Denials Intelligence
Denials Intelligence is a single solution in the market that generates a rich set of reports for users on claims and remit activity. The solution comes with an identifying feature that finds all of the true denials in the data and automatically matches the initial claim with the subsequent remits.
It helps in tracking payments to successfully resolved denials and assists in finding the specific departments that drive denials. The solution allows users to analyze and understand all the aspects of denial management, and it helps in reducing healthcare claim denials.
Users can incorporate their priorities using their AppRev’s workflow management system, and its compliant solution pictures out the denial payment opportunities. Denials Intelligence enables users to organize all of their denials and claims, and users can create such workflows to ignore the denials which have no value. The solution helps users to know every denial by its source, value, and issue.
Denials Intelligence Alternatives
#1 Medical Necessity
Medical Necessity enables doctors to begin early in the process and employ automatic checks on all the orders from diagnosis to other checkups. The solution helps in powering care and reduces the burden of administrative people and helps the clinicians be clinicians. It ensures that the clinicians follow their intentions and engage more with their patients.
The solution allows clinicians to document everything more credibly for accurate reporting and care documentation of every patient. This whole process of accurate documentation leads to maximizing the reimbursements to improve EHR. It offers intuitive workflows that contain medical terms to help clinicians make effective decisions and allows them to streamline their administrative process.
Medical Necessity provides more in-depth insight to patients and doctors to help them enhance the impact of patient care and make better treatment decisions. The solution actively identifies information gaps and aligns care with the most current clinical standards.
#2 Quest Diagnostics
Quest Diagnostics enables people to take action to improve their health outcomes. The solution helps patients in many ways, such as scheduling an appointment, getting a test done, finding the location of the test center, updating insurance, paying medical bills, and much more. It allows patients to book an appointment with any doctor they want in any location, and they can cancel that appointment anytime they want.
Patients can search for a location by writing their address or Zipcode, and they can check the amount of bill which they have to pay directly from this software by entering bill number. It provides a complete guide to patients in understanding their test results and billing information.
The software allows physicians to check different medication conditions such as Arthritis, Cancer, Genetics, HIV, and much more. It offers insights to doctors about their employees to act on time, and users can monitor their whole family tests and result through it.
#3 Corral Solutions
Corral Solutions is a solution that helps healthcare workers to ease and enhance the experience of patients with tools to simplify the management of their payments. The solution comes with an online bill paying portal that helps the patients to pay their bills anytime from anywhere, even if the clinicians do not have a website, and they still can have a billing portal on this solution.
Corral Solutions automatically calculate ad schedule recurring payments and let the patients know when their next payment is arriving. Doctors can send notifications through email to the patients to let them know if there is any pending payment.
The solution accepts all kinds of payment methods, such as from swipe function to credit and debit cards and from key to cash, all through a single system. It offers quick transactions, and users can customize the payment field according to their needs. Doctors and patient can view their billing reports anytime they want.
#4 ViSolve Medical Billing Module
ViSolve Medical Billing Module helps in improving the cash flow and redefines the revenue cycles with the OpenEMR system. The solution automatically checks a claim and then validates it according to the patient and policy standards. It comes with analytics and reporting that offers customized reports and helps in maximizing performance.
The administrative staff never have to upload any claims through its flawless clearinghouse feature with hassle-free data exchange. All the coverage and deductibles are auto-verified before each visit to enhance insurance eligibility. The solution comes with an automated ERA receiving and posting to manage unexpected payments to save time.
ViSolve Medical Billing Module offers a claim management system that allows users to manage the entire claim process from cost assessment to final reimbursement in a single location. The solution provides a dashboard through users can filter data by payments, claims, data range, and other needed action.
#5 Intelligent Medical Software
Intelligent Medical Software is an electronic record and practice management system that is built to help the medical specialists meet the need of different tests and billing systems. The solution enables doctors to deliver the highest quality of care possible to their patients. It helps doctors in streamlining their practice’s workflows, optimize their financial performance, and allows them to coordinate with their staff more effectively.
The solution allows the clients to choose from on-premise and cloud server applications according to their use to adapt their work with it. Doctors can access data of their patients from anywhere anytime.
It enables physicians to make informed decisions when it comes to the point of care and helps in managing regulatory compliance. Doctors can keep a record of their patients and can provide education to patients about their ailment through it. With its customizability, doctors can perform tasks according to their needs and specialties.