Maximize reimbursements and efficiency before and after the delivery of care.
As the diversity of payment options grow and health plans become more complex, providers require dynamic solutions to help uncover every possible avenue for reimbursement. The dramatic increase in the self-pay population has also made it more important for healthcare providers to verify key information at the outset each patient encounter.
Emdeon Revenue and Reimbursement Analytics deliver automated batch screenings of patient account information so providers capture more revenue both before and after patient visits. These unique services leverage all available patient data to search for key information in government programs and payer databases resulting in increased revenue collection and reduced bad-debt write-offs for providers.
Emdeon Pre-Encounter AnalyticsProcess patient information in batch form before the delivery of care.
Emdeon Pre-Encounter Analytics can help “triage” patients’ financial situations before they arrive by quickly and accurately obtaining eligibility and benefits information. Batches of patient data for the next day’s scheduled patients are sent to the Emdeon health information network before the start of business thereby eliminating any manual work and delays at the time of patient registration.
Using logic driven searches that are tailored to each providers’ needs and information on state specific search requirements, Emdeon returns user friendly reports with details on benefits eligibility, pre-authorizations, address verification and claim status to give providers the information needed to maximize revenue collection opportunities.
Features:
- Screen patients before scheduled visits
- Perform fully automated processing
- Fast turnaround on reports
Benefits:
- Increase revenue
- Reduce instances of incorrect or missing data
- Streamline the registration process
- Assist in improving up front collection
Emdeon Receivables Analytics
Identify opportunities for reimbursement to reduce self-pay burden
Emdeon Receivables Analytics also enable providers to use batches of data to screen self-pay, bad debt and other patient receivables in order to collect more dollars. By systematically screening receivables on a recurring basis to identify retroactive coverage, Emdeon Receivables Analytics uncovers sources for patient and payer payments so providers can capture revenue that would otherwise be written off to bad debt or sent to costly collection agencies.
Providers simply send their self-pay and bad debt classifications in batch form to Emdeon and a quick, accurate report detailing eligibility and reimbursement opportunities is produced and returned. Emdeon Receivables Analytics deliver a great return-on-investment and can drastically reduce the amount of revenue write-offs.
Either before or after care is provided, Emdeon Receivables Analytics offer providers automated batch screening services to identify the most up-to-date information on payment sources available and to deliver the powerful features providers need to shorten the revenue cycle and maximize reimbursements.
Features:
- Retroactively identify insurance coverage
- Identify misclassified assets
- Receive tailored data analytics
- Process files 24/7
Benefits:
- Reduce accounts receivable days
- Minimize collections expenses
- Outstanding Return-on- Investment
Emdeon DSH Reimbursement Analytics
Protect your bottom line by getting the most from DSH payments
In many states, disproportionate share hospital (DSH) payments provide a vital safety net for hospitals and healthcare networks who remain dedicated to providing care for low income and vulnerable patient populations. Getting the most complete and accurate amount possible from DSH payments are important to the financial health of affected healthcare providers.
Emdeon DSH Reimbursement Analytics utilize state-of-the-art technology to develop accurate calculations of eligible days for their DSH reporting needs. By processing hospital patient data, Emdeon is able to provide the critical Medicaid, Medicare and SSI eligibility documentation that is essential for preparing an accurate cost report. The thorough and efficient process Emdeon DSH Reimbursement Analytics delivers could provide a substantial increase in federal DSH reimbursement that benefits providers, patients and the entire community.
Features:
- State-of-the-art patient matching criteria
- Claredi certified eligibility verification
- Customizable, user friendly reporting
- Data warehousing
- Audit and cost report preparation support
Benefits:
- Potentially large influx of DSH reimbursement
- Efficiently determine the total number of eligible days for Medicaid and Medicare
- Outstanding Return-on- Investment
