What’s Your Revenue Cycle Goals for 2025? Let’s Talk About Denial Prevention With the Right Data Validation Tools and Business Intelligence (BI) Technology, You Can Prevent Many of Your Denials Claim errors that lead to denials can have a significant impact on your revenue cycle by delaying or reducing payments from health insurance payors. In
Reducing Errors and Denials with RPA & Machine Learning Healthcare claims and other billing documents contain a substantial amount of patient, provider and payor information that can originate from different HIT applications — which then leave room for error. Common issues include duplicate entries, incorrect coding and incomplete data. Any inaccuracies in the processing of
Managing Revenue Cycle Processes for Multiple Clearinghouses to a Centralized Single Receiver Our client’s Clearinghouses and Banks play a key role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits
Supporting Multiple Divisions, PM Systems & Clearinghouses – to a Single Receiver Maintaining Current Practice Management IT Investments Physician Practice Groups and Management Services Organizations (MSOs) put significant resources and investment into their Practice Management (PM) Systems. These core business applications include billing processes and reporting tools that are vital to the financial health of
Providing the Tools to Maximize Staff Resources, Decrease Denials and Increase Cash Collections Healthcare Revenue Cycle Management (RCM) is one of the most complex, ever changing dynamic industries in the USA. Denials are a line of business for the insurance companies, so you need experts and/or expertly designed technology allowing you to impact actual denials
ReMedics Core Principles of Cash Management Many of today’s automated solutions still generate a significant percentage of payment exceptions and defects. ReMedics specializes in revenue cycle optimization and the prevention of reimbursement delays with the use of AI, Robotics Process Automation (RPA) and Enterprise Content Management (ECM). With these technologies, ReMedics ensures that correct
