Revenue cycle tools that enhance your world
Discover the power of a complete suite of revenue cycle tools.
Revenue Cycle Tools
Front Office Solutions
Empower your front office with tools to streamline the patient experience
Provide transparent pricing
Real-time eligibility look-ups
Reduce manual workload and chance for error
PATIENT LIABILITY ESTIMATES
Improve patient satisfaction, maximize point of service collections and equip your staff with the ability to provide real-time pricing with our Patient Liability Estimates module.
Reduce claim denials and carrier rejections by performing on-demand eligibility look-ups, assuring the care you provide is covered with Eligibility Verification.
HEALTH SERVICES REVIEW
Simplify insurer communications for precertification coverage with our Health Services Review.
Claims Scrubbing and Submission
Claims Scrubbing and Submission delivers a simplified billing experience
Manage and edit claims in a single system
Reduce claim-processing time and accelerate payments within a single, robust system with the our Claim Scrubbing and Submission module.
Interactive claim forms
Automated work queues
Extensive claim edit library
Automated Secondary, tertiary and shadow claims
Increase your insurance follow-up effectiveness with our robust set of tools
Simplify Medicare claims management
Track and manage denied and audited claims
Speed reimbursements and improve staff efficiency
Minimize the time and effort spent processing Medicare claims with our Medicare Navigator module, a direct data entry solution providing secure access to the Fiscal Intermediary Standard System and other Medicare Systems.
DENIAL AND AUDIT MANAGEMENT
Our Denial and Audit Management module will help maximize efficiency with cross-department workflow management tools that will identify, track and manage denied and audited claims while uncovering the root causes of repetitive problems.
CLAIMS STATUS CHECKING
Speed the identification of stalled or denied claims, resolve payment issues more quickly and streamline staff workflow with Claim Status Checking.
Make posting and reconciling payments quick and concise with our solutions
Manage electronic remits
Simplify reconciliation process
Streamline electronic remittance in a complete and comprehensive system with our Remittance Management module.
DEPOSIT BANK RECONCILIATION
Save time and improve efficiency with our Deposit Bank Reconciliation. Matching remits and deposits are automatically reconciled; mismatches are sent to work queues to be reviewed.
Contract Management and Reporting
Ensure you receive the correct payment for every claim, every time
Ensure full and fair reimbursement for every claim
Report on all financial details of both current and archived claims and remits
Examine claims before they are submitted and after they are returned, ensuring both accurate payment prediction and validation. Our Contract Management module provides the tools to take control of payer contracts and stop performing random claim audits.
REPORTING AND DATA MINING
Improve efficiency and productivity with the ability to report on every financial detail of both claims and remits with more than 350 standard reports, more than 200 drill-down graphs and unlimited ad hoc reporting.
Extend your capabilities beyond the norm with our additional revenue cycle tools
Improve reimbursement rates
Streamline patient care
PHARMACY ONLINE ADJUDICATION
Provide patients with their copay, deductible and coinsurance amounts as claims are processed in real time.
MEDICAL NECESSITY DATABASE
Ensure that your hospital consistently bases patient tests and procedures on the latest available criteria including Local Coverage Determinations for insurance as well as the CMS-mandated Lab National Coverage Determination Policies.