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

Physician Practice Group Mergers & Acquisitions

Maintaining Practice Management Systems After a Group Merger One of the many details to be navigated when facilitating a merger (or acquisition) is with switching an entire group of doctors and their support staff over to a dissimilar Practice Management System. The additional time spent with installation, staff training and vendor support can result in

medical billing acronyms

Medical Billing and Revenue Cycle Acronyms

A Quick Guide to Billing Department and Revenue Cycle Acronyms For health systems, hospitals and practice group billing departments, there is an abundance of acronyms commonly used by providers, payers, clearinghouses, banks, technology vendors and outsourcing firms. There are dozens more associated with clinical care and diagnosis that are not included here. Let’s take a