• Data and Analysis

    VWI provides a suite of services to the healthcare industry, helping healthcare providers manage front end processes such as new patient enrollment and eligibility verification, while improving back office functions such as statement generation, patient collections, insurance rebilling.

  • Process Automation

    Our strategy is to provide our clients with best in class service and a strong value proposition

  • Human Capital

    Our long-term history of success and continual expansion into the global medical servicing and collections allows us to provide a combination of industry-leading domain experience and allows our clients to benefit from our commitment to deliver value through increased recoveries, streamlined escalations and advanced reporting.


Graph Service
  People

Unlike your company’s insurance carrier, medical subrogation is our sole focus. Since 1994, VWI’s subrogation division has guided companies through the complexities of administering loss recovery plans.

  Analysis

Whereas your insurance carrier might help you collect on medical claims alone – VWI offers comprehensive plans that coordinate all aspect of medical subrogation – from initial claims and pharmacy benefits to worker’s compensation and short term disability.

  Process

We presently accept claim files from Cigna, United Healthcare, Blue Cross, WellPoint and Aetna, all of whom use outside agencies to handle your subro claims. We also receive and coordinate disability and pharmacy benefits to include those payouts in one single recovery settlement.

Medical Collections

VWi’s expertly trained collectors manage your patient collections accounts with care. Our collectors establish contact with your patients and work with them to bring resolution to their accounts. During the collection process, we identify the responsible party and feedback to you any new or updated insurance information which results in getting your claims paid.

Statements

VWi’s Statement and invoicing services provides consolidated billing for multiple billing channels, which decreases patient questions, improves invoice acceptance, increases efficiencies for existing staff by taking away patient questions, and increases cash flow.

Insurance Collections

To ensure quality, VWi passes each client’s account through 4 distinct phases – Carrier Contact, Carrier Response, Decision and Action, Analysis — with each task analyzed for quality improvement and predictive forecasting.

Initially, each account is reviewed to confirm the claim was submitted, that the claims data is complete and accurate, and for any carrier replies that may not have been auctioned. If any discrepancies are identified the claim is re-billed with the proper adjustments. For quality control all issues identified during the account review phase are categorized and quantified to assist our clients in addressing front end processing.

Carrier contact

The next phase of the cycle is direct contact with the carriers to determine the status of a submitted claim. It is during this phase that eligibility is confirmed, that receipt of the claim is confirmed by the carrier, and any updates as to the status of the claim are gathered. All information is catalogued for review by VWi and our clients. The carrier contact phase is the most important in increasing yields from the portfolio. It is essential that claims are followed up on timely and proper responses are submitted.

VWi Healthcare for Clinical Laboratories

VWi is an industry leader providing clinical laboratories with custom designed service offerings, comprehensive analysis of financial metrics and strategic developments that directly affect the revenue growth and profitability of your lab.

Through our highly skilled team and our proprietary software, VWi provides a full range of in-depth portfolio exploration that includes trends and opportunities all aimed to target optimum revenue recoveries while simultaneously increasing the patient experience.

  • Revenue cycle analytics and optimization offerings
  • Staffing – VWi has a tenured, trained and compliant team
  • Evening and weekend hours so your patients can contact you anytime
  • Bad address scrubs and feedback of positive data to your system targeted at decreasing your patient statement costs
  • Outbound courtesy phone calls to patients aimed to prevent aging into bad debt
  • Specialized programs for IPP (Insurance Paid Patient)
  • Short Pay Reconciliations designed to rectify, recoup and validate deductions from Payers
  • Third party Collections for past due accounts
  • Charge Entry Outsource Process

VWi understands that one size does not fit all. Your lab is unique by design. Our unmatched flexibility will provide your business with only the most suitable service offerings and recommendations.

VWi operates with full transparency, providing you with full access to our system and our team, to ensure there is never a disconnect between your VWi designated team, your clients, your patients and your internal staff.

VWi’s transparency, preparedness to modify and willingness to provide ongoing feedback are what makes the difference between a vendor and partnership.

VW is a proud participant and supporter of the G2 Lab Institute.

Intelligent Healthcare Subrogation

Unlike your company’s insurance carrier, medical subrogation is our sole focus. Since 1994, VWi’s subrogation division has guided companies through the complexities of administering loss recovery plans.

Whereas your insurance carrier might help you collect on medical claims alone – VWi offers comprehensive plans that coordinate all aspect of medical subrogation – from initial claims and pharmacy benefits to worker’s compensation and short-term disability.

We presently accept claim files from Cigna, United Healthcare, Blue Cross, WellPoint and Aetna, all of whom use outside agencies to handle your subro claims. We also receive and coordinate disability and pharmacy benefits to include those payouts in one single recovery settlement.

VWi Differentiator

With VWi as your Healthcare Subrogation partner, we handle all your claims under one partner and provide a uniform application of subrogation provisions to all employees. This reduces the liability of the company and insures that all subrogation claims will be identified, negotiated and recovered by a competent staff of attorneys and paralegals strictly dedicated to this function.

Additionally, we provide counsel on plan language and design to keep your rights of recovery current, with the developing legal climate and the Federal ERISA provisions that typically control self-funded medical plans.

VWi’s Healthcare Subrogation services include:

  • Data recovery from one or more of your administrators
  • Investigation of all health claims for third party liability
  • Assign attorneys to negotiate settlements
  • Notify all involved parties of your corporate rights of recovery
  • Review your corporate health plan language annually for compliance with the most recent ERISA case law and achieve maximum recovery potential
  • VWi offers the same levels of service for Medicare/Medicaid HMO’s, TPA’s and Insurance groups

VWi Working Capital Management BPO Service Diagram