Emdeon Performance Improvement & Prevention Services

Emdeon Performance Improvement & Prevention Services assists providers in overcoming common Government Managed Care and Commercial payer challenges with performance improvement initiatives based on the development of baseline measurements, documentation of chronic problems and identification of systematic payment issues. As part of the Emdeon Payment Integrity Services suite, Emdeon Performance Improvement & Prevention Services uses detailed reporting and analytics to improve processes now and proactively prevent issues from occurring with Government Managed Care and Commercial payer payments.

With evidence showing that 90 percent of denials are preventable through improved execution of eligibility and benefits verification, authorization and clinical documentation efforts, it's clear that preventive measures offer the best long-term strategy for recovering denied revenue. Furthermore, significant recovery costs can be avoided altogether through effective denial prevention efforts. The data developed through assisting with your current or historical medical denials will support your focus on prevention. Customized reporting with Emdeon Performance Improvement & Prevention Services allows you to identify problem areas by denial reasons, diagnoses, physicians, payers and procedures which can be used to prevent these denials from recurring in the future.

Features

• Data-Driven Performance Improvement Initiatives
• Service That is Unique to Each Client

Benefits

• Reduce Claim Denial Rates
• Reduce Bad Debt Write-Offs
• Identify Problems to Prevent Future Loss