Advanced Claim Status

Is your office spending too much time individually checking claim status? Did you know there is a much higher cost associated with manual claim status inquiries and that you don’t receive ‘actionable’ information from manually checking claim status?  

Advanced Claim Status (ACS) automates costly, manual and unnecessary follow-up tasks related to the status of claims as they move through the adjudication process. Integrating a richer and more complete claim status response into workflows saves staff time and effort and enables further automation. 

COVID-19: Insurers Exempt from Covering Workplace Testing

Must Cover “Medically Appropriate” Tests Only

The rapid rollout in March of the federal FFCRA (Families First Coronavirus Response Act) and CARES (Coronavirus Aid, Relief and Economic Security Act) Acts – and specifically section 6001 of the FFCRA, which defines requirements for insurers – has left providers, labs and insurers uncertain, at times, of their respective responsibilities for COVID-19 testing.

Avoid 3 of the Top RCM Pitfalls with Automation

Using different systems for RCM may be holding back productivity and hitting your bottom line.

The 2019 CAQH Index reported that the healthcare industry is spending approximately $350 billion annually for administration due to its complexity, and that about one-third of that amount could be saved by automating administrative transactions. For many, the mind-boggling $13.3 billion in available cost savings cited in the study begs this question: If healthcare revenue cycle management (RCM) technology has been evolving for over two decades, and the point of most technology is to help processes run more efficiently, what is causing administration costs to be sky-high with such an enormous opportunity for savings?