Burgess Source Achieves HITRUST CSF® Certification to Further Mitigate Risk in Third Party Privacy, Security and Compliance

ALEXANDRIA, Va., February 15, 2017 – Burgess, an innovator in healthcare payment operations for over 20 years, today announced that Burgess Group’s Source Application has earned Certified status for information security by HITRUST.

“Receiving HITRUST CSF Certification for Burgess Source™ affirms our company’s ongoing commitment to deliver secure cloud-based payment accountability solutions to our clients,” says Greg Burgess, Founder and Chief Product Officer at Burgess. “Burgess Source significantly reduces the costly inefficiencies in first-pass payment inaccuracies that affect providers and payers today, and this certification is another step in our mission of achieving real change in our industry.”

HITRUST CSF Certified status demonstrates that Burgess Group’s Source Application has met key regulations and industry-defined requirements and is appropriately managing risk. This achievement places Burgess among the top tier of organizations worldwide that have earned this certification. By including federal and state regulations, standards and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.

“HITRUST has been working with the industry to ensure the appropriate information protection requirements are met when sensitive information is accessed or stored in a cloud environment,” said Ken Vander Wal, Chief Compliance Officer, HITRUST. “We are pleased that Burgess has taken the steps necessary to achieve HITRUST CSF Certified status, and we expect their customers to have confidence in this designation.”

Burgess’ latest innovation, Burgess Source, introduces a new workflow solution to address healthcare payment inaccuracies, compliance, and rework. Designed from the ground up as a sole-source platform to natively manage and deliver claims editing, pricing, analytics, transaction audits, and bi-weekly regulatory data updates, Burgess Source provides health plans a next generation approach to simultaneously improve both their bottom line and provider relations.

For more information on Burgess Source and to discover how its unified approach can streamline payment operations in your organization, visit burgessgroup.com.

About Burgess
After 20 years, Burgess continues to design and build innovative and scalable solutions for healthcare payment operations. With headquarters in Alexandria, Va., and an office in West Hartford, Conn., the company serves many of the nation’s top health plans, including multiple BCBS, national, and regional payers.

For interviews and general press inquiries, please contact:

Matt Brady
matt.brady@burgessgroup.com
703-894-1800


Join Burgess at the 12th Annual RISE National Summit

During the 12th Annual RISE National Summit, Burgess Chief Experience Officer, Jared Lorinsky, will be a featured presenter at the technology round tables on Tuesday, March 13th from 8:00-9:00 a.m. CST.  Our round table entitled Payment Accountability: A New Standard in Healthcare, will explore how our software, Burgess Source, can help payers get away from questioning every claim and instead have total payment accountability.

Burgess will also be exhibiting throughout the duration of the event for those looking to learn more about Burgess Source at Booth #84.  The 12th Annual RISE National Summit runs from March 11-13, 2018 at the Omni Downtown in Nashville, Tenn.  If you are interested in learning more about what Burgess can do for your organization, please fill out the form below.

Schedule a Demo

About Burgess

Burgess is dedicated to improving healthcare payment operations through technology. We bring technology innovation and real-time data to an overlooked and critical part of the American healthcare system. Our scalable Payment Accountability platform, Burgess Source, integrates payer systems to transform payment workflows and provide powerful business intelligence to lift payer performance. The company is located in Alexandria, Va., with a satellite office in West Hartford, Conn., and online at burgessgroup.com.


Burgess Mentioned in Gartner Report

ALEXANDRIA, Va. – Burgess Group, an innovator in healthcare payment software for the last 20 years, announced that it has been mentioned in Gartner’s report: Strategic Automation Decision Framework Accelerates Journey From RPA to AI for Healthcare Payer Transformation.1

Burgess believes it was mentioned in the report because of its use of intelligent automation within the claims process in the payer space. Gartner analyst Mandi Bishop writes, “Gartner survey research indicates that 64% of organizations across industries have deployed or are planning to deploy AI-driven process automation, with 74% evaluating or implementing AI for decision making. To catch up to their peers in other industries, healthcare payer CIOs should seek ways to adapt and apply cross-industry use cases that are successfully leveraging intelligent automation at scale.”

