We’re Here For You.
Change. Controversy. Confusion. That’s how some look at the transformation of healthcare. At Advomas, we see it differently. We see the opportunity to chart a better path by helping providers secure the highest possible payer source for their uncompensated care costs. With decades of experience and a highly trained field force, Advomas works to provide the most comprehensive patient eligibility and enrollment services necessary to ensure our clients maximize revenue and optimize cash flow. In the ever-changing world of Health Care Reform, there is one company that will continue to be there for you and the patients you serve.
History
Founded in 1989 out of a request for help from a provider, Advomas has spent more than a quarter of a century leading the way in reducing uncompensated care costs. Diligently pursuing payment from insurers on behalf of his clients, founder W. Bruce Knight, J.D., recognized the complexities of the healthcare system in Michigan and tapped into his entrepreneurial spirit to form the state’s first eligibility company. Advomas, the region’s most respected healthcare compensation firm, is comprised of healthcare policy experts and humanitarians. Built on a commitment to assisting the uninsured and underinsured, Advomas not only assists patients, but also ensures providers have the funds they need to continue to support the communities that they serve. Today we are building on our history by helping our clients meet the needs of an ever-changing industry. Innovation, Compassion and Effectiveness will continue to be the core of our business and essential to success for our clients and their patients.
Executive Profiles
W. Bruce Knight – Founder and CEO
Knight is the founder of Advomas; establishing the company in 1986. He has a B.S. of Political Science from DePauw University and J.D. from Wayne State University. He has practiced law for 39 years with a focus on issues related to healthcare claims resolution.
Jennifer Rakolta – President
Rakolta continues her father’s legacy of connecting healthcare funding sources to those in need. She joined Advomas in 2009 after a successful career in international trade and manufacturing. She led several departments within the organization prior to her current role, including the sales and marketing unit. Mrs. Rakolta holds a B.A. of Psychology and History from the University of Michigan and is currently pursuing her MBA.
Cheryl Korpela – Chief Administrative Officer
Korpela has been an integral part of Advomas since 1988 and has over 30 years’ experience in the healthcare industry. She is a former caseworker with the Michigan Department of Human Services (DHS), bringing with her ten years of experience working with Medicaid and other government programs. Her current role is essential to the high standards to which Advomas is best known for.
Penni Roberts – Vice President of Human Resources
Roberts has spent 25 years in leadership roles in both the public and private sectors. She is proficient in an expansive range of HR and Finance functions. Penni is energetic, efficient and effective and says, “I am passionate about people and developing relationships that are based on trust and honesty – both of which are vital components to the success of Advomas.”
Penni holds a degree in Business Management and regularly volunteers in a variety of community outreach programs in Southeast Michigan and Northeast Ohio.
Mission, Vision and Values
Mission
To secure the highest payer source for hospitals and health plans in pursuit of healthier communities.
Vision
Our vision is a country in which every patient will have access to healthcare without fear of financial ruin; where communities are strengthened by the partnership between providers, payers and patients. We believe in connecting those entities through the compassion, dedication and determination of our employees.
Values
- INNOVATIVE – Provide cutting edge systems, process and procedures.
- EFFECTIVE – Strive for excellence and results.
- COMPASSIONATE – Deliver our services with empathy and respect in all that we do.
Services
Front End – Patient Assistance
Our front-end service model assists patients in securing the highest payer source for all of their inpatient and outpatient services. Our trained experts help them each step along the way until payment is received by the hospital. The Advomas team of experts can work with your facility in a variety of capacities, including but not limited to the following:
- In-House Onsite Eligibility
- Offsite Eligibility
- Emergency Room Coverage
- Pre-Admittance Coverage Coordination
Back End – Assisting You
Our back-end service model assists your team when payments didn’t work out quite the way you had planned. When the four walls of the hospital and dwindling resources limit your ability to spend the needed time on these problematic cases, let Advomas assist your staff. Our team of experts will help you with everything from overturning insurance denials to visiting patients at home to assisting with documentation needs. The Advomas team of experts can work with your facility in a variety of capacities, including but not limited to the following:
- Insurance Denials
- Medicaid/Medicare Denials
- Second Assessments
- COBRA
- Workmen’s Compensation
- Veterans Authority
- Police Prisoners
- Medical Review Team Appeals
Motor Vehicle Accidents
Many patients hire an attorney when they are involved in an auto accident, but who represents the hospital in these cases? Oftentimes the hospital is left to wait and hope that, if and when a settlement is made, the patient will willingly pay their bill. Let the Advomas team of litigators work to ensure that you are represented and your bill is paid.
Advochek
Before you send that account on to bad debt collections or charity, let Advomas perform one last Advochek. This two-step process will look for accounts that may have a secured payer source but slipped through the cracks of the billing process. In addition, we will also look for accounts where it is prudent to pursue a possible payer source. Those accounts will then be taken through the rigorous process to obtain payment that is the Advomas advantage
Advosure
The Advosure approach begins with highly trained professionals conducting a comprehensive review of the possible subsidies that may exist for a patient to help them understand their coverage options given their medical circumstance. Once armed with information regarding subsidy and cost options, the comprehensive Advosure process continues with a thorough presentation of the various choices available to secure further assistance. If patients choose, Advomas professionals are prepared to help them secure a Qualified Health Plan (QHP) that best meets their needs and get them enrolled.
Health plans
Our knowledge, innovation and success empower us to assist health plans in securing other primary payers. This provides cost avoidance and enhanced revenue to the health plans we service.
Advomas provides specialized eligibility services. We convert health plan members with ESRD or ALS to Medicare and offer personalized assistance to members who were unable of pursuing coverage on their own.
We can customize and tailor our service model to meet the needs of each individual health plan. Our goal is to secure the right coverage for each member.
Legal Services – Knight & Firth
At Advomas, we have an exceptional onsite law firm that specializes in no-fault automobile litigation, social security, estates for Medicaid, administrative appeals to circuit courts as well as variety of financial actions.
Our team will provide legal support to Advomas specialists. The investigators collect the information, identify the highest payer source and secure payment from the responsible insurer. If they are unable to secure voluntary payment legal action is taken to enforce the claim.
We focus on offering in-depth knowledge and experience for all claims as well as result driven advocacy as part of the Advomas service lines.
Forms
