Optimize Remittance Management to Unlock Revenue
Efficiently posting payments is crucial, but addressing denials and discrepancies during remittance processing is what truly maximizes reimbursement. Our end-to-end solution reconciles every payment detail while expediting resolutions to drive financial growth.
With new rules and model plan updates constantly changing the claims game, keeping up with remittance advice can get complex for in-house teams. Our best-practice remittance workflows incorporate the latest payer policies to simplify revenue realization.
Automated Payment Posting
We expedite error-free posting of approved payments and adjustments.
Accurate posting gets you paid promptly while updating account balances. This saves hours of manual work while minimizing posting gaps that delay collections.
Advantages :
- Direct ERA feed integration for faster processing
- Automated matching with submitted charges
- Code-driven posting to correct patient accounts
Rigorous Line-Item Reconciliation
Each claim component is validated to catch issues early.
Consistent checks ensure every payment aligns to services rendered, preventing missed issues that lead to future denials
- Direct ERA feed integration for faster processing
- Automated matching with submitted charges
- Code-driven posting to correct patient accounts
Comprehensive Denials Management
We leave no stone unturned when unraveling denials to expedite reinstatement.
Analyzing denial patterns highlights process gaps for improvement action, leading to higher first-pass claim approval
- Review all denial codes/reasons thoroughly
- Identify common causes
- Appeal flawed decisions with corrected records
- Educate providers on regular denial triggers
Patient Responsibility Resolution
With balances accurately reflected online, we make collecting patient liability easier.
Clear balance transparency, simplified repayment reduces bad debt write-offs.
- Coverage gaps identified during remittance posting
- Online portal displaying deductibles owed
- Automated generated patient statements
- Set up convenient automated payment plans
Actionable Reporting for Growth
Robust reporting provides insights to help boost revenue.
Data visibility drives targeted initiatives – better coder training, payer negotiations, treatment pre-authorization steps – to realize every dollar.
- Denial root causes ranked by frequency/cost
- Underpaying payers flagged
- Providers benchmarked on first-pass approvals
- Coding precision measured against standards
Saving Money While Taking Care Of Your Health.
Accurately posting payments is just the start. Our remittance solution combines automation with rigorous reconciliation to uncover hidden revenue opportunities