The company’s latest innovation, Burgess Source, uses streamlined operations to help eliminate the cost and waste associated with errors during the process. The cloud-based platform has the ability to connect multiple systems and has platform universality, eliminating transposition errors that can occur when different systems improperly interface. The system also allows clients to bring claims editing, pricing and analytics into a single source to ensure payment accountability to help improve the company’s bottom line.

For over two decades, Burgess has been a software and innovation leader in the healthcare industry. With headquarters in Alexandria, Va., and an office in West Hartford, Conn., more than half of the company’s dedicated client base has been with Burgess for more than nine years. The company serves many of the nation’s top health plans, including multiple BCBS, national, and regional payers.

For more information on Burgess Source and to request a demo, visit BurgessGroup.com or follow us on Twitter and LinkedIn.

1 Gartner, Strategic Automation Decision Framework Accelerates Journey From RPA to AI for Healthcare Payer Transformation, Analyst(s): Mandi Bishop, Published: 14 November 2017 ID: G00345609.

Gartner Disclaimer
Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

About Burgess
Burgess is dedicated to improving healthcare payment operations through technology. We bring technology innovation and real-time data to an overlooked and critical part of the American healthcare system. Our scalable Payment Accountability platform, Burgess Source, integrates payer systems to transform payment workflows and provide powerful business intelligence to lift payer performance. The company is located in Alexandria, Va., with a satellite office in West Hartford, Conn., and online at burgessgroup.com.

For interviews and general press inquiries, please contact:

Matt Brady
matt.brady@burgessgroup.com
703-894-1800


On the path to eliminating challenges of Payment Integrity

Washington, D.C. – Burgess’ Chief Experience Officer (CXO), Jared Lorinsky, outlined the mistakes and complexities plaguing health insurance payments at AHIP’s 2017 National Conferences on Medicare, Medicaid & Duals. After reviewing what is broken in the current process, Lorinsky discussed what can be done to create more accountability and accuracy.

“Industry pain points driven by mergers and acquisitions, over and under payments, inefficiencies in technology, and a lack of payment transparency, can be remedied with the correct approach,” he explained. “The answer lies in leveraging the right integrated systems and business partners which can bridge the gaps between disparate technologies used by payers, providers, and government agencies,” Lorinsky added. With the right partners, Lorinsky suggested that organizations can better assess their strengths and weaknesses and target technology purchases from like-minded organizations that solve key business problems and enable new intelligence.

Emphasizing the need to foster a productive design culture, Lorinsky suggested that improving an organization’s design-thinking, building a cross-functional team championing the effort, and not losing touch of the human element are all critical pieces to designing a successful payment integrity program. “The right design,” he said, “will establish correct and realistic goals, provide enterprise-wide value and has the ability to bring people together.”

Lorinsky concluded that, “payment integrity can only be achieved when payers utilize contemporary technology with rich content that is designed to go beyond accuracy and process automation. Today’s health plans should be looking at artificial intelligence as a means to detect improper billing and payment trends earlier than ever before. Only then can we say with confidence that we are on the road to eliminating incorrect claims payments between providers and payers.”

About Burgess
Burgess is dedicated to improving healthcare payment operations through technology. We bring technology innovation and real-time data to an overlooked and critical part of the American healthcare system. Our scalable Payment Accountability platform, Burgess Source, integrates payer systems to transform payment workflows and provide powerful business intelligence to lift payer performance. The company is located in Alexandria, Va., with a satellite office in West Hartford, Conn., and online at burgessgroup.com.

For interviews and general press inquiries, please contact:

Matt Brady
matt.brady@burgessgroup.com
703-894-1800


Burgess to Speak at AHIP’s 2017 National Conferences on Medicare, Medicaid & Duals

This session explores the current state of disconnectedness in the American healthcare system, and how a combination of technology, design and strategic business partnerships can reduce costly errors, distress, and shift the focus to collaboration and business intelligence. Attendees will learn what payment integrity entails and how it pertains to their organization and the health care system as a whole. Mr. Lorinsky will demonstrate the pivotal strengths of a unified platform, and how the future of health care can be streamlined and simplified for payers and providers.

