Streamlined Exception Processing for Today’s Revenue Cycle
From remittance processing and data validation through bank reconciliation, ReMedics works to automate our clients’ revenue cycle with minimal human intervention. By applying Robotics Processing Automation (RPA) and Machine Learning (ML) technology to our Business Process Outsourcing (BPO) Services, we also improve their data quality and cash flow by detecting and correcting errors prior to posting.
When claims do deviate from the norm and require human intervention, ReMedics utilizes the workflow technology provided by RCMS* to create exception-based worklists, designed to improve staff efficiency and streamline those revenue cycle activities that require further action. A few examples include Appeals; Denials; Secondary Billing; Audit Requests; and Collections.
Below are just a few examples of how ReMedics improves our client’s Revenue Cycle Management (RCM) with Exception Worklists and Work Queues for more efficient processing.
Correspondence Management
We capture and route correspondence through rules-based workflows, whereby items can be retrieved, entered and worked faster. EOBs and other Correspondence documents or files can be linked to Exception Worklists with assigned follow-up actions. This reduces turn-times and increases productivity, helping to improve patient satisfaction and reduce callbacks.
Third Party Follow-Up
ReMedics provides a complete record of all outstanding payments and denial history. Accounts are tracked through the payment lifecycle, providing insight into where bottlenecks are occurring in claim generation and adjudication.
Self-Pay Follow-Up & Customer Service
Our exception work queues increase first-call resolution rates and time to collect by having immediate access to clinical and financial data from the Hospital EMR and/or Physician Group Practice Management (PM) System.
A/R Collections Management
We maximize collections by capturing information from disparate systems, while also identifying bottlenecks at various stages of reimbursement. Automation is achieved through seamless integration of account comments and other financial transactions within the host billing systems.
Denials & Appeals Management
Denied claims are automatically captured and routed to the appropriate staff or department, facilitating timely and effective follow-up. We also believe that the best way to address denials is to prevent them before they happen. By isolating claim defects with AI-powered solutions, ReMedics BPO Services + Technology help to prevent future re-occurrences of costly denials. This increases cash flow and decreases process delays.
Talk to ReMedics about Revenue Cycle Outsourcing (RCO) for Your Organization
By incorporating workflow automation into the revenue cycle, ReMedics can dramatically increase productivity, reduce days in AR and increase cash recoveries. Call or write today to start creating process improvements for your organization. We can also schedule a free Cost/Benefit ROI Analysis. Contact us online — or call 440-671-7700.
*ReMedics leverages the worklist capability of ReSolve® AI and Workflow Automation Technology provided by our sister company RCMS, LLC.