Healthcare Revenue Cycle Management Solution Features
Unlock the power of fully integrated, automated revenue optimization services.
Immediate Benefits
Less returned mail because of incorrect demographic
More revenue on average for our customers
Increase in pre-billing efficiency within integrated environments
Insurance Discovery
Find active insurance coverage
With higher deductibles than ever before and therefore larger patient co-pays, clearing self-pay patients is more challenging and labor intensive then in the past. Most important, earned revenue walks out the door every day when patients leave the office without paying.
Our Insurance Discovery service combines innovative technology with human intelligence to explore every coverage option and payor source for patients presenting as self-pay. Using the latest mapping logic for more than 2,000 payors, clearinghouse databases and direct connections infrastructure, we find more active coverage for you.
Our customers report remarkable results:
Identify active coverage for more than 10 percent of self-pay accounts
Maximize revenue by tapping other payor coverage opportunities
Reduce overall self-pay AR
One client identified insurance coverage for 16 percent of all patients and more than $800,000 in coverage for patients who originally presented as self-pay
Demographic Verifier
Front-end demographic corrections save you time and money
Faulty patient demographic data is the primary reason for denied claims and failed insurance eligibility. Using our innovative technology, you can easily obtain complete and accurate patient information instantly, for every patient and every claim – every time.
ZOLL AR Boost’s up-front, expansive patient data improves statement delivery, reduces the cost of claims and accelerates payments. The result is a stronger bottom line for your business.
Up to 60 percent less returned mail
Fewer claims rejections and payment delays
Minimized HIPAA and breach risk
Insurance Verifier
Improve your claim management
Claim rejections and payment delays are tedious, time-consuming and inefficient. But it doesn’t have to be that way. Whether in real time or batch processing, your ability to access details regarding coverage by service type, co-pay, deductibles and benefits empowers better reimbursement.
Insurance Verifier combines technology innovations with receivables expertise to rapidly and accurately triage your patients’ insurance coverage. We solve your insurance verification and eligibility issues for every patient, every payor — every time.
Higher clean claim rates
Up-front coverage determinations
Real-time capture of benefits and eligibility
Fewer claims rejections and payment delays
Self-Pay Analyzer
Get more revenue out of your self-pay patients
Patient responsibility is at an all-time high. On top of this, patients today expect personalized healthcare and an overall positive experience.
Self-Pay Analyzer determines which patients are most likely to pay and pinpoints those who qualify for a hardship discount or Medicaid. Maximize internal collections and prevent low-hanging fruit from being outsourced to collections vendors by giving your AR the ZOLL boost.
Improve cost-to-collect ratios
Get data to enable time-of-care payments
Reduce agency contingency fees
Identify propensity to pay, hardship and probable Medicaid (retro eligibility)
Experience higher rates of self-pay conversion
Higher patient satisfaction
Hear From Our Customers
Our agency was able to greatly reduce our billing lag and stay focused on what matters, like workflows, without being hindered by hunting down patient's insurance.
