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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 and reimbursement. - Delivers robust reporting to monitor revenue cycle key performance indicators from patient access to claims and payments.
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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.
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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.
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Medical Coding
Designed by medical coding experts, CliniComp’s coding application simplifies the workflow, synchronizes with third-party encoders, and bridges the gap between coding and billing by leveraging a consistent framework. Whether it is the automation of simple coding for diagnostics or streamlining the coding of complex stays, our coding application eases the coder’s job and improves productivity.
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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.