What You Should Know:
– EnableComp®, recognized for resolving the toughest challenges in Complex Revenue Cycle Management, announced its acquisition of Health Resources Optimization, Inc. (H/ROI), a premier clinical denials and revenue recovery firm serving top health systems in the Northeast.
– As hospitals face sustained margin pressure from denials and payer scrutiny, the acquisition expands the revenue EnableComp captures for its clients by resolving and preventing the most challenging clinical denials — DRG downgrades and medical-necessity denials — and by recovering lost revenue through expert post-bill DRG validation.
EnableComp Deepens Its Grip on the Most Complex Corners of the Revenue Cycle
EnableComp built its reputation where revenue cycle management is hardest: the complex claims most vendors avoid. Through its proprietary Complex Revenue Intelligence™ (CRI) approach, the company predicts and prevents revenue loss across claims, denials, and specialized recovery workflows that sit beyond standard RCM.
Powered by the e360 RCM® AI-driven platform and one of the most expansive complex revenue cycle datasets in the industry, EnableComp now supports more than 1,000 hospitals nationwide—helping recover roughly $3 billion annually. The company has been recognized as Black Book’s #1 Specialty RCM provider for complex claims and revenue integrity in both 2024 and 2025, earned multi-year Top Workplaces honors, and maintains SOC 2 Type II and HITRUST e1 certifications. Reflecting continued growth, EnableComp recently refreshed its brand identity and launched a new website.
EnableComp’s acquisition of H/ROI reinforces a clear strategic focus: redefining RCM by concentrating exclusively on the most complex, margin-threatening challenges. By combining H/ROI’s three decades of results-driven clinical denials and revenue recovery expertise with EnableComp’s AI-driven technology and national scale, providers gain a partner purpose-built to protect margins in environments defined by clinical complexity and staffing constraints.
Integration across the combined organization has moved quickly. Early outcomes include deeper clinical insight, more precise processes in the hardest revenue cycle segments, and improved confidence for hospitals navigating unprecedented margin pressure.
“This acquisition enhances our ability to drive revenue improvement across the most complex parts of the revenue cycle—areas where missing a single opportunity can lead to substantial revenue loss for hospitals,” said Frank Forte, CEO of EnableComp. He emphasized that CRI unites specialized expertise with intelligent technology to surface revenue risk earlier and guide recovery at scale, with clients already seeing tangible gains from H/ROI’s capabilities.
Proven AI, Applied Where It Counts
Serving more than 1,000 hospitals and recovering $3 billion annually, EnableComp applies AI in practical, production-grade ways through e360 RCM® to:
- Identify underpayments earlier
- Improve accuracy in clinically complex claims
- Resolve denials and recovery cases faster
Looking ahead, the company is increasing investment in clinical expertise and specialized technology designed to safeguard margins as complexity grows. By strengthening provider partnerships and continuously advancing its platform, EnableComp aims to transform the complex revenue cycle from a persistent liability into a source of financial stability, resilience, and confidence—supporting sustainable operations without compromising patient care.
