Are you tired of the fight?

Unlock the power of collaboration

WITH

A new, cooperative dynamic between payers and providers.

TREND’s collaborative approach yields tremendous benefits to both payers and providers

+ Hospitals

+ Health plans

TREND has processed

Million Credit Balances

TREND has identified

Recoveries

Million in Overpayments

Offloading the equivalent of

FTE 's worth of work from providers

Which could generate

Million In Additional Collections

TREND serves as a trusted partner to providers and payers to improve payment accuracy and reduce administrative costs for all parties

Solving Provider Challenges

Solving Payer Challenges

TREND operates as an extension of the provider’s business office, leveraging TRENDConnect to accurately & efficiently resolve credit balances

TREND Suite of Services

Expansive Array of Tech-enabled Services Driving Significant Value to Payers and Providers

Credit Balance

CASE STUDY

Payment Accuracy

CASE STUDY

Overpayment Collections

LEARN MORE

TREND is compatible with

MEDITECH

ALLSCRIPTS

EPIC

CERNER

Payer #1

Multi-State BCBS Plan Multi-Service

“I love TREND’s portal. It is super easy and friendly and has all the information I ever need. I have never had an issue with them. They are very responsive to our questions, produce any information we are looking for, and they are very thorough.”

Provider #2

20 Hospitals
$4B NPR

“TREND is kind of an extension of my team, so what we expect from my team we expect from them… They respond very timely to any question with reports, claim issues, what is the status of an account – their communication is probably one of the best I have seen.”

Payer #3

Single-State BCBS Plan payment Accuracy

“Vendors put on a pony show, and integration with a payer is always a challenge, but not so with TREND–their systems, their workflows, their reporting tools all did what they said, and it was a seamless integration with our process.”

Answers to Your Questions

What are credit balances?
It is a common misconception that a credit balance is evidence of an overpayment or an indication that someone is owed money back. A healthcare credit balance is more appropriately defined as payments and contractual allowances exceeding total charges within the financial accounting system. 
Do all credit balances result in overpayments?
According to the Healthcare Financial Management Association (HFMA), approximately 75% to 80% of credit balances are the result of misposted allowances, charge credits subsequent to billing and incorrect collections at the time of service. Only 20% to 25% of credit balances actually prove to be overpayments due to be refunded to an insurance payer or the patient. 
Why do providers use credit balance vendors?
The average teaching hospital manages well over 50,000 credit balances annually. For the average multi-site health system, that number increases by a multiple of 10. The annual cost associated with the effective management and resolution of credit balances by the average hospital system is between $1.5 and $2.5 million. Progressive hospitals and health systems are working with companies like TREND. TREND provides technology and support services to reduce their costs by between 30-40% to allow their organization to re-deploy their financial staff to more valuable revenue generating activities.
What do you mean by Payment Accuracy?
According to CMS, more than $170 billion in claims are paid in error every year due to the complexity of our healthcare delivery systems. This is equivalent to more than 7% leakage coming from the commercial market and 10% from the governmental market. TREND deploys an advanced technology platform and proven claims data modeling techniques to drive the identification, validation and resolution of payment errors at scale. 
What does collaboration mean between payers and providers?
TREND employs operational and technical experts from payment integrity and revenue cycle industries. Many of the claims that are paid in error exist due to a breakdown in communication between payers and providers. TREND has developed excellent relationships with payers and providers to facilitate a transparent and collaborative connection. We are seeking to bridge the gap in that breakdown as it relates to overpayment recoveries. We take a deeper dive into the root cause of the overpayment and provide education or recommendations for claim edit fixes to efficiently and accurately resolve current overpayments in addition to preventing any overpayments from occurring in the future. 

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CASE STUDY

Credit Balance

Plan Overview

State Medicaid Plan
Number of Members – 200K+

TREND History

Contracted payer for Credit Balance Service replacing another vendor state-wide in 2019

Key Value Drivers

Reduced average days from identification to finalization by 33 days

Reduced payer refund denials by more than 50%

Annualized Recoveries

Result = 38% Increase in Recoveries

CASE STUDY

Payment Accuracy

Plan Overview

Single-state BCBS Plan
Number of Members: ~3 Million Lives

Key Value Drivers

6 months in production
Health plan finds TREND’s workflow/reporting easy to use
Claims go from identified to retracted savings in 9 days
Reduced the health plans’ time to support by 45%
65% increase in Gross Recoveries
320% increase in average claim recovery
98% accuracy rates achieved

Annualized Recoveries

TREND SOLUTIONS

Overpayment Collections

Plan Overview

TREND reviews, validates and interacts directly with Provider on the Payer’s overpayment inventories that require approval for retraction or check recovery. TREND’S provider access and relationships expedite collections for our clients.

Key Value Drivers

On-site representative reduces provider abrasion and helps create efficiency for Payer and Provider!  Faster collection turnaround vs. standard mail/telephone collection process at lower fees that traditional collection vendors.