Our integrated Revenue Cycle Management (RCM) suite helps skilled nursing organizations like yours to efficiently manage the entire revenue cycle from admissions and eligibility verification to claims submission and processing all the way through to denial management and collections. Download the brochure or read about customer success here.
This suite is designed to not only streamline the evaluation and admission of residents, but to provide you with the information you need to make smart business decisions. You’ll gain a better understanding of where your referrals come from, as well as the potential costs and revenue for each candidate.
Confirm payers and coverage in real time to support more informed care plans along with a more efficient revenue cycle process. Accessible from within the admissions and billings workflows, this solution can be used for candidate residents, during the admission process, or during the resident’s entire length of stay, and allows users to query multiple payers.
- Claim Scrubbing and Submission
Reduce claim processing times, accelerate payments, optimize billing accuracy, and improve the financial health of your organization. Make the first submission the only one by applying an unparalleled level of claim validation to all of your electronic claim files. Avoid denials by creating custom edits to proactively monitor payer changes. Automatically load 837 claims, validate billing information and file structure, ensure HIPAA compliance, and much more.
Retrieve electronic remittance advice effortlessly from payers to support the overall RCM process.
Eliminate the need for paper remittance with this central location for managing all of the explanations of benefits (EOB) you receive. All 835 Remittance Advice are accepted and normalized into compatible files, regardless of which payer they were sent from, saving time and improving efficiency.
- Denial and Audit Management
This powerful product identifies, tracks, and manages your denied claims while uncovering root causes of repetitive denial problems, so you can prevent future rejections, reduce unnecessary write-offs, and increase your reimbursement. The built-in cross-departmental workflow increases efficiency and productivity among your staff. Monitor impending deadlines, track audit process, navigate appeals processes, and achieve vital information and documentation pertaining to an audited claim in a single application.
Maximize and accelerate organizational cash flow.