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.
