6 RCM tools all group practices should use

Quick snapshot of its features:

• Follows an automated receivables management workflow to systematically decrease days in AR.
• Prioritizes and organizes pending AR into buckets based on age, value of claim and insurer
• Provides AR reports that allow multi-level drill down
• Automatically tracks and updates the financial outcome of account receivables followed up on
• Improves consistency, accuracy and transparency in the AR management process through actionable insights

Key features at a glance:

• Using user-defined business rules DenialManager automatically rou tes denials to the right person enabling quicker resolution
• Maps denial reason codes to identify denial trends and address problem areas
• Creates an audit trail so the productivity of the denial management team can be easily monitored
• Categorizes denials into different follow-up groupings
• Offers extensive reports and classifies denials by denial type/payer/value of claim/remark code etc.,
• Automates the appeals creation and submission process

Get the contract negotiation edge

• Identifies payment errors and helps medical practices recover lost reimbursement with data driven insights
• Scrutinizes insurer compliance with contractual terms and audit remittances
• Mitigates compliance risks, evaluates contract performance and helps in creating more profitable fee schedules
• Runs comparison reports across various fee schedules
• Provides updated Medicare fee schedules to enable better contract management

5 smart features of CodePro

• Lists out top paying CPT codes so users know where to focus on to drive up revenue
• Automatically assigns work lists to coders based on specialty and EHR specific expertise
• Reduces DNFB and increases coding accuracy
• Scrubs codes and runs NCCI, MUE, procedure code and outpatient code edits
• Runs comparison reports on the reimbursement provided by insurers for each medical code

A quick snapshot of ClaimCheck

• Gain visibility across your entire claims cycle, right from claims creation to claims submission in a few taps.
• Monitor the journey of individual claims in real-time
• View payer specific claims data
• Beautifully designed and easily navigable interface
• Inbuilt claims scrubbing tools to increase your first pass claim acceptance rate

Know the story behind the numbers

• Detailed, on-demand revenue cycle reports that help users slice and dice critical financial data
• Monitor and manage revenue cycle KPIs on the move as theBillingBridge is built from the ground-up to work in iOS and Android powered environment.
• Our full-featured APIs simplify app integration. theBillingBridge is integrated with several major EMR/EHRs.
• Provides extensive net collection reports that detail insurer and patient collections