As hospitals, health systems, and independent practices strive to overcome critical staffing shortages and push towards an increased focus on patient experiences, they need more efficient and effective processes and policies to maintain financial health.
For 34 years, SSI has been committed to providing hospitals and health systems with proven revenue cycle management solutions that help prevent denials and provide a platform for scrubbing and processing institutional and professional medical claims.
The SSI Group LLC’s clients experience a 98%+ first-pass payer acceptance rate (clean claim rate). How do we do it?
INDUSTRY’S MOST COMPREHENSIVE EDITS SUITE built over 34 years and includes payer-specific edits with hundreds of direct payer connections
ELIGIBILITY STRATEGY, which includes a set of pre-billing eligibility edits that capture potential changes in insurance before the claim goes to the payer
ATTACHMENTS STRATEGY, SSI software identifies where attachments may be required, and monitors claims so that denials can be prevented and/or appealed when attachments are required
DENIAL MANAGEMENT WORKFLOWS that allow you to assign specific claims to specific users based on experience and/or expertise
In addition, clients can identify and monitor the impact of denied medical claims, view denial trends, manage denials, and determine root causes by accessing the most granular claim and remit data.
Custom work queues automate and simplify the follow-up process and allow staff to easily organize, prioritize, and manage underpayments and denials. With robust reporting capabilities and activities based on user and/or role, organizations can appropriately divide work based on staff experience and expertise and track custom KPIs to determine the success of their efforts to increase net revenue.
Denial Research
Easily categorize and establish root cause assignment for denials.
Workflow Development
Develop a streamlined claim and line-level denial workflow.
Remit-Claim Linking
Establish a method of manually linking remits to medical claims not matched initially.
Denial Auto Assignment
Auto-assign denials to users based on denial type.
Follow-up & Appeal Filings
Incorporate follow-up and timely appeal filing deadlines into your workflow.
Featured eBook:
Claim Denial Management: Key Strategies to Help You and Your Organization Make Improvements
Stopping medical claim denials before they even have a chance to occur is the best way to ensure hospitals and providers receive correct payment quickly and efficiently. Download this free eBook to discover denial prevention strategies and industry insights from the experts at SSI.
34 Years of Revenue Cycle Management Software Excellence
Results-Driven Process for Expediting Time to Payment
Highly Experienced Revenue Cycle Experts at Your Service
About The SSI Group, LLC
Since 1988, SSI has been in the business of ensuring healthcare providers are paid timely, efficiently, and accurately. SSI’s product suite delivers an enhanced collections process from payers and patients.
