AccelerateAR Claims Management
Revenue cycle leaders continue to struggle with tighter budgets, increasing scrutiny related to billing practices, legislative changes and ever-changing payer rules. The rising number of uninsured patients, coupled with shrinking reimbursement and increased demands for investment in clinical technology amplifies the challenge.
The Solution
CareMedic’s AccelerateAR Claims Management system can help you achieve sustainable, recurring revenue improvement by assuring your claims are submitted quickly and accurately. Claims Management performs extensive customer- and payer-specific edits and routes HIPAA-compliant 837 transactions to payers. Its editing capability allows claims to pass cleanly through the system, limiting the number of claims billers are required to handle. Claims Management also provides robust reporting and workflow to allow users to track their claims through the entire submission cycle.
AccelerateAR Claims Management is built on the latest Internet technology, delivering:
• Unparalleled claims management functionality
• Access to all payers
• Advanced editing capabilities
• Rapid implementation
• Secure management, tracking and transmission of
primary, secondary and tertiary commercial, Medicaid
and Blue Cross claims
• An intuitive, easy to learn user interface
Claims Management enables you to:
• Improve billing efficiency
• Resolve and accelerate receivables collection
• Eliminate unnecessary work
• Reduce claim rejections
• Transmit claims quicker
• Reduce paper claim volume
• Increase cash flow and margins
• Manage secondary claims
With the system’s user-friendly reports, you can quickly identify rejected claims and act on them sooner, reducing AR days.
Powerful Dashboard Capability
In addition to its powerful automation and reporting capabilities, Claims Management includes a comprehensive Performance Management Dashboard that analyzes claim data and provides Key Performance Indicators (KPIs) to enable effective management at all levels.
The Claims Management dashboard functionality enables you to continually refine revenue cycle operations using its productivity-enhancing features, including trend analysis, alert management, automated escalation, and dynamic drill-down. Its views are set up with standard CFO, PFS, and Billing manager users, and the views can be personalized by each user.
Sample KPIs for Claims Management:
- Medicare AR dollars
- AR aging percent
- Average percent of contractual adjustment
- Gross AR days
- Denial rate
- Denial dollars
- Daily revenue
- Dollar amount of unbilled claims
- Number of unbilled claims
- Percent of claims with error
Benefits
- The system is easy to learn and use, and helps you manage job sharing, substitution and turnover
- The Web-based model permits access from any PC using digital certificate technology
- Enhanced editing capabilities significantly reduce rejections and rebilling, resulting in faster payment and improved first-time acceptance rates
- The ASP model brings you the latest technology without high capital investment
- The automated claims interface ensures that claims are available when you want to work
- It supports the submission of all claim types (e.g., physician, home health, DME, etc.)
- It supports combining service lines and claims and split billing; tracks copied claims and provides notation of the information copied.
- Robust reporting, with over twenty standard reports, which allows claims selection based on claim type, payer, alpha split, etc., and allows development of user-specified work lists to help improve efficiency
- It allows you to easily create a UB from a 1500 and vice versa
- Sophisticated searching identifies individual claims or claim batches
- Online help provides answers in a user-friendly format
For more information, contact us via the Web or call us at 1-800-508-8494.
