Streamline your denial management and reconciliation processes to reduce the cost of collections.
Reimbursement PRO includes analytics, management reports, workflow solutions, on-demand EOBs and benchmarking.Reimbursement PRO is designed for use by outpatient business units and works with all practice management and billing systems. Billing administrators can set up rules within Reimbursement PRO to automatically route denials to the appropriate staff member to resolve. Electronic EOBs from payers are stored within Reimbursement PRO for easy look up. Forms for appeals and other tasks are stored within the solution and are auto-populated upon use. The dashboard within Reimbursement PRO displays the five major metrics of overall performance:
- Aged cash analysis
- Payer adjudication summary
- Most common denial codes
- Denial rates by procedure
- Days sales outstanding by procedure
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