DigiChart RCM SalesSheet_FINAL_revised.indd [PDF]

Revenue Cycle Management Services

Choosing the right Revenue Cycle Management (RCM) service has never been more important as we transition from Fee-for-Service to a Value-based Payment structure.

You need a partner who knows how your practice works and what procedure codes can net you the optimal reimbursements. Our commitment – to improve your cash flow so you can stay focused on what’s most important – your patients. digiChart, the only OB/GYN-focused EHR is now offering RCM services, delivering a powerful solution that is more than just a medical billing service. The digiChart Revenue Cycle Management Service is a clinically-driven solution providing the comprehensive support that practices will need to thrive under the impact of ICD-10 and payment reform. digiChart’s clinically-driven approach ensures a seamless integration between your EHR and billing functionality to ensure accurate, timely payments. digiChart goes beyond traditional RCM with clinical intelligence and certified coders supporting your billing process every step of the way.

Clinically-Driven Revenue Cycle Management • • • •

Optimizing revenue streams directly at the point of care Streamlining the collection process Optimizing and speeding up reimbursement Minimizing denials

Now, physician practices can improve billing processes to achieve effective revenue cycle management and increase reimbursements in an uncertain time. Tightly integrating digiChart and RCM in a clinically-driven model results in optimal financial performance. •

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Patient Billing

Patient Registration Eligibility & Benefit Check POS Collections

Outstanding pt/ins AR

Coding & Billing

Appeals

Improve first-time payment rates, reduce days in A/R, speed up charge entry turnaround and payment posting with a complete and auditable data capture. Reduce cycle time with submissions getting to payers and patients more quickly. Faster, more accurate processing and resolution of denials with rich clinical documentation supporting claims. Identify issues early to prevent recurrent errors.

Charge Posting Claim Submission

Denial Management Payment Posting

Clearing House Denials

Revenue Cycle Management

More Value, Less Work With digiChart’s clinically-driven approach, the rules-based engine can, over time, uncover proven means for improving clinical and financial outcomes. With more informed decision-making at the point of care, physicians can improve clinical outcomes and overall health management, as well as identify opportunities to optimize revenue streams. Extending the technology to include strategic alerts, the system can advise when a requested procedure or test will not be reimbursed by a payer, as well as flagging duplicative care; or, alternative reimbursable procedures or tests can be recommended over an initial non-covered choice. Advantages of Using Certified Coder • RCM best practice • Ensures accurate documentation and coding during ICD-10 transition • Accurately coded claims results in optimal reimbursement • Reduces denials & risk of audits The quality of your documentation (data) will determine the quality of your information, which plays the defining role in evaluating the quality of your work. It takes an intricate knowledge of government and private payer regulations, frequent code and coverage changes, and myriad other technical facts to be a medical coder.

Key Things You Can Count On From digiChart RCM Accurate billing and revenue management are time consuming and complicated for most small practices. Add to that changes that will be required with ICD-10 and the move toward value-based payment and your practice is likely to face declining reimbursements and lost productivity. That’s why digiChart created a service to protect your practice with tools and resources that will make a difference. Count on us to: • Provide RCM best practices policies and procedures. • Review all encounters – a certified coder will review each encounter for the first 90 days, make any necessary corrections and submit for processing. • • • • • • •

Conduct random Documentation Audits to ensure coding compliance. Process payments from insurance (electronic or paper) and post to patient accounts. Review all denials and work claims appropriately. Work A/R older than 30 days from original date of service. Appeal claims Answer patient billing questions Conduct monthly meetings to review key performance indicators and provide recommendations to improve revenue capture.

To learn how your practice can get the same benefi ts from using digiChart, visit us at info.digichart.com/ revenue-cycle-management or call 877-634-2727 Option 9 © 2016 digiChart, Inc.