Revenue Cycle Management
Veradigm’s Payerpath integrated solutions are crucial to meet the demands of modern healthcare revenue cycle management (RCM). The award-winning clearinghouse offers a suite of versatile healthcare revenue cycle management solutions that interface seamlessly with all major practice management (PM) systems. This PM-agnostic approach ensures that regardless of the existing infrastructure, healthcare providers can integrate Payerpath without extensive modifications or delays.
With its ability to seamlessly connect with all payers, Payerpath ensures that healthcare providers can manage transactions efficiently. Focus more on patient care and less on the complexities of revenue cycle management with healthcare claims management software from Veradigm.
Veradigm Payerpath delivers an average >98% first-pass clean claims rate and reaches a network of over 3,100 payers.1
Effective RCM software for healthcare serves as the foundation of an efficient practice. By supporting all major PM systems, Payerpath ensures that every provider, regardless of their current technology stack, can benefit from a comprehensive suite of RCM solutions. This includes everything from claim submissions and remittance processing to denial management and payment reconciliation, all designed to enhance revenue streams and reduce waste.
Veradigm Claims Management Solutions are a complete system for managing every step in the reimbursement cycle—ensuring prompt and accurate payments. Our web-based healthcare claims management system helps eliminate the missing information, incorrect codes, and data-entry errors that result in rejected or denied claims.
Veradigm Claims Management Solutions also provides advanced reporting tools to deliver insight into the productivity and financial performance of your practice.
Identify and retrieve missing information, incorrect codes, and data-entry errors that result in rejected or denied claims.
Notify users when electronic EOBs from payers are available for review.
Increase operational efficiencies by enabling reconciliation of submitted claims with payer and trading partner reports, responses, and electronic remittances.
Encompass a robust online coding library that provides coding guidelines, documentation, and policy information to help guide practices through complex technical and regulatory challenges.
Streamline every step in the reimbursement cycle, from eligibility verification through patient collection. Veradigm Payerpath Workers’ Compensation Claims solution enabled by Jopari, provides payers with a robust solution to manage workers’ compensation claims activity from a single platform.
Veradigm’s solution integrates claims adjudication, payment, and documentation management systems to help to reduce friction and operational costs, while providing attachment integration with hundreds of payers using a wide variety of tools. Secure, electronic delivery eliminates mailroom costs, such as scanning, indexing, and document storage, while helping you expedite claim adjudication.
Veradigm eligibility benefits inquiry provides real-time access to the patient insurance information that is critical to a practice’s cash flow. Receive payments more efficiently by providing eligibility verification of patient insurance coverage before the patient’s visit.
This comprehensive suite ensures effective patient engagement through automated appointment reminders, recalls, and personalized outreach, all delivered in the communication modes that patients prefer. By automating these processes, Veradigm frees up valuable staff time, allowing them to focus on in-office patient care and other critical tasks.
Veradigm’s solutions go beyond basic notifications, offering real-time patient chat and on-demand messaging to facilitate immediate communication. These options not only enhance the patient experience, but also have the potential to improve healthcare outcomes
Automatically delivers appointment reminders and other important messages using methods patients prefer and conduct patient surveys
Connect everyone involved in a payer cycle with one platform. Veradigm’s medical billing solutions streamline financial interactions between healthcare providers and their patients. Utilize trusted healthcare revenue cycle management software to automate and enhance patient financial management.
Patient Check-In and Payment Collection is an integrated revenue collection tool for front desk and billing personnel to process and record point-of-care patient payments.
Patient Statements is a fully automated and integrated solution that offers high-quality, customized, full-duplex patient-friendly statements specifically designed to improve patient payment rates through a preferred payment method.
Veradigm Collection Letters removes a challenging responsibility from medical practices by automating patient collections. Collection Letters eliminates the manual process of pursuing past-due accounts and the drain on practice resources by automating collection correspondence.
Veradigm Return Mail Manager automates return mail-handling service that helps manage and report on undeliverable Patient Statements and Collection letters returned to the office.
Veradigm eStatements with Online Bill Pay enables patients to make payments on their statements, presenting their financial responsibility, and offering multiple payment methods from a dedicated patient engagement platform. Through integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.
Veradigm Patient Payment Lockbox is an enhanced lockbox solution that receives and processes all forms of mailed patient payments to a secure PO box, where payments are processed, imaged, and delivered electronically to a practice through integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.
Veradigm Intelligent Payments applies next-generation technology to a practice’s billing, payment, and collection notification processes, giving patients the opportunity to self-manage their financial responsibility using a digital workflow.
The Basic Bundle helps reduce the time-consuming and costly tasks that come with printing and mailing billing statements and accelerates the time from statement to payment.
The Premium Bundle moves beyond typical patient billing financial practices by using advanced predictive analytic scoring to deliver a unique patient-oriented billing and payment experience.
The scores consider the extent that an individual patient can pay and tailors communication delivery, statement and payment messaging, as well as payment options to maximize yield, increase patient satisfaction, loyalty, and payments.
For more detail, please go to Veradigm Intelligent Payments.
Improve the efficiency and profitability of your healthcare practice through innovative technology and comprehensive data analytics. These productive claims management solutions help organizations optimize their workspace and minimize time spent managing documents. Similarly, performance analytics empower practices to leverage their data to drive efficient decision-making.
Enhance day-to-day operations and support long-term strategic planning to position your practice for success in an increasingly competitive environment.
EOB Scanning and Review uses optical character recognition (OCR)-based technology to upload and digitally index, identify and retrieve explanation of benefits (EOBs) that have been electronically scanned and uploaded. With this powerful, secure, and cost-effective system, organizations gain physical space due to fewer files and storage cabinets.
Practice Performance Analytics is web-based analytics and benchmarking tool that reviews electronic remittances for comprehensive denials information and payer payment trends. This effectively accelerates cash flow, improves revenue, increases productivity, and mitigates financial risk by providing proactive alerts, an interactive dashboard, and real-time comparative data access.
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Speak with Veradigm today to request a demonstration of our suite of end-to-end revenue cycle solutions.
Payer analytics solutions receive top rankings for Client Satisfaction, Reliability, Best of Breed Technology and Process Improvement