EnableComp acquires H/ROI to expand clinical denials and DRG validation services

Deal adds Northeast-based clinical denials expertise and post-bill DRG validation to EnableComp’s complex revenue cycle offerings

EnableComp intends to acquire Health Resources Optimization, Inc. (H/ROI), a clinical denials and revenue recovery firm that works with health systems in the Northeastern U.S. The companies did not disclose financial terms.

EnableComp executives said the acquisition is intended to broaden its work on denials tied to clinical documentation and payer determinations, including DRG downgrades and medical-necessity denials. The company also said it will expand post-bill DRG validation services aimed at identifying and recovering reimbursement that may have been lost after claims were billed.

In a statement, EnableComp CEO Frank Forte said. “The deal strengthens the company’s ability to address revenue risk in complex areas of the revenue cycle. H/ROI co-founder Ann Russo said the combination will pair H/ROI’s clinical denials work with EnableComp’s technology platform and scale.”

EnableComp serves more than 1,000 hospitals and recovers about $3 billion annually, using its e360 RCM platform to identify underpayments and support resolution of complex claims and denials. The company said it plans to increase investment in clinical expertise and related technology following the acquisition.

Greenberg Advisors served as financial advisor to EnableComp.