Third Party Audit Management This service is the healthcare industry’s answer to the threat of government and third party claims audits. Physician Advisory Services CAIN has a network of over 100 utilization review nurses and case managers as well as over 250 physicians representing 75 specialties. Patient Status Manager This service offers hospitals access to CAIN clinical networks of utilization review nurses and physicians to address questions of patient status (admit, observe or treat and release). Clinical Documentation Improvement (CDI) CAIN CDI is a concurrent process under which hospitals have access to the CAIN network of clinical document specialists to receive a full range of clinical documentation services. Coding Through CAIN’s secure network, clients can outsource ICD-10 coding to our certified coding specialists. Readmission Control CAIN’s service begins with outreach by one of Cain’s Registered Nurse (RN) Health Coaches. Patient Account Billing Services are provided using the client’s patient accounting systems, thus eliminating the need to move files to assign accounts and the monthly reconciliation of account inventories. Patient Account Follow-up CAIN can work in unison with their in-house patient account billing service or can be provided independently. Denial Management If CAIN is providing account follow-up services, these services are included as a matter of definition. Third Party Payer Accounts Receivable Funding CAIN, working with its network of financial partners, offers a broad range of alternative financing products to the healthcare industry. Thrive: Patient Responsibility Funding Program Thrive combines patient funding with our award-winning customer service and call center to optimize self-pay revenue capture.