Veradigm Payerpath™

Claims Management

Claims Management helps practices identify and retrieve missing information, incorrect codes and data-entry errors that result in rejected or denied claims.

Remittance Management

Remittance Manager notifies users when electronic EOBs from payers are available for review.

Notes

Notes helps practices increase operational efficiencies by enabling reconciliation of submitted claims with payer and trading partner reports, responses, and electronic remittances.

Coding, Compliance and Reference Tools

Coding, Compliance, and Reference Tools encompasses a robust online coding library that provides coding guidelines, documentation, and policy information to help guide practices through complex technical and regulatory challenges.

Key Features:

• Single, all-payer solution for both professional and institutional billing.
• Real-time editing and online correction.
• Integrated coding and compliance edits, including CCI, LCD and NCD.
• Seamless connectivity with any practice management system—no hardware or software installation is required.
• Monthly subscription pricing enables providers to accurately budget their claims-management expenses.

Veradigm Claims Management Solutions can help you with:

• Slow rejections and denied claim: Veradigm Claims Management Solutions is a web-based claims management system that helps eliminate the missing information, incorrect codes and data-entry errors that result in rejected or denied claims, each costing nearly $25 to correct.
• Delayed reimbursement: Veradigm Claims Management Solutions are a complete system for managing every step in the reimbursement cycle—ensuring prompt and accurate payments.
• Lack of staff productivity: Veradigm Claims Management Solutions provide advanced reporting tools to deliver insight into the productivity and financial performance of your practice. Users can sort and work claims based on the unique workflows of their organization.
• Visibility: Remittance Manager notifies users when there are electronic EOBs from payers to review.
• Lack of automation: Notes reconciles submitted claims with payer and trading partner reports, responses, and electronic remittances.
• Complicated coding: Knowledge Source Pro with CodeCheck encompasses a robust online coding library that provides coding guidelines, documentation, and policy information.

Key Features:

• Automated patient reminders
  Appointment Reminders automatically delivers appointment reminders and other important messages using methods patients prefer. Patients can easily act by responding immediately to messages, which helps staff ensure the schedule stays full.
• Increase value and productivity
  Keep the office schedule running smoothly throughout the day while patients continue to receive quality care. Automating appointment reminders and other patient outreach tactics helps improve the overall value for the practice.
• Easily access to results
  Including a detailed and customizable reporting dashboard, Member Outreach provides staff with full visibility into patient-specific and campaign-level outreach results. The data can be used to update patient records, fill open appointment times and more.
• Improve outreach with additional engagement opportunities
  Beyond appointment reminders, Patient Messaging provides patient outreach via phone call, text message or email for other important messages, such as patient recalls, patient balance reminders and patient appreciation. It can also generate tailored messages to fit your practice’s needs.
• Help practices expand
  Keep your schedule filled by reducing no-shows and cancellation, which can increase overall practice revenue staff efficiency. It’s easy and intuitive design can also help reduce call volume and stress leading to staff burnout and turnover.
• Improve patient experience
  Deliver on patients’ expectations of efficient and comprehensive care by using on-demand messaging and two-way chat sessions, to accurately communicate unforeseen issues (e.g., inclement weather or provider delays).

Veradigm Patient Engagement Solutions can help you with:

• Removing Payment Barriers: Eligibility Benefits Inquiry helps practices receive payments more efficiently by providing eligibility verification of patient insurance coverage before the patient’s visit.
• Eligibility before service delivery: Eligibility Benefits Inquiry helps practices understand the fine print when it comes to insurance verification. With real-time and batch eligibility verification of insurance coverage, patient information can be submitted from the Veradigm scheduling system and eligibility is verified before service is delivered. The practice receives real-time access to eligibility data such as effective dates, co-payments, benefit caps and plan policies.
• Reaching patients when and how they prefer: Ensures patient outreach success with automated appointment reminders, recalls and other patient engagement communications, freeing up staff to work with in-office patients or focus on other vital tasks.
• Communicating with patients in real time: Delivers flexible and convenient patient outreach options, with on-demand messaging and real-time patient chat features that help improve patient satisfaction.
• Connecting with patients for crucial feedback: Assesses patients quickly and efficiently, to gain valuable feedback and insights into patient satisfaction, as well as medical treatment management.

