Skip to content

Resources

Check out our reservoir of information related to check recognition and healthcare payment technologies. We frequently update this section with the latest news, trends, and analysis of the banking and healthcare industries.

2019 Tech Conference

May 20-21, 2019
Charlotte Marriott City Center

Industry Videos

News and trends for the banking and healthcare industries

White Papers

OrboGraph’s thought leadership and original research

Past Tech Conferences

View the highlights from past OrboGraph Tech Conferences

Product Videos

Watch our 2-minute videos to learn about our products

Partners

View our list of partners or become one yourself

News

News and updates from OrboGraph

Brochures

Download additional information on your products and services

Reg CC

Compilation of resources to help you navigate Reg CC

Events

See where OrboGraph will be next

Webinars

Learn more from OrboGraph and Industry Leaders

Testimonials

Hear what our clients and partners have to say about OrboGraph

Platform Modernization

Both the financial and healthcare industries are undergoing modernization initiatives in check payments and remittance.  See how OrboGraph is using AI, self-learning and deep learning models to drive innovation in these industries to deliver workflow automation.

Platform Modernization

Modernizing payments in the banking and healthcare industries

AI, Self Learning & Deep Learning Technologies

Optimized AI and deep learning models for the automation of check processing and healthcare posting

Operationalizing AI & Self Learning in Checks

Revolutionizing check processing and fraud prevention for the banking industry

Delivering Healthcare Payment Electronification

Increased accuracy levels, decreased error rate for healthcare payments posting

Product Videos

See how each product/service module of OrboAnywhere and OrboAccess delivers value from our check and healthcare payment platforms

Corporate Video & Podcast

See and hear how OrboGraph incorporates AI, deep learning and self learning technologies into its product suite

Healthcare Payments

OrboAccess automates remittance and payment posting as well as enables full research and business intelligence analysis for RCM companies, clearinghouses, billers, and providers.

Access EOB Conversion

Delivers EOB/EOP electronification with information intelligence via AI and deep learning technologies

Access Correspondence Letters

Extracts posting data and tracks reimbursement progress via workflow management

Access Payment Reconciliation

Streamlines the reconciliation process of ERA, ACH, EOB and checks

Access Patient Payments

Automates patient payments for posting

Access Denial Intelligence

Spotlights trends in denials to reduce receivables via prevention

Healthcare Payments Automation Center

Scalable, reliable, flexible cloud-based hosted data center on Amazon Web Services (AWS)

Check Processing

OrboAnywhere automates paper originated payments (i.e. checks, money orders, drafts) and remittances for balancing and posting while reducing risk and losses in the areas of check fraud, payment negotiability and compliance.

Anywhere Fraud

Transaction and image analysis for on-us and deposit fraud detection of counterfeits, forgeries, and alterations.

Anywhere Recognition

Divergent multi-engine CAR/LAR, ICR, OCR & AI check recognition for the Omnichannel

Anywhere Validate

Validate payment negotiability of paper originated items

Anywhere Payee

Match, read, and validate payees for risk and operational workflows

Anywhere Positive Pay

Payee name verification of business checks using issue files

Anywhere Compliance

Mitigate risk in check payments for OFAC, BSA/AML, UCC, Reg CC, and KYC

Restrictive Endorsement

Automatic validation of restrictive, mobile and non-restrictive endorsements

Traditional Products

Based on the Accura XV platform

medical billing statement

Imagine having a lingering cold and sore throat, and, after a quick visit to your primary care doctor for a throat swab and blood test, you get a bill for …

$28,395.50

You read that correctly. Fortunately, the patient in question, Alexa Kasdan, was insured and it fell to the insurer to pay the bill (they sent her a check for $25,865.24 after negotiating a “discount” from the hospital).

Since Ms. Kasdan is also a public policy consultant in New York City, she documented the entire process, and it makes for amazing reading.

Service provider: Dr. Roya Fathollahi, Manhattan Specialty Care.

Medical service: lab tests to look at potential bacteria and viruses that could be related to Kasdan’s cough and sore throat.

What gives: When Kasdan got back from the overseas trip, she says there were “several messages on my phone, and I have an email from the billing department at Dr. Fathollahi’s office.”

The news was that her insurance company was mailing her family a check — for more than $25,000 — to cover some out-of-network lab tests. The actual bill was $28,395.50, but the doctor’s office said it would waive her portion of the bill: $2,530.26.

“I thought it was a mistake,” she says. “I thought maybe they meant $250. I couldn’t fathom in what universe I would go to a doctor for a strep throat culture and some antibiotics and I would end up with a $25,000 bill.”

This is not by any means an isolated instance. Elisabeth Rosenthal, a writer who is also a physician, wrote a fascinating opinion piece for The New York Times that looks at various odd-but-routine billing practices that create outrageous bills for insurance companies — and individuals — to cover. She talks about things like:

  • “Medical Swag”: Fancy first-aid appliances used momentarily yet billed as if permanent.
  • “The Cover Charge”: One trip through the CT scanner gives doctors a look at five different anatomical areas – – and it’s billed as five scans.
  • “Impostor Billing”: A specialist bills specialist rates – but the actual procedure (perhaps a small stitch-job for an injury) is done by an assistant or surgeon-in-training.
  • “The Drive-By”“A physical therapist visited and asked a few questions. From that brief encounter, the therapist noted ‘ambulation deficits, balance deficits, endurance deficits, pain-limiting function, transfer deficits.’ That translated into a bill of $646.15 for what was recorded as a P.T. evaluation.”
  • “The Enforced Upgrade” – A doctor suggests meeting in the Emergency Room for a non-emergency consult – – something that could have occurred in the lobby. That equals an “E.R. visit charge” of $1,330

These practices are so prevalent and common that NPR has an ongoing Bill of the Month series that features outrageous billing episodes.

Part of the problem is that most American patients will assume that they are being expertly guided through a “doctor-knows-best” scenario over which they have no sway. However, this is no longer the case in a healthcare landscape that is becoming more and more “retail” in the face of higher deductibles and resultant patient financial liabilities. Healthcare consumers want to budget their treatment and care, and it’s nearly impossible in the current environment. A bill that is a nuisance to an insurance company can be a backbreaker to an underinsured individual.

Healthcare Price Transparency continues to be a major topic in the industry, with many advocating greater healthcare price transparency will empower patients to select low-cost, high-quality providers, generating greater value. Revenue cycle can do its part by electronifying paper-originated remittances in order to ensure that payment and remit data is accurate and available downstream for patients in a timely manner.


This blog contains forward-looking statements. For more information, click here.

Leave a Comment





Review your needs with an OrboGraph expert.

Sign up below for your complimentary assessment or to request
estimated solution pricing from OrboGraph.