Revenue Cycle Management
Understand clinical context
and increase revenue capture
Revenue Cycle Management
Understand clinical context
and increase revenue capture
A solution that leverages Cognitive AI and billing expertise to increase revenue capture and reduce administrative burden.
End User Value
- Reduces Program Administrative Costs: Pivots coding team from manual review to simplified confirmation/validation and reduces effort to manage.
- Increases Revenue Capture: Reduces revenue loss caused by missed or improper billing. Reduces A/R lag time for payment receipt by raising first acceptance of bills, which shortens denial and appeal response time. Promotes code consistency and simplifies decision making and code validation processes.
- Reduces Exposure to Audits and Litigation: Applies up-to-date, appropriate rules consistently across all records, reducing billing denials.
Key Capabilities
- Based on 30 years of experience in a broad diversity of provider billing scenarios
- Applies Natural Language Understanding (NLU) to automate code assignment, which speeds up coding, improves clinical consistency and supports greater payor acceptance and payment.
- Delivers billing coding documentation that is drillable down to page level,with highlighted justification of code selection.
- Monitors and adapts to ever-changing billing and coding standards.
The Clincal Performance Analytics of Revenue Cycle Management
Clinical
Information
Exchange
Medical Chart
Optimization
Cost and
Utilization
Management
Value Based
Care
The Clinical Performance Analytics of Digital Care
Clinical
Information
Exchange
Medical Chart
Optimization
Cost and
Utilization
Management
