Revenue & Reimbursement Analytics

Emdeon Revenue & 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 Receivables Analytics

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

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
• 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