Certive has assembled a team of the best in business process management software executives and developed solutions that provide unique and differentiating value to the healthcare industry. Management
Van H. Potter – President, CEO, Director
Van Potter has over 30 years of experience as a technology executive with a focus on the development of early stage business including former CEO of InPlay Technologies (NASDAQ: NPLA), and VP of Business Development at Pixtronix; VP Business Development of International DisplayWorks (NASDAQ), Three Five Systems Senior vice President (NYSE). Mr. Potter has significant experience in financing, growing, and creating shareholder value.
Brian Cameron – CFO, Director
Brian Cameron has over 30 years’ experience as CFO for companies engaged in manufacturing, product development, and technology commercialization. Mr. Cameron an extensive background in capital formation, corporate structures and alternative financing plans and strategies for early stage enterprises. Leveraging his former background as a securities regulatory in Canada, Mr. Cameron has adopted both tools and processes to facilitate public listings and access to the Canadian public markets for US based issuers. Mr. Cameron is a credentialed accountant.
Governance
John Shackleton – Executive Chairman
John Shackleton serves as Executive Chairman of Certive. John is currently President and CEO of SilkRoad. Mr. Shackleton has been an innovative visionary in the software industry for more than 30 years. Prior to joining SilkRoad, John served as the President and CEO of Open Text Corporation, heading a $1.0 billion (USD) software company that became the world’s leading independent provider of enterprise content management (ECM) software. John’s extensive background in software and services management includes IT, consulting, product development, and sales management roles. He joined Open Text from PLATINUM technology, Inc., where he was President of the PLATINUM Solutions division, providing consulting services to Global 2000 customers. Previously, he served as Vice President of Professional Services at Sybase®, Incorporated for the Central U.S. and South America. In addition, John served as Vice President of Worldwide Consulting at ViewStar® Corporation, a document management imaging company based in the Bay Area.
Jack Saltich – Director
With over 35 years of experience in high technology, Mr. Saltich brings exceptional breadth and depth to the Company. Mr. Saltich currently serves as a Director of Immersion Corp., (NASDAQ:IMMR) a company that develops, licenses, and markets haptic technology and products; and Atmel Corporation (NASDAQ: ATML) which designs and manufactures a variety of integrated circuit products. Mr. Saltich is also a member of the Manufacturing Advisory Board for Cypress Semiconductor (NASDAQ: CY). From January 2006 until its sales in February 2011 Mr. Saltich served as Chairman and CEO of Vitex Systems, a private company that was a technology licensing, materials supplier and engineering services company focusing in the emerging area of flexible displays and flexible electronic products. From July 1999 till August 2005 he served as President, CEO and a Director of Three-Five Systems, Inc., a display technology and manufacturing services company. Before joining Three-Five Systems, Mr. Saltich served as Vice President and General Manager of Advanced Micro Devices’ (NASDAQ: AMD) European Electronics Center in Dresden, Germany, and as Executive Vice President of Applied Micro Circuits Corp. (NASDAQ: AMCC) in San Diego, California.
MaryAnn Miller – Director
MaryAnn Miller is a senior vice president and member of the Executive Board of Avnet, Inc. (NYSE:AVT), a $28 billion global leader in technology products and services distribution, headquartered in Phoenix, Arizona. Ms. Miller is Avnet’s chief human resources officer and also responsible for corporate marketing & communications. Prior to joining Avnet in 2006, Ms. Miller served as vice president, human resources Electronic Systems at Goodrich Corporation, a $6.4 billion supplier of systems and services to aircraft and engine manufacturers, airlines and defense forces around the world. Ms. Miller’s career includes more than 25 years of experience in human resources and operations management in insurance and banking, wireless communications, medical device and orthopedic rehabilitation, aerospace and defense, and technology distribution and services. She earned her master’s degree from the W.P. Carey School of Business, Arizona State University, and has a bachelor’s degree from the University of Illinois-Chicago. She is certified by the Hudson Institute of Coaching. Ms. Miller received a Distinguished Achievement Award from the W.P. Carey School of Business at Arizona State University and was inducted into the W.P Carey School Hall of Fame in 2013. In 2015, she was recognized by the National Diversity Council as one of the Top 50 Most Powerful Women in Technology.
Van H. Potter – President, CEO, Director
Brian Cameron – CFO, Director
Offices
Headquarters
7373 E. Doubletree Ranch Road
Suite 210
Scottsdale, AZ 85258
480-922-5327
Vancouver
1185 West Georgia Street
Suite 1140
Vancouver, BC
V6E 4E6
Canada
Overview
U.S. hospitals write off between 3% and 17% of their annual revenues to claims denied as a result of coding errors, incorrect coding, lack of pre-approvals, lapsed coverage, and timed-out claims. More than 50% of these claims are written off by hospitals without any intervention. Denied claims are forecast to grow by over 400% in the next four years driven by increasing complexities of payer reimbursement methodologies in both public and private insurance systems, adding to already increasing financial pressure on hospitals. Factors include:
- Decreasing reimbursement rates, government involvement.
- An aging population that reduces their ability to shift costs between younger commercially insured patients and older government insured patients, and the impact from the Patient Protection and Affordable Care Act (PPACA), “Obamacare”, that decreases Medicare Advantage, lowering the threshold for Medicaid eligibility, and creating dual eligibility membership in Medicare and Medicaid.
- The U.S. market will be moving from ICD-9 to ICD-10 classification of disease codes in 2015 which will increase the number of billing codes by a factor of 6, significantly increasing the complexities of claims reimbursements.
- Vast inefficiencies of the U.S. medical systems.
Solutions
Certive is a cloud provider of claims audit and recovery solutions in the revenue cycle management segment of the U.S. healthcare market. Certive engages directly with hospitals and its solutions combine deep domain expertise, industry connectivity and technologies that drive efficiency, scalability and insight into the claims audit and recovery process generating significant revenues in a low-friction revenue sharing business model. Certive’s lines of business are:
- Zero Balance. The auditing of claims to identify underpayments by comparing actual payments to contracted terms for such specific procedures and recovering differences on a revenue sharing basis with the hospital. The process also tests billing performance to ensure that payments are equal to the services performed.
- Billing Support. Analyze claims to be submitted for payment prior to billing.
- Early-Out. Audit and collection of claims before the expiration of the contractual period with the payer on a revenue share basis.
- Clinical Review. The review and audit of any claim items that have been denied for clinical reasons, and the recovery on a revenue share basis of any discrepancy identified.
- Special Projects. Niche opportunities for audit and recoveries identified through an understanding of the regulatory environment.
Cloud Enabled
Certive’s cloud business process management software solutions increase both the speed and amount of revenue recovery, and enable scaling of existing collection efforts. These solutions are based on a combination of licensed and proprietary platforms that utilize a combination of workflow technologies, analytics, and business intelligence processes. Certive leverages its technology with its domain expertise and industry connectivity automating claims audit management in a revenue sharing business model with the hospital.
