Gentem

Gentem Overview

Gentem is a technology company specializing in revenue cycle management (RCM) and medical billing solutions, founded in 2019 by Fisayo Ositelu, MD, and Emmanuel (Manny) Akintayo. Their primary mission is to revolutionize the financial experience for patients and private medical practices, particularly those focused on mental and behavioral health, by simplifying the often-complex reimbursement process. Gentem achieves this through the use of cutting-edge AI-powered technology and seamless integration with Electronic Health Records (EHRs) and other digital health platforms.

Overview

Year of Establishment and Background Story

Established in early 2019, Gentem's founders recognized the significant challenges faced by private medical practices in managing their revenue cycles. Traditional billing methods were often inefficient, leading to delayed payments and financial strain. Their vision was to leverage the power of AI and automation to create a more streamlined, efficient, and ultimately, more profitable system for these practices. This innovative approach quickly attracted attention within the healthcare technology sector.

Key Milestones in the Company’s History and Growth

Gentem's journey has been marked by significant milestones. From its inception in 2019 with a focus on utilizing AI-powered automation, data science, and advanced financial technologies to transform reimbursement processes, the company has steadily expanded its reach and capabilities. By 2022, Gentem had extended its technology integrations to other digital health companies and EHRs, further solidifying its position as a leading provider of RCM solutions for mental and behavioral health practices. This expansion reflects the company's commitment to empowering a wider range of healthcare providers.

Regulatory Compliance and Licenses

Gentem's commitment to data security and privacy is evident in its SOC 2 compliance. This certification demonstrates the company's adherence to rigorous standards for security, availability, processing integrity, confidentiality, and privacy of customer data. This commitment to security builds trust and reassures clients that their sensitive information is protected.

Insurance Products and Services

Main Insurance Products

Gentem doesn't offer traditional insurance products like life, health, auto, or property insurance. Instead, its core offering centers around medical billing and revenue cycle management (RCM) services. This is a crucial aspect of healthcare operations, encompassing all administrative and financial functions related to patient billing, claims submission, and payment collection.

Coverage Options and Policy Details

Gentem's RCM services provide a fully managed, outsourced solution, eliminating the need for practices to maintain their own dedicated billing departments. This outsourced approach utilizes Gentem's proprietary AI technology to automate various aspects of the billing process, creating efficient workflows and maximizing revenue. Their automated claim edits and scrubbing capabilities minimize claim denials and rejections, ensuring that practices receive payments promptly.

Additional Services

Beyond core RCM, Gentem offers additional services designed to enhance the overall financial health of its clients. Customizable patient billing solutions generate compliant, detailed e-statements that improve patient communication and increase payment conversions. Integration with leading EHRs and digital health companies ensures seamless data flow, further optimizing billing workflows and reducing manual effort. This comprehensive approach sets Gentem apart by providing a holistic solution to practice management challenges.

Premiums and Pricing

Pricing Structure

Gentem's pricing model is tailored to the specific needs of each practice. Generally, it involves a percentage of total collections and a small platform fee. However, this percentage can vary based on factors such as practice size and specialty. In certain states, Gentem may adopt a different pricing structure, charging a flat fee per claim instead of a percentage-based model. This flexibility allows Gentem to adapt to the unique circumstances of various healthcare providers.

Comparative Analysis with Industry Averages

Direct comparison of Gentem's pricing to industry averages is challenging because their pricing is highly customized. The absence of readily available benchmark data makes a precise comparison difficult. The best approach for a potential client would be to request a personalized quote from Gentem to assess its cost-effectiveness compared to their current billing and RCM processes.

Discounts and Special Offers

Currently, no publicly available information details specific discounts or special offers from Gentem. This lack of readily advertised discounts may be due to their focus on customized pricing tailored to individual client needs rather than generalized promotional strategies. Potential clients should contact Gentem directly to inquire about potential pricing adjustments or discounts based on their specific situation.

Customer Service and Support

Contact Methods

Gentem's customer support is primarily accessible via email. They provide several email addresses for various inquiries: [email protected], [email protected], and [email protected]. While phone or live chat support is not explicitly mentioned, potential clients can reach out to the appropriate email address based on their specific needs. This email-based support system highlights Gentem’s fully remote operational structure.

Availability of 24/7 Support and Multilingual Assistance

Gentem operates as a fully remote, US-based company, and does not currently offer 24/7 support or multilingual assistance. The email-based support is efficient for addressing queries during standard business hours. The absence of 24/7 or multilingual options might be a limitation for some practices, though this should be considered in light of their specialized focus and the email response time. This information is crucial for potential clients to consider when assessing their support needs.

Pros and Cons of Gentem Insurance

Pros

Gentem offers several key advantages: its comprehensive coverage is particularly well-suited to mental and behavioral health practices. The AI-powered technology significantly improves billing efficiency by reducing claim denials and rejections, leading to faster payments. Furthermore, their customizable patient billing solutions increase payment conversions, improving cash flow. These combined factors contribute to a stronger financial position for client practices.

Cons

While Gentem provides many benefits, potential drawbacks exist. The absence of detailed information on specific policy terms and conditions in publicly accessible materials might be a concern for some. Additionally, the lack of readily available customer reviews or testimonials makes independent assessment of customer satisfaction more difficult. Future transparency in these areas would undoubtedly benefit Gentem and its potential clients.

Conclusion

Gentem provides a robust and technologically advanced solution for medical billing and revenue cycle management, particularly for private practices specializing in mental and behavioral health. Its AI-powered features and EHR integration streamline operations, leading to increased efficiency and profitability. While the absence of detailed policy information and customer reviews are limitations, the overall strengths of its technology and specialized focus make Gentem a compelling option for practices seeking to optimize their financial performance.

Recommendations: Gentem is highly recommended for private medical practices, especially those focusing on mental and behavioral health, and for entities integrating with EHRs and digital health platforms. Its technology is a strong asset for practices seeking to improve efficiency and profitability.

Frequently Asked Questions about Gentem Insurance

How Does Gentem’s Pricing Work? Gentem uses a flexible pricing model tailored to individual practices, typically involving a percentage of total collections and a small platform fee, adjusting for practice size and specialty. In some states, a per-claim fee is utilized instead. This individualized pricing approach aims to create a customized solution for each client’s needs.

What Services Does Gentem Offer? Gentem provides fully managed, outsourced billing and RCM services, automated claim edits and scrubbing to minimize rejections, and customizable patient billing solutions designed to maximize payment conversions and efficiency. The emphasis is on streamlining the entire revenue cycle to allow practices to concentrate on patient care.

References

• [1] https://gentem.com/
• [2] https://gentem.com/faq/
• [3] https://gentem.com/platform-overview/
• [4] https://gentem.com/privacy-policy/
• [5] https://gentem.com/about-us/