Front End: Charge Capture, Claims Submission, EDI Management
We integrate our billing system with multiple EMRs and intelligent claim scrubbers to automate more of the charge capture process. Our robust front-end submission system helps us increasingly identify claims that will deny so they can be corrected before they are submitted.
Middle: Claim Status, Payment Posting, Denials Classification
Our automation applied to the middle of the revenue cycle increases accuracy, speeds the time to payment, and accelerates getting denials appealed and paid.
Back End: Payer AR Management, Denials, Resubmissions, Appeals
We are early adopters of machine learning to predict denials. We automate much of the transaction work so our staff can work on claims not paid correctly the first time. This leads to superior collection results.
Patient Responsibility: Statements, Patient Calls, Payment Plans
We send patient statements, balance reminders, field in-bound calls in our US-based call centers, administer patient payment plans, and manage the integration with various emerging mobile patient payment technologies.
Reporting and Analysis: Standard and Custom RCM Reports, Insights about the Business
Our business intelligence and analytics capabilities allow our clients to have great visibility to RCM performance and extract real actionable insights about their business from the data that flows through the revenue cycle.
Compliance: RCM and Coding Compliance, Data and System Security
We take our responsibility to help ensure our clients’ compliance with various healthcare regulations seriously. Likewise, we protect our clients’ data in multiple ways that an individual practice could never afford if managing their systems in-house.
Technology Management: Hosting, Application Interfaces, Data Exchange
There are an increasing number of complex technologies that must come together to enable a high performing revenue cycle. We have extensive IT skills to manage and optimize these disparate systems for our clients.