Reimbursement models are changing. How is your revenue cycle reacting?
Patient responsibility averages 25% of collections
The number of patients with high deductible health plans is increasing and payers are encouraging accelerating the move to value-base care.
Patient responsibility averages 25% of collections
The number of patients with high deductible health plans is increasing and payers are encouraging accelerating the move to value-base care.
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What can you do about it?
Collect
- Determine patient responsibility before arrival
- Clearly communicate obligation to patient
- Make paying easier - credit card, online, mobile
- Offer finance options
Monitor
- Monitor revenue cycle workstreams
- Identify encounters that require attention
- Apply filters for deeper insights
- Drill down to claim level detail and root cause
Resolve
- Swiftly identify and work denials
- Monitor remittance and encounter volumes
- Analyze recovery and adjudication rates
- Use detailed analysis to take action
The Revenue Cycle module supports many workstreams
Billing Volume
The Revenue Cycle module answers your questions about billing volumes such as number of daily encounters, total of all outstanding bills, dollars by payer and more.
Claim Rejections
Whether rejections occur at the clearinghouse or by the payer, identify the root cause and ensure timely re-submission.
Collections
Review detailed information about charges and payments, adjustments, refunds and RVUs.
Accounts Receivable
Monitor accounts receivable as well as A/R by payer and aging. Actionable insights ensure receivables are well-managed.
Denials
Examine the volume and value of your denials as well as gross remittance volumes and values. Filters will help identify areas of focus.
Write-Offs
Look for options to reduce write-offs by filtering on location, specialty, provider, and date. Drill down to encounter level of detail to investigate.
Payer Analysis
Analyze bills submitted and collected from payers. Monitor your mix of insurers with billed visit by insurance group.