Simplify your Revenue Cycle Management. Easily take patient payments online, check eligibility and benefits real-time, and submit insurance claims. Utilize our denial management tools to ensure you are maximizing your collections. With electronic connections to all commercial and government payers, do everything in one system. No need to worry about separate clearinghouses, we are the one system that has everything you need, including Workers’ Comp.

Coding

• Fast Coding - Use just your keyboard (or mouse if preferred)

• Coding Templates

• ICD-10 lookup and ICD-9 crosswalk

• For our Anesthesia Coders - Automatic Modifiers, ASA crosswalk, Concurrency monitor - You won’t find a faster anesthesia coding platform

• Over 3 million CCI Edits

• Create Custom Edits

• Coding Workflow - Easily identify cases/events ready to code and the reasons others are not ready

Insurance Claims

• Send Claims in Real-Time to Payers

• We utilize our own Clearinghouse, Ensuring Lightning- Fast Payer Response Times

• Simplified Workflow Means Less Time Working on Each Claim

• Automatic Claim Scrubbing Catches Filing Errors Before Sending

• Easily Create Appeals with a Click Utilizing Built-in Customized Templates

• Track the Claim Statuses with Real-Time Updates

• Easily Correct and Resubmit a Claim in the Event of a Denial

• Corrected Claims

• Professional (837P) and Institutional (837I) Claims

• Workers’ Compensation Claims

• Submit to Secondary and Tertiary Automatically

• Bring in COB data from Primary to Submit to just Secondary/Tertiary

• ERA - Electronic Remittance Advice comes straight into our system

• Process ERA data Automatically or with a click of a button, Including PLB Segments

• Robust Denial Management Tools

• Print to CMS 1500 or UB-04 if desired over Electronic Submission

• Fee Schedules

• Out of Network and In-Network Tools

Collections

• Collect Patient Credit Card Payments in the Site

• Patient Payment Portal

• Customized Patient Statements

• Printing and Mailing Patient Statement Options

• Open Balance Prioritization

• Advanced Work Queues

• Expected Payments

• Instant Appeals right within Revenue Conductor

• Non-Insurance or Patient Invoicing (Hospital, Referring Provider, etc)

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