Transcend Health Solutions, LLC

Transcend Health Solutions, LLC provides revenue cycle management services with a focus on complex claims processing for hospitals and healthcare systems. The company brings over 20 years of healthcare expertise and maintains a legal network to support claims resolution across Veterans Affairs (VA), motor vehicle accidents (MVA), Workers' Compensation, and third-party liability (TPL) scenarios.

The firm's service portfolio includes medical coding, prior authorization support, clinical documentation improvement (CDI), denial management, and A/R recovery. Their approach combines specialized claims expertise with legal consulting capabilities to address regulatory compliance and contract negotiations. The company has demonstrated recovery results including $2.6 million recovered in three months for an Alabama facility and over $72,000 on a single previously denied account in Georgia.

Transcend Health operates as an outsourced partner for healthcare organizations seeking to address complex claims that require specialized knowledge of state-specific regulations, payer requirements, and government healthcare programs. Client testimonials indicate processing time reductions of 40% and aged receivables recovery rates of 95%.

Organizations should consider Transcend Health when facing persistent denials on complex claims involving government programs, motor vehicle accidents, or Workers' Compensation cases. Their combination of specialized claims expertise and legal consulting addresses both the technical and regulatory dimensions of difficult recovery scenarios.

Expect a consultative engagement focused on root cause analysis of denials, procedural improvements, and hands-on claims resolution. Their track record suggests particular strength in recovering previously written-off accounts and navigating state-specific regulations for VA and Workers' Comp claims.

Transcend Health operates exclusively within healthcare revenue cycle management, with particular specialization in hospital-based complex claims. Their services address HIPAA compliance requirements and they maintain expertise in healthcare-specific regulatory frameworks including CMS guidelines, state Workers' Compensation regulations, and Veterans Affairs billing protocols.

The company's legal network provides specialized healthcare compliance consulting, contract negotiations with payers, and healthcare policy interpretation, demonstrating deep vertical integration within the healthcare industry rather than general business consulting adapted for healthcare.

Mid-to-large hospitals and health systems with significant volumes of complex claims involving Veterans Affairs, motor vehicle accidents, Workers' Compensation, or third-party liability. Organizations with high denial rates on government program claims, substantial aged A/R balances, or rural facilities lacking specialized claims expertise internally will benefit most from their services.