Revenue Cycle Management Platform
How We Help:
- Simplify aggregate credit with accelerated innovation to build sustainable healthcare.
- Real-time business analysis and performance management with key financial indicators – cash flow, outstanding, collections, etc.
- Manage payer contracts and renewals.
Claim Quality Check (CQC)
Issues We Address:
- Non‑submission of claim documents.
- Incomplete document submission.
- Code errors causing denials.
- Missed billing opportunities.
- Short payments from payers.
- Unanswered post‑dispatch queries.
How We Help:
- Dynamic Checklist for complete and accurate document submission.
- Error-free processing for seamless claim approvals.
- Automated QC report generation and email updates to management.
Reconciliation Services
Issues We Address:
- Missing or misrecorded claim IDs.
- Inaccurate reconciliation affecting financial data.
- Delayed responses to post-dispatch queries.
- Increased suspense amounts from unresolved transactions.
- Lack of clarity on disallowance reasons from payers.
How We Help:
- Correcting missing or misrecorded claim IDs.
- AI-powered reconciliation capturing settlement details.
- Automated notifications for query resolution.
- Real-time tracking for precise claim and bank reconciliation.
- Identifying and explaining disallowances.
Accounts Receivable Management
Issues We Address:
- Delay in settlement.
How We Help:
- Real-time updates and actionable insights via our RCM platform.
- Leveraging strong relationships with payers to expedite payments.
Reimbursement Financing
Issues We Address:
- Potential revenue loss with non-empanelled payers.
How We Help:
- Cashless service for patients with non-empanelled payers.
- Immediate payment to hospitals.
Social Schemes Management
Issues We Address:
How We Help: