Billers today face a medical reimbursement system too complex for humans to handle alone. Insurers take advantage of the situation by frequently changing rules and documentation requirements to increase denials and avoid payment. The result? Practices are reimbursed less than they’re entitled to collect. Most find themselves fighting an uphill battle, using outdated tools amid rising service volumes. Without powerful tools to detect uncorrected claims, your practice can be silently losing 10% in revenue every year.
Can you tell when you aren’t getting paid?
That’s where our newest partner, RevOps Health comes in. RevOps Health builds AI-powered data platforms designed to help you identify the payment errors insurers hope you never find.
Use RevOps Health to stay one step ahead. Their advanced technology automatically assembles and surveys reimbursements so you can deploy your people to act where it matters most.
- Focus on claims that weren’t paid because of errors.
- Track when insurance companies deny payment because of changing documentation requirements.
- Hold secondary insurers accountable when they don’t pay the balance for services provided.
- Quickly appeal decisions when insurers pay you less than what was contracted or allowed.
Your claims data is powerful. Start using it to your advantage.
Beyond getting paid properly, reimbursement data can help a practice make sound business decisions. Instead of guessing how much your practice is paid in a specific area (say, for a certain diagnosis, set of care, at a particular facility, or with a specific insurer) calculate it in seconds, using the most recent data and for all possible situations. Unlock access to real-time reimbursement data to level-up your ability to make informed decisions. Decide whether to expand a particular service line based on actual payment data. Plan compensation packages for providers using actual revenue data for anticipated services, volume payer mix and sites. Plan new sites and facilities where your patients actually live.
Don’t guess. Ask. Click. Know.
About RevOps Health
We’re like an X-ray for your Revenue Cycle (without all the radiation).
RevOps is a low-touch, low-cost solution that’s completely agnostic to the IT solutions you use now. We work with all your existing vendors – EHRs, practice management systems and clearinghouses – to assemble your practice data into a single, high-resolution data set. Our applications are easy to use, and easy to understand. Pricing is simple and transparent: one low monthly fee and no hidden costs, specifically designed for practices with five or more providers or billing services. All we need are two 30-minute phone calls to get started.