Payment Integrity Challenges speaking session
1:35pm – 2:25pm
September 25, 2017

AHIP’s 2017 National Conferences on Medicare, Medicaid & Duals
JW Marriott, Washington D.C.
Burgess: Booth #23
September 25-28

About Burgess

Burgess is dedicated to improving healthcare payment operations through technology. We bring technology innovation and real-time data to an overlooked and critical part of the American healthcare system. Our scalable Payment Accountability platform, Burgess Source, integrates payer systems to transform payment workflows and provide powerful business intelligence to lift payer performance. The company is located in Alexandria, Va., with a satellite office in West Hartford, Conn., and online at burgessgroup.com.

For interviews and general press inquiries, please contact:

Matt Brady
matt.brady@burgessgroup.com
703-894-1800


Burgess® Launches Burgess Source™

Live demos of Burgess Source will be presented at booth #1413 at AHIP Institute & Expo 2017, Austin, TX on June 7-9.

ALEXANDRIA, VA – Burgess, a leading cloud-based solution provider serving healthcare payers, introduces Burgess Source, a first of its kind platform that natively brings together payment integrity, pricing, contract terms configuration, audit and real-time business intelligence. By combining these fragmented elements into one system, Burgess Source is the most effective way to prospectively avoid inappropriate and inaccurate reimbursement, maintain a point to point compliance trail and model healthcare payments.

According to the Harvard Business Review, the U.S. healthcare system would save $130B if insurance administrative complexity were reduced to the same levels as other service industries. Moreover, the American Medical Association (AMA) reports that it would save the system $14B if every claim was paid correctly the first time.

Incorporating technology to solve many of these industry inefficiencies, the Burgess Source platform is built from the ground up to eliminate non-communicative disparate point solutions and promote a new standard in transparency and payment accountability. The unique design also models claims data, providing real time business intelligence, helping ACOs and health plans make smarter decisions. Highly configurable, it allows users complete control to adapt the platform to each plans’ specific requirements while the Burgess Source team keeps the data and regulatory policy management up to date and compliant.

Currently 17.8% of every premium goes to operating costs, according to AHIP’s Center for Policy and Research. By shifting money from inefficient and inaccurate payment transactions to delivering high quality defensible business outcomes, Burgess Source is designed to promote lower costs and innovate operations across the industry.

“Non-communicative payment platforms lead to waste, repeat work and frustration among payers, providers and members. Through advanced and previously unavailable technology, analytics and a sophisticated data delivery model, we’ve reinvented the current complex claims payment integrity and pricing process to dramatically improve first pass payment accuracy and compliance, which impacts all stakeholders in healthcare,” says Greg Burgess, Founder and Chief Product Officer at Burgess. “Burgess Source will provide a new standard in payment accountability, which was previously non-existent,” he adds.

Burgess Source is reinventing reimbursement and accountability between payers and providers to:

  • Prospectively limit errors and markedly improve payment accuracy through cost avoidance.
  • Improve operational efficiencies and financial performance.
  • Maintain for instant recall a claim’s full audit trail including regulatory citations, the specific contract terms in effect when processed, all payment integrity edit definitions, and pricing terms employed at the exact moment the claim is processed.
  • Promote transparency and accountability with providers while supporting both internal and external audits.
  • Monitor the impact of policy changes before making them with real time analytics.
  • Offer “what if” scenarios using historical claims data to model various services using comparative analytics.
  • Limit rework by parallel processing all payment integrity edits in a single pass to tell a provider everything that’s right or wrong with a claim.

 

About Burgess
Burgess is dedicated to improving healthcare payment operations through technology. We bring technology innovation and real-time data to an overlooked and critical part of the American healthcare system. Our scalable Payment Accountability platform, Burgess Source, integrates payer systems to transform payment workflows and provide powerful business intelligence to lift payer performance. The company is located in Alexandria, Va., with a satellite office in West Hartford, Conn., and online at burgessgroup.com.

For interviews and general press inquiries, please contact:

Matt Brady
matt.brady@burgessgroup.com
703-894-1800


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