Providing healthcare organizations with valuable insights into their revenue cycle.
Revenue Navigator
Gather valuable insights from your 835s that you were previously unaware of.
Denial Management
835s are parsed and analyzed to reveal denial trends, initial denial percentages, and provides insights to help reduce your denials and increase cash flow.
Monitor Payer Performance and Payment Performance
Payment speed, estimated payments compared to actuals, payment reversal percentages, and payer comparisons can be performed.
Our payer scorecard also has AI generated summaries to more easily digest the information presented.
Perform Root Cause Analyses
With the workflow module you can not only attribute reasons for the denial, but also provide detailed root cause along with attach a dollar amount to the denial itself.
Review and Track Payment Posting and Evaluation of Payments made on claims!
Payment Review and Tracking Posting
Information regarding when you are supposed to receive a payment is displayed here allowing you to track which payments are made on time, which ones are made late, and which ones are due today!!!
Denial and Revenue KPIs
KPIs are generated based on the 835s to not only track denials /resubmissions/write-offs, but also to track your Gross and Net collection rates.
Revenue Integrity.
The ability to have your denial management software also perform many Revenue Integrity reports and processes allows a “One Stop Shop” of a look at your Systems Revenue with easily digestible reports and graphs.
Work Queues make work easier!
Our Work Queue module automatically assigns a user to each remit for review based on a set of rules that are defined for each user. The work queues also provides the flexibility of either having the same user perform the Root Cause Analysis for the remit, or send the remit to another user or team for an extensive Root Cause Analysis. This flexibility allows your orginaization to best decide how to organize its teams!
Unlike other denial management products, we also provide connectors into our partner systems provided by MRSNH. This integration allows us to send remits to their auditing platform for an OIG compliant audit.
