Was money left on the table?
Handling claim denials and inaccurate payer reimbursement is a crucial part of billing. This is a tedious task for even the most efficient back end offices. Thousands of dollars a year can be lost if denials are handled improperly or not at all. Healthcare organizations often depend on manual and paper based processes and need automation to maximize productivity and reimbursement in the billing environment.
Identify potential revenue opportunities
Clarity RevFind compares payer contracts, chargemasters, and payer remits to identify revenue opportunities that were either underpaid, incorrectly denied, or submitted erroneously. By automating this process, healthcare organizations eliminate hours of data manipulation and can focus on maximizing reimbursement. Encounters are scored with expected allowed values as soon as they are created, enabling organizations to forecast net revenue and ensure every encounter is audited immediately upon payment.