REVENUE CYCLE MANAGEMENT MADE EASY
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1 REVENUE CYCLE MANAGEMENT MADE EASY
2 We wanted a system that would eliminate denials, provide quicker payments and shorten the claim cycle. We wanted customizable edits and warnings. We wanted reporting capabilities we could actually use and features that worked. Finding the right technology proved next to impossible. So we built it ourselves. Lori Zindl President, OS inc.
3 As an award winning revenue cycle solutions company, OS inc. has more than 20 years of experience in the medical billing and collections field. Today, we use the healthcare industry s most advanced technology for revenue cycle management. How can we be so sure? Because we built the technology ourselves. efficientc is our state-of-the-art claim management and processing software designed from the ground up with the end-user in mind. It s called efficientc. It s revenue cycle management... made easy. 2
4 BENEFITS FASTER PROCESSING QUICKER PAYMENTS SHORTER CLAIM CYCLES And there are additional advantages. The kind that often go unnoticed the kind that help ensure financial stability. It s no coincidence that OS inc. clients see significant reductions in wasted FTE often associated with excessive and redundant billing processes. By using efficientc, trained staff can perform traditional A/R services in half the time needed in a typical healthcare business office. These are some of the immediate benefits gained by using efficientc. And clients value how detailed their reporting, accountability and tracking measures have become. Because efficientc is easy to use, dedicated staff is free from the typical constraints often associated with claim management tools. The navigation is streamlined and intuitive. The end result is a userfriendly experience everyone can appreciate. Want more detail? You ve got it. efficientc is ready deliver measurable ROI showing almost immediate improvements to the following: GRDO write offs cash flow aging FTE allocation And the state-of-the-art software provides valuable business intelligence tools reporting key performance indicators, cash flow and productivity output. There are even built-in comparison modules set to current industry standards to help you measure your success against acceptable revenue cycle norms. rebilling costs efficientc couldn t be easier to integrate. There are no hidden fees or extra service charges. There is only a single monthly fee that includes complete conversion costs and all of your claim processing and denial management services. 5
5 FUNCTIONALITY efficientc works. It does what it s supposed to do, when it s supposed to do it. And it does it better than any other claim management product on the market. Built from the ground up and always compliant with all the latest billing rules, edits and regulations, efficientc is truly the complete solut ion to revenue cycle management. There are no surprises here when it comes to claim processing and denial management. efficientc offers all of the functionality needed to shorten the claim cycle and increase cash flow. Everything is built-in, easy to navigate and accessible whenever needed. If you need it, efficientc can do it. automated claim workflow full 837 and ANSI claim processing QA of claim submissions/acceptance full range of editing tools client specific payer specific LCD / NCD policy Correct Coding Initiative MCE, OCE, MUE electronic payer claims transmissions claims history and audit trail accelerated secondary billing on Medicare claims automated rejected claims rerouting automated shadow billing for Medicare Advantage claims import /export / payer status reconciliation automated individual claim reconciliation 835 whole and split remittance processing claim reconciliation and EOB matching Medicare secondary billing for zero payment claims automated secondary billing automated rejected claims rerouting detail / summary remit printing for manual posting system edits and change routines updated daily to prevent future denials ALWAYS EVOLVING Because OS inc. uses efficientc to manage billions in client revenue, we are committed to its long-term success and viability. We are constantly looking for ways to make it a better and more useful product for each and every one of our clients. OS inc. software developers stand at the ready to optimize efficientc based on user feedback. Continuous software enhancements and beneficial feature additions are standard operating procedure. Rest assured that as your needs evolve, efficientc will too. 7
6 BUSINESS INTELLIGENCE Accurate and accessible reporting is a critical component to any revenue cycle management software. efficientc allows for easy access to key performance indicators (KPIs) and turns valuable data it into actionable business intelligence. High-level dashboard reporting allows for quick analysis of performance successes and deficiencies through visual charts, graphs and displays. Detailed denial and claim management reports are both easy to understand and can be quickly shared among interested parties and departments. efficientc also offers in-depth reporting on biller productivity and management. Cash projection reports and payer delay reports are all had at the click of a button. And payment and denial reports are available and easy to access. And should you ever want to compare your KPIs, cash flow and productivity to industry norms, efficientc has the ability to measure your performance against that of industry standards.
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