Working in a Multi-Submitter, Single Receiver Business Environment
For aggregated Physician Practice Groups that operate with business unit autonomy, health insurance payors will often combine payments generated by claims that originated from different divisions. These co-mingled batch files received from the Clearinghouses, require us to split the EDI payments within the Electronic Remittance Advice (ERA) and identify the patient, date of service, providers and division for each bank deposit. In many cases, the groups are using multiple Practice Management (PM) Systems. In this complex scenario, we refer to it as a Multi-Submitter, Single Receiver Business Environment. With our combined BPO services and software, ReMedics provides an efficient cash management solution whereby all of the revenue is being reported to a single corporate entity and tax ID/EIN.
Bank Reconciliation, Payment Posting and Funds Distribution
Utilizing an extensive series of data validation rules, check matching capabilities, automated PLB adjustments and exception processing, the batch files are matched to the funds received by the bank. With the information updated and corresponding transactions reconciled back to the check and original 835 file, payments can then be efficiently posted by staff. In doing so, we are also able distribute funds for each division. Analytical scorecards provide updated reports on revenue by location, provider, payor and business unit.
Robotics Process Automation (RPA) and Systems Integration
ReMedics specializes in multi-group remittance processing, including paper and electronic, with the use of Robotics Process Automation (RPA). We seamlessly integrate to all major EMR/PM systems and Clearinghouses, providing permanent revenue cycle gains and cash flow efficiency. If these services are of interest to your organization, Contact Us online — or call 440-671-7700 to discuss the many benefits of using our service.