Patient Statements

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.

Key Features:

• Users can insert custom practice logos and messages onto patient statements
• Multiple patient statement formats to choose from
• Easy-to-read format that highlights patient responsibility for faster payment

Veradigm eStatements with Online Bill Pay

Veradigm eStatements with Online Bill Pay enables patients to make payments on their statements, presenting a true representation of their financial responsibility and offering multiple payment methods from a dedicated patient engagement platform. Through tight integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.

Key Features:

• Online payments are deposited to a practice bank account
• Send Statement notifications via email
• Requires no software installation
• Automatic posting to Veradigm Practice Management

Veradigm Patient Payment Lockbox

Veradigm Patient Payment Lockbox is an enhanced lockbox product 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.

Key Features:

• Credit card, check and cash processing
• Viewable in Veradigm Payerpath
• Automatic posting to Veradigm Practice Management
• Provides direct deposit
• Unique mail stop for each practice

Veradigm Collection Letters

Veradigm Collection Letters removes a challenging but necessary responsibility from medical practices by automating patient collections. Traditionally, patient collection correspondence has been a drain on practice resources. Collection Letters eliminates the manual process of pursuing past-due accounts by automating collection correspondence.

Key Features:

• Personalize first, second, and final notifications on collection letters
• Track the status of your collections through readily accessible reports
• Letters are professionally printed on 8-½”x 11” forms and mailed First-Class within 24 hours

Veradigm Return Mail Manager

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.

Key Features:

• Reduces office risk exposure
• Streamlines workflow and adds efficiencies by eliminating manual handling of return mail

Patient Check-In and Payment Collection

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.

Key Features:

• Personnel can have informed, in-office conversation with the patient-speeding up collection revenue

Veradigm Patient Responsibility Solutions can help you with:

• Increased collection fees: Collection Letters reduces or eliminates charges from collection agencies when payments are remitted to the practice.
• Rising security issues: Patient Payment Lockbox enables all forms of payments to be processed securely and directly deposited into practices’ accounts.
• Overworked staff: Patient Statements frees staff from the manual process of printing, inserting, metering, and mailing patient statements.
• Increased patient standards: eStatements with Online Bill Pay enables patients to view, download and print up to a year’s worth of statements, right from within a dedicated patient portal tied to the practice. This can help support higher satisfaction in patients.

EOB Scanning and Review

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.

Key Features:

• Central access point for accessing electronic and paper EOBs
• OCR technology for indexing and finding patient specific information
• Tier 1 data storage in HIPAA-secure locations

Practice Performance Analytics

Practice Performance Analytics is web-based analytics and benchmarking too that reviews electronic remittances for comprehensive denials information and payer payment trends.

Key Features:

• User-friendly interface
• Proactive, immediate messaging and alerts
• Drilldown capability
• Unlimited current and historical data
• Comprehensive database for peer comparisons
• Helps determine seasonal trends with internal communications
• Instant access to data points based on customizable roles
• SaaS-based system

Veradigm Practice Productivity Solutions can help you with:

• Reducing document retrieval time: EOB Scanning and Review significantly reduces document retrieval time by using optical character recognition (OCR)-based technology, which identifies, indexes and files EOBs.
• Lack of office space: EOB Scanning and Review improves business processes and increases profitability by minimizing time spent on document management. With this powerful, secure, and cost-effective system, organizations gain physical space due to fewer files and storage cabinets.
• Improving business processes: Practice Performance Analytics ensures users have the information they need to reduce audit risks, optimize productivity, and improve financial performance.
• Better business outcomes: Practice Performance Analytics accelerates cash flow, improves revenue, increases productivity, and mitigates financial risk by providing proactive alerts, an interactive dashboard, and real-time comparative data access.