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Software used to track patient revenue and all billable patient interactions. - Verify patient insurance upon appointment scheduling - Create and manage claims submissions - Send and file bills - Collect and process payments from patients
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Cedar is the only healthcare financial engagement platform that combines payer data with provider workflows for a smooth end-to-end consumer journey. The Cedar Suite includes Cedar Pre and Cedar Pay. Both products are powered by the Payer Intelligence Layer.
Availity’s Revenue Cycle Management (RCM) solution simplifies claim and payment processing while delivering intelligent reporting and analytics that pinpoint revenue cycle trends. Availity RCM integrates with almost any PM or EMR system and helps you optimize workflows to get the most from your technology investments.
Improved accuracy. Reduced risk. We deliver class-leading 99% coding accuracy which improves your MRA scores, resulting in increased payouts. Medical Coding involves the identification of diagnoses and procedures and documenting them in a patient’s medical record as universally accepted codes. These codes help articulate and justify services such as illnesses, injuries, medications, and supplies, all of which impact payouts. Considered the backbone of the healthcare revenue cycle, Medical Coding must be carried out with the right experience and skills to render competent and accurate services. HOM’s AAPC/AHIMA-certified medical coders specialize in translating clinical documentation of a patient encounter by connecting relevant services like surgeries and radiologic imaging against medical codes to deduce the scope of billing.
THE COMPREHENSIVE & FLEXIBLE RCM SOLUTION Complete Revenue Cycle Management Solution Support. Experienced Team. CareCloud Concierge is a comprehensive revenue cycle management solution that allows you to shift the burden of collections off your shoulders, so you can focus on patient care. Our flexible, consultative approach, combined with our end-to-end services and specialized back-office team, meet your needs head-on. Let us help your medical group improve profitability and eliminate administrative burdens.
Data Entry, Demographics/Charge Entry Pre-visit Preparation, Appointment Scheduling, Pre-Authorization, Referral Management, Insurance/Eligibility Verification, Medical Coding, Claims Submission, Payment Posting, AR Follow-up, Denials Management, Audit/Reporting, Discrete Reportable Transcriptions, Provider Credentialing and Enrollment Patient Calls (IB/OB) Off Hours Support, Message Triaging
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Janus is more than a claim status solution; it's a game-changer in claims management. This solution streamlines the entire process, providing - daily claim status updates and becoming a vital asset for AR Collections teams. With Janus, organizations can save time, accelerate cash flow, and reduce the need for unnecessary follow-ups. Beyond efficiency, our solution seamlessly integrates with your existing Electronic Health Record (EHR), facilitating easy data exchange and elevating employee satisfaction. Because our solution provides line-level detail and consolidates all essential information within your familiar workflow, Janus not only enhances productivity but also eliminates monotonous tasks, boosting overall team satisfaction. For even greater efficiency, pair Claims Status with Teleport for Claims. When follow-up is required, Teleport can be launched effortlessly from your EHR with one click, navigating the tedious steps of payer portal interaction until human interventi
RCM Spotlight uses a proprietary AI engine to monitor and detect changes that affect your revenue. The application analyzes medical claims denials, claims underpayments, and overpayments that result from improper coding or payer processing. To get started, RCM Spotlight uses a copy of the standard claim remittance data that you exchange with your payers. We then analyze the data in our AI engine and compare your results with your peers across the country to deliver insights and identify revenue enhancement opportunities. If you outsource your RCM, the program will monitor the performance of your RCM provider, compare it with peers, identify improvement opportunities and provide actionable data for improvement discussion. For those managing RCM in-house, our service will monitor denial patterns and compare them with peers. By monitoring data, identifying improvement opportunities, and providing actionable suggestions, our team of experts can implement improved processes.
Software alone can't improve your clinical and financial operations. So in addition to the most comprehensive AHT Care Management, AHT Financial and Enterprise Management, and AHT Revenue Cycle Management solutions available to skilled nursing organizations, American HealthTech lets you implement them in the way that best meets the unique needs of your organization.
PROMBS offers top-notch revenue cycle management services to healthcare providers in Denver, Colorado. Our goal is to optimize your financial performance through efficient management of the entire revenue cycle, from patient registration to final payment collection. Our services include patient scheduling, insurance verification, charge capture, claim submission, payment posting, and detailed financial reporting. Our experienced team ensures accuracy and compliance, reducing claim denials and accelerating payment cycles. Choose PROMBS for streamlined revenue operations, allowing you to focus on delivering exceptional patient care while we handle your financial processes with expertise and precision. Contact Us: [email protected] (725) 237-2757