Solution Bundle

Revenue Performance Advisor

An end-to-end revenue cycle management software solution for physician practices, labs, home health, medical-billing services, and other providers that want to help simplify workflows, reduce denials, optimize revenue, and improve patient engagement.

 

Medicalbilling software that drives efficiency and revenue

Help increase upfront collections

Prompt timely payments by providing patients with easy-to-understand estimates of their payment responsibility and multiple payment options, prior to care.

Help reduce denials

Streamline eligibility and benefits verification by accessing our expansive network of payers for the most up-to-date information. 

Easily submit, track, and manage claims

Help reduce rejections by using software that validates and scrubs claims before submission. We have a first-pass clean claims rate of 98%.

Gain workflow efficiencies

Simplify management of rejections and denials by performing real-time edits, accessing a library of templated appeal letters, and resubmitting claims within minutes. 

Gain insights into practice performance

Help identify problematic trends before they negatively impact practice profitability by using our advanced reporting capabilities.

What's included

  • Patient access and eligibility

    • Access the information you need via connectivity to 2,100 payers
    • Streamline patient payments management by integrating all collections
  • Medical billing and claims management

    • Help deter rejected claims and delayed reimbursements
    • Sort, filter and prioritize claims based on 40 different data fields
    • Easily create work queues to manage groups of claims, work one claim at a time, or save partially completed claims and flag for other users
    • Apply edits in real-time using our online correction tools
    • Identify gaps between submission and payment with customizable queries
    • View ERAs matched to original claim on the same screen
  • Rejections and denials management

    • Help optimize cash flow and reduce delays in reimbursements
    • AI predicts which claims are likely to be denied before they are submitted
    • If a claim is rejected, staff can make real-time updates, and validate and resubmit within minutes
    • Create custom appeal letters on demand, and add supporting documentation with just a click
  • Revenue cycle reporting and metrics

    • Uncover the source of problematic trends, such as repeated rejections
    • Get actionable, real-time analytics backed by AI and machine learning
    • Make more informed, proactive decisions throughout the revenue cycle
    • Benchmark performance and track progress with dashboard reports
    • Customize reports to reveal your Top 10 rejected claims by each health plan
    • See the number of rejections, and the messages of explanation from the payer
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