison

  Accelerator Program
Debt
Prevention
Mobiliser Program
Payment not due/due
Pathfinder Program
Payment overdue
SOLUTIONS OPPORTUNITY   
Customers / Debtors   
Medicare ineligible Yes Yes Yes
Compensable  Yes Yes Yes
Medicare eligible Yes Yes Yes
Receivables      
Hospital and medical gaps Yes Yes Yes
Motor vehicle third-party insurance Yes Yes Yes
Diagnostics.  Allied Health Yes Yes Yes
Long Stay, Nursing Home and Retirement Yes Yes Yes
Medical specialties, Dental Yes Yes Yes
Rights of private practice Yes Yes Yes
Transport Yes Yes Yes
Pharmaceuticals Yes Yes Yes
Sundry receivables Yes Yes Yes
Clients      
Hospital / Day Hospital Yes Yes Yes
Ambulance Services (ground and air) - Yes Yes
Health care groups Yes Yes Yes
AusHealth’s Partnership Solutions   
Off-site or on-site solutions Yes - -
Co-sourcing (acting as an extension of your existing team) Yes Yes Yes
Outsourcing Yes Yes Yes
Skilled contract staff to fill short- and long-term vacancies Yes Yes Yes
ELIGIBILITY, EXEMPTIONS AND STATUS ASSESSMENTS   
Medicare (inc patient consent) Yes - -
Insurance / health fund Yes - -
Asylum seeker status Yes - -
Visa class and status Yes - -
Overseas student health cover Yes - -
Hardship assessments Yes Yes Yes
Status Resolution Support Services (SRSS) Yes - -
CAFAT, ROMAC or other agreements Yes - -
State Health Department waivers and special conditions Yes - -
Reciprocal Health Care Agreements  Yes - -
PATIENT ADMINISTRATION & REVENUE MANAGEMENT   
Patient Administration      
Eligibility, classification and registration Yes - -
Supporting evidence collection and declarations Yes Yes -
Election and other documentation Yes - -
Informed financial consent Yes - -
Guarantor agreements Yes Yes -
PATIENT ADMINISTRATION & REVENUE MANAGEMENT   
Revenue Management   
Compensable org & insurance / health fund liaison Yes Yes Yes
Invoicing and lodging claims  Yes Yes -
Disputed debt mgmt.  Negotiating account resolution - Yes Yes
Collection Yes Yes Yes
CHARGING TYPES   
Average and indeterminate length of stay fees Yes - -
Flat fees.  Daily payments. Pre-payments  Yes - -
Payment in full Yes Yes Yes
Personalised pymt arrangements. Waivers.  Exemptions Yes Yes Yes
BEST PRACTICE RESOLUTION STRATEGIES   
Behavioural segmentation Yes Yes Yes
Value at risk segmentation Yes Yes Yes
Targeted intervention Yes Yes Yes
Taylored contact strategy Yes Yes Yes
Data washing and skip tracing - Yes Yes
Agent–client pairing Yes Yes Yes
Multilingual staff.  Translator services Yes Yes Yes
Patient education Yes Yes Yes
Dispute resolution (patient, insurance) Yes Yes Yes
Flexible payment alternatives and management Yes Yes Yes
Deferments, extensions and negotiated settlements - Yes Yes
Outbound phone courtesy calls & collections Yes Yes Yes
Financial hardship and compassionate hardship Yes Yes Yes
Bad debt / write-off recommendations Yes Yes Yes
Field calls / visits. Legal proceedings  - Yes Yes
Reporting to the DHA Yes Yes Yes
GOVERNANCE   
Performance meetings & informal relationship meetings Yes Yes Yes
Improvement or innovation opportunity sharing Yes Yes Yes
Benchmarking hospital charges nationally Yes Yes Yes
Client level trust accounts (independently audited) Yes Yes Yes
Secure fund transfers Yes Yes Yes

Download our Patient Billing and Recovery Services brochure for more information.

Ready to partner with us? Get in contact with us here.