Claim Denials

Isolating Claim Defects and Denials

Isolating Claim Defects and Preventing Denials with Automated Process Improvements  Errors and defects in medical claims are inevitable. A small percentage of them will eventually turn into a denial. How you handle defects and exceptions, however, can lead to significant dollars being delayed, or lost entirely, due to the additional work being required to collect

Exception Worklists

Exception-Based Work Queues for Improved Efficiency

Automated Exception-Based Work Queues Improve Customer Service, A/R Collections, Denials and Appeals Management  ReMedics utilizes workflow automation technology to automate the creation of exception-based work queues, significantly improving staff efficiency for common Customer Service and A/R functions. These exception worklists and work queues are auto-generated to improve specific areas of need, such as: appeals; denial

revenue cycle reporting analytics

Revenue Cycle Reporting & Analytics

Unlock Your Revenue Potential with Detailed Reporting, Scorecards & Data Analysis One of the many benefits of using ReMedics for your outsourced remittance processing, data validation and bank reconciliation needs, is the detailed reporting that we provide to your management team. ReMedics Reporting & Analytics solutions help you to visualize and analyze revenue cycle data

Converting Paper EOBs to 835 Normalized Data

Utilizing Advanced OCR Technology for Converting Paper-Based EOBs One of the many technologies used by ReMedics to automate payment processing for our healthcare clients is Optical Character Recognition. Utilizing OCR technology, text is extracted from an image, such as paper-based EOBs, and converted into machine readable data. The problem with processing paper EOBs is they

Denial Management Reporting

Denial Management and Prevention Strategies

Creating Permanent Change in Revenue Cycle Management… Denials Then and Now In the early days of denial management, the flow of rejected payments or underpayments was typically dealt with as a reactionary defense measure. Using technology to improve data capture and other denial prevention strategies took a back seat to working the denials after they

Steps to Improve the Revenue Cycle

Six Steps toward Revenue Cycle Improvements

Taking Control of Your Business Office and the Revenue Cycle Let’s face it, unstructured business content plagues practically every healthcare organization. It’s the content that resides outside your organization’s core systems and processes. For patient care, it’s the patient information – paper or electronic – that exists outside your EMR. In patient finance, it’s the