Question 1

How does RevCycle Engine prevent claim denials?

Accepted Answer

RevCycle Engine utilizes a customizable rules engine to identify and correct potential errors *before* claims are submitted. This proactive approach addresses common denial reasons related to coding, billing, and payer requirements, significantly reducing denial rates.

Question 2

What types of errors does the RevCycle Engine catch?

Accepted Answer

The engine catches a wide range of errors, including coding inaccuracies, missing information, invalid modifiers, and non-compliant billing practices. The rules are customizable to address specific payer requirements and internal policies.

Question 3

How long does it take to see results with RevCycle Engine?

Accepted Answer

Customers typically experience improvements in their first billing cycle. The 82% reduction in manual claim edits reported by one health system customer demonstrates the rapid impact of the solution.

Question 4

Is RevCycle Engine compatible with our existing Electronic Health Record (EHR) system?

Accepted Answer

RevCycle Engine is designed to integrate with a variety of EHR and practice management systems. Our team will work with you to ensure a seamless integration process.

Question 5

How customizable are the rules within the RevCycle Engine?

Accepted Answer

The rules engine is highly customizable. You can create, modify, and prioritize rules based on your specific payer contracts, coding guidelines, and internal policies. This ensures the engine adapts to your unique needs.

Question 6

What reporting and analytics capabilities are included?

Accepted Answer

RevCycle Engine provides robust reporting and analytics dashboards that track key performance indicators (KPIs) such as denial rates, clean claim rates, and revenue cycle efficiency. These insights help you identify areas for improvement and optimize your revenue cycle performance.

Question 7

Does RevCycle Engine support different payer types (e.g., Medicare, Medicaid, Commercial)?

Accepted Answer

Yes, RevCycle Engine is designed to handle a wide range of payer types and their specific requirements. The customizable rules engine allows you to tailor the system to each payer's guidelines.

RevCycle Engine

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