Accelerate Payments & Reduce Denials In One Platform

Get faster claim reimbursements, avoid underpayments, decrease cost-to-collect, and reduce denials with our cloud-based, revenue-boosting A/R Recovery & Denial Management platform. With intelligent claims prioritization, automated follow-ups, and rich analytics dashboards powering our platform’s A/R Optimizer and Revenue Insights modules, clients realize 2 to 5% net patient revenue uplift and 20% net new collections from their A/R and denied claims. Clients also benefit from more accurate revenue modeling to improve their operations and bottom-line margins by preventing unnecessary lost revenue before claims become write-offs.

Boost Reimbursement Recovery

Armed with multiple real-time data points, including clinical data, our prediction algorithms are able to accurately predict the recoverability of outstanding claims. Daily work orders are assigned to team members by prioritization algorithms so they can focus on working claims with the highest probability of reimbursement in the shortest amount of time rather than the typical focus on high dollar claims and claims close to timely filing limits. Automated status checks help prevent claims from going unworked and aging out, leaving A/R teams free to focus on high-value work and touch more claims.

Analyze

claims inventory for actionable insights

Predict

recovery at claim and charge level

Prioritize

claim work queues for maximum recovery

Recover

payments with bots and intelligent workforce management

Optimize

with actionable insights from data pulled from recovery operations

Real-Time Data Helps Providers Pinpoint RCM Issues

With our Revenue Insights module, executives can assess their organization’s financial performance in minutes. Instead of manipulating data in spreadsheets for hours, they can view revenue cycle performance on demand in a single interactive dashboard and make proactive decisions with timely analytics. Our advanced analytics technology centralizes revenue cycle data from multiple siloed systems and performs multi-modal examinations to identify reimbursement bottlenecks and revenue opportunities. With the right insights delivered on time, executives can base their decisions on data and facts rather than guesswork. They can visualize the contribution of underlying factors like those listed below impacting revenue cycle KPIs and respond with corrective action:

• Assess recoverability by payers, procedures, facilities, denials, and aging buckets;
• Which payers and procedures are not getting reimbursed and why;
• Assess reimbursement shortfalls and by how much;
• Locate denial hotspots, anomalies, and rejection patterns; and
• Detect denial patterns before they further adversely impact financial performance.