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SSI Access Management enables providers to fine-tune – and maximize – the financial clearance process to collect more revenue up front. Gain access to real-time, actionable information to guide staff to the most effective collections approach, based on patients’ unique financial circumstances, and enhance the patient experience as a result.
Claims Management allows for accurate claim submission and rapid reimbursement. The solution streamlines your billing practices by navigating users through the electronic claim submission and reconciliation process from beginning to end. With Claims Management, take a proactive approach to the claim cycle, maximizing payer payments and minimizing denied claims.
Claims Analytics provides a complete view of revenue cycle operations to health systems of every size and specialty. Measure, identify, and improve upon strategic and operational performance goals, while fostering a deeper understanding of key performance indicators (KPIs). The solution also offers a remit prediction capability so you can plan for revenue peaks and shortfalls.
With recent ASC market growth and uptick in outpatient surgeries, ambulatory surgery centers require sophisticated tools to meet the demands of the industry, from both a performance and profitability perspective. ASC Analytics provides enterprise-wide views of the patient accounting system and guides users to find process optimization options using KPIs. Drill down into the most granular information to understand root cause and determine how to best approach opportunities.
The SSI Clearinghouse offers health systems 2,200+ payer connections and over 200,000 built-in edits, making it a preferred choice for claim submission and processing. Submit HIPAA transactions in real-time or batch to commercial and government payers, including Medicare and Medicaid, check eligibility and benefits (270/271), file medical claims (837P and I), receive electronic remittance (835), review claim status (276/277), and submit authorizations and referrals (278).
In today’s healthcare landscape, health systems must do everything in their power to reduce revenue risks—like abandoning the manual methods and disparate systems of the past. With Compliance Management, automate departmental activities to enable users to establish an informed approach to payer audits and payer contracts, and take swift action to ensure each work out in your favor.
Our healthcare Payer Solution acts as an extension of a payer’s EDI or IT department to perform the necessary functions to standardize claims. Increase the electronic claim intake process, maximize the first pass adjudication rate, and reduce the volume of incoming phone calls for benefit or claims follow-up.