Get Paid On Time, Every Time
Get Reimbursed Faster
Reengineer Your Practice to Be More Efficient
Eliminate Underwater Treatments
Improve Profit Margins on Drugs
Identify Opportunities for Growth
Improve Patient Safety and Compliance
Identify Performance Drivers
Get Paid On Time, Every Time
Get Paid on Time, Every Time
- Identify operational issues that will keep you from billing (missing dictation, incorrect capture of dosage or waste).
- Identify coding errors that result in rejected or denied claims and underpayment.
- Automate and analyze your fee schedules to know what you should be paid for every transaction from any payer.
- Audit 100% of your claims and flag claims with underpayments.
- Increase collections through optimized financial counseling and real- time visibility at the point of decision making.
Get Reimbursed Faster
Get Reimbursed Faster
- Provide revenue cycle analytics to streamline the process and produce clean claims.
- Redesign prior authorization and revenue cycle processes to reduce delays and denials.
Reengineer Your Practice to Be More Efficient
Reengineer Your Practice to Be More Efficient
- Automate complex manual back-office processes to eliminate the need for a large back-office staff.
- Build logic into technology to reduce the clinical expertise needed to manage back-office functions.
- Alert teams to issues that require attention (no need for an analyst) to create more efficient teams.
Eliminate Underwater Treatments
Eliminate Underwater Treatments
- Audit 100% of scheduled treatments and alerts stakeholders when scheduled treatments are underwater.
- Provide visibility for payer-specific financial outcomes of specific high-cost drugs, devices, and treatments.
Improve Profit Margins on Drugs
Improve Profit Margins on Drugs
- Provide visibility into cost and payer-specific reimbursements for high-cost drugs and treatments.
- Provide visibility and analytics around high-cost drugs and their alternatives to inform practice negotiations with manufacturers and distributors.
- Provide cross-site visibility into inventory levels for high-cost drugs to eliminate excess inventory and waste.
Identify Opportunities for Growth
Identify Opportunities for Growth
- Provide analytics and reporting on practice-, site-, and physician-level patient volumes and referral source patterns to understand market trends and opportunities.
- Alert stakeholders when interventions with referrers can increase volumes (1st-time referrer, decrease in referrals from existing referrer).
Improve Patient Safety and Compliance
Improve Patient Safety and Compliance
- Enable reliable financial reporting and forecasting by accurately recording revenue when you earn instead of when you’re paid.
- Increase financial security and the ability to secure debt.
- Predict payments based on the confidence interval of the likelihood of authorization, approval, and collection.
- Alert stakeholders to inconsistencies across clinical, billing, and dispensing systems to drive interventions before patient safety is compromised or compliance risk is exposed.
Identify Performance Drivers
Identify Performance Drivers
- Provide visibility and analytics around the practice, site, market, and physician revenue to predict profitability trends.
- Analyze, identify and report on performance drivers including payer mix, patient volumes, and new patient trends.
- Provide performance benchmarks and comparative measures to evaluate where you are and where you want to be.
- Deliver insights on payer performance (reimbursement rates, time to pay, denial rates) and cross-payer analytics to improve payer contracting.
- Identify unknown opportunities or problems within the practice that may be hidden in the data.