Revenue Cycle Management

Your Revenue Cycle Management Challenges Overcome

Simplify and strengthen your revenue cycle processes to maximize net patient revenue

Revenue cycle management is an art. In a perfect world, it’s comprised of many moving parts working together to accelerate reimbursement and maximize net patient revenue at a hospital or healthcare system.

But those moving parts just keep expanding, making it increasingly difficult to keep up. Thinning margins. Increased risk. Regulatory uncertainty. In today’s healthcare world, there are practically an endless number of factors that impact a provider’s revenue cycle.

In many ways, revenue cycle management has become just as complex as the healthcare industry itself. Thankfully, you have the power to simplify it.

By partnering with SSI, you can harness the potential of revenue cycle technology to strengthen processes, streamline workflow, and establish a holistic, integrated approach to revenue cycle management. Read more to learn how.

Revenue Cycle Management Solutions – An End-to-End Approach

From front-office operations to performance management, develop a holistic approach to revenue cycle management

From healthcare systems to physician offices, SSI’s provider solutions enable organizations to not only adapt to industry changes, but capitalize on them as well. Gain access to the tools necessary to maintain your footing in a complex healthcare landscape and simplify your revenue cycle management operations – at every stage.

Seamless, integrated and intuitive, our revenue cycle management portfolio consists of Access Management, Claims Management and Performance Management solutions that empower clients to take control of their revenue cycle. Establish reliable revenue cycle management practices to protect revenue and accelerate reimbursement from both patients and payers.

Access Management

Maximize payment for services

Gain access to real-time, actionable information to guide staff to the most effective collections approach, based on patients’ unique financial circumstances.

  • Address & ID Validation
  • Eligibility
  • Medical Necessity
  • Authorization & Pre-Certification
  • Estimation
  • Payment Assessment
  • Payment Processing

Claims Management

Accelerate reimbursement via an unmatched clean claims rate

Take control of your revenue cycle through the electronic editing, validation, and submission of claims with edits provided at the HIPAA, payer and provider levels.

  • Pre-Billing Eligibility
  • Billing
  • Edits
  • Claim Status/Claim Status Plus
  • Remits
  • Enterprise Reporting

Performance Management

Protect revenue by reducing financial risks

Get a complete view of revenue cycle operations and key performance indicators to improve processes and allocate resources to your most critical priorities.

  • Contract Management
  • Audit Management
  • Analytics
  • Attachment Processing/DMS

Connect With Us

Learn more about how your organization can strengthen its financial performance via our revenue cycle management solutions. Request a demo today.

Request Information
800.881.2739

MACRA Challenges for Hospitals in 2018 -

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to see what's working in the program and what's not. Let's review these MACRA challenges and the proposed rule intended to address some of these issues.

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to...

Full Post

Reversing Losses with Smart Hospital Revenue Cycle Management -

Solutions for smart hospital revenue cycle management continue to evolve as technologies, workflow processes, and cross-team integration strategies improve.  Even so, a recent report showed larger hospitals are on average leaving $22 million in revenue capture on the table.  What can be done to address this?

Solutions for smart hospital revenue cycle management continue to evolve as technologies, workflow processes, and cross-team integration strategies improve.  Even so, a recent report showed larger hospitals are on average...

Full Post

Failure to Repeal the ACA Sparks Debate Over Medicaid Cuts and Single-Payer -

Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger in the minds of healthcare leaders and finance officers in detail.

Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger...

Full Post

Copyright© 2017 The SSI Group, LLC All rights reserved