Revenue Cycle Management
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Revenue Cycle Management
The CliniComp Revenue Cycle product suite provides an elegant and practical set of applications for accuracy and efficiency that:
- Provides an exception-based revenue cycle method by:
▪ Automating steps whenever possible, saving users time.
▪ Capturing critical data and identifying issues at the source, speeding up claim submissions & reimbursement. - Delivers robust reporting to monitor revenue cycle key performance indicators from patient access to claims and payments.
Patient Access Services
CliniComp’s simple-to-use features are designed to support all end users within the patient access services arena. From real-time eligibility integration to point-of-service collections and filing authorizations, edit checking, and coverage management, these functions allow staff to work accurately and economically.
For example, one-click eligibility verification during patient registration quickly confirms a patient’s coverage to ensure accurate billing collection.
Charge Capture
CliniComp enables clinical staff to focus on patient care and simplifies clinician-driven charging workflows. CliniComp’s Charge Capture is built to reduce the burden on end users by:
- Automating and simplifying workflows such as:
▪ Dropping charges as clinicians perform and document their work.
▪ Modifying charges via behind-the-scenes logic based on payer-specific guidelines. - Aligning clinical and back-end charge entry features and processes, improving charge accuracy, communication, and support.
Health Information Management
Designed by HIM experts, CliniComp’s HIM suite simplifies, automates and consolidates HIM functions to better serve the medical records department. Our platform includes:
- Deficiency Tracking – Highly automated tracking of outstanding documentation and signatures, convenient for physicians and easy for HIM staff to monitor.
- Medical Coding – Embedded within the overall revenue cycle framework, coders have a one-stop shop for coding, documentation review and charge modifications to ensure maximum productivity and ease of use.
- Release of Information – A streamlined, step-by-step process to produce releases of all shapes and sizes.
- Chart Management and Scanning Integration – CliniComp’s scanning integration management process allows for scans to be uploaded and viewed from all angles of the user experience: Clinical, registration and coding/billing.
Billing and Claims
CliniComp’s automated claims, statements, and payment applications are structured to improve cash flow and productivity by:
- Identifying and routing necessary edits to the appropriate team for resolution.
- Unifying the revenue cycle where possible by leveraging consistent tools across services and settings.
- Eliminating jumps between applications by focusing user tasks via a unified billing account view for key actions and accessing information.