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Improving
Access
Management
The use of
financial
clearance
solutions
in your
healthcare
revenue
cycle
enables
you to
determine
not only
insurance
eligibility
but also
the
ability
and
willingness
to pay
healthcare
costs.
Including
medical
necessity
checking
during
registration,
scheduling
and
ordering
can help
reduce
Medicare
denials
and
increase
reimbursement
by
providing
medically
necessary
services
or by
issuing an
ABN for
non-covered
services.
By
facilitating
improved
workflow
processes
and
eliminating
the “paper
chase,”
RevenueMD's
solutions
enable
physician
and
hospital
staff to
accurately
authorize
services,
determine,
validate
coverage
for
payment,
assess
payment
risk and
schedule
resources
prior to
the
patient’s
arrival.
Accelerating
Cash
Collection
After
services
are
delivered
RevenueMD’s
healthcare
revenue
cycle
solutions
maximize
revenue
capture
and
streamline
the
billing
and
collection
process
with
electronic
claim
processing,
direct
entry of
Medicare
claims,
automatic
secondary
billing,
remittance
posting,
document
image
retrieval,
contract
and denial
management,
and
financial
analysis.
Improving
Payor
Performance
RevenueMD
also
provides
Web-based
analysis
and
reporting
capabilities,
so
healthcare
organizations
can better
manage and
monitor
payor
contracts.
Sophisticated
cost
accounting
tools,
combined
with the
ability to
provide
detailed
information
about
patient
utilization
and
outcomes,
enables
you to
analyze
contract
performance
and manage
contract
terms and
revenues.
With the
growing
financial
pressures
on
healthcare,
organizations
are forced
to seek
innovative
strategies
to improve
revenue
cycle
performance.
More than
ever,
healthcare
organizations
need a
business
partner
that can
help them
improve
access
management,
accelerate
cash
collections
and
improve
payor
performance.
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