Effy Healthcare

The healthcare platform

Effy Healthcare is a technology platform for the healthcare sector that describes itself as an all-in-one solution for revenue cycle efficiency. It combines data analytics, automation, and corrective action management to detect and address variances before claims are generated, with the goal of reducing denials and preventing revenue leakage.

Who it serves

The company serves two types of clients: hospital systems and healthcare delivery networks; and revenue cycle management (RCM) companies, consulting firms, and healthcare business process outsourcing (BPO) providers.

How the platform works

According to the company, the tool overlays the entire revenue cycle and works with clinical, financial, and operational data, including data from different transaction systems and incompatible formats. Its operation has four stages:

• Inform: Changes in defined metrics trigger alerts so users can correct the information causing the variance, such as missing demographic data or codes unsupported by medical necessity.
• Detect: Captures, collects, reconciles, and analyzes data from all systems and monitors billing rules for accuracy, including coding errors, expired authorizations, underpayments, and secondary claims.
• Improve: An integrated, customized workflow tool tracks alerts and ensures preventive and corrective measures are applied.
• Automate: Process automation aims to stop revenue leakage and reduce spending.

Value proposition and figures

The company cites analyses by management consulting firms PwC and BCG that say healthcare organizations lose between 5% and 10% of their total revenue. On that basis, Effy Healthcare says its clients can recover at least 50% of potentially lost revenue and increase overall collections.

Presence and reach

The website mentions co-funding and a presence in the United States, Portugal, Spain, Egypt, Saudi Arabia, Brazil, Mexico, Argentina, Colombia, and Chile. The company is active on LinkedIn, X (Twitter), Facebook, Instagram, and YouTube.

Contact

To request a demonstration, use the form on the website.