Coding

Improve coding accuracy