EnableComp has acquired Helix Advisory, a Cincinnati-based healthcare revenue recovery company whose technology is designed to identify hospital underpayments that conventional rules-based audit systems can miss. Financial terms of the acquisition were not disclosed.
The transaction expands EnableComp’s Zero Balance Review capabilities and adds technology for identifying previously overlooked revenue across hospital claims.
Helix’s platform is designed to detect underpayments that standard audit logic does not identify, use clinical signals to find discrepancies between how cases were coded and how payers reimbursed them, and analyze the underlying causes of underpayments.
The acquisition will integrate those capabilities directly into EnableComp’s broader complex revenue cycle management platform.
That could allow hospital customers to identify recoverable revenue without using a separate audit vendor or relying on manual reviews that may exclude smaller or more complicated claims.
EnableComp said many traditional recovery programs are built around predetermined audit rules and claim-size thresholds, leaving some potential underpayments unexamined.
The company cited American Hospital Association data showing hospitals are underpaid by more than $130 billion annually by Medicare and Medicaid alone, before including commercial payer underpayments.
Helix developed its technology specifically to identify revenue opportunities that conventional recovery approaches can leave behind.
The technology also incorporates root-cause analytics so providers can understand why an underpayment occurred and potentially address recurring issues rather than simply recovering past revenue.
Helix founder Zack Higbie will join EnableComp as Vice President of Revenue Recovery Products.
According to Higbie, early Helix customers have generated net revenue improvements of more than 2% on revenue that had previously gone unrecognized or been written off.
EnableComp currently supports more than 1,000 hospitals nationwide.
The company says it recovers approximately $3 billion annually across its Complex Claims, Complex Denials and Complex Revenue Recovery offerings.
EnableComp combines specialized revenue cycle expertise with its e360 RCM AI-driven platform and Complex Revenue Intelligence technology.
The company has been ranked by Black Book as the top specialty revenue cycle management provider for complex claims and revenue integrity for three consecutive years from 2024 through 2026.
EnableComp is backed by Welsh, Carson, Anderson & Stowe.
Greenberg Advisors served as financial advisor to EnableComp.
KEY QUOTES:
“Most recovery programs are built to find what they’re told to look for. Helix’s technology finds what nobody told it to look for, that’s the difference between a rules engine and real intelligence. Bringing that into EnableComp’s platform means our clients stop leaving money on the table simply because a claim was too small or too complex for a standard audit to flag it. The work of unifying these capabilities into a single, more powerful platform is already underway, and what we are building is something the market has not seen before.”
Frank Forte, CEO Of EnableComp
“The technology we built at Helix was purpose-built to find revenue that traditional recovery programs leave on the table. Joining EnableComp means we can bring that capability and the clinical expertise behind it to a much larger base of hospitals. Our early clients, large and small, are already seeing greater than 2% net revenue improvements on revenue that was previously unrecognized or written off.”
Zack Higbie, Founder Of Helix Advisory And Vice President Of Revenue Recovery Products At EnableComp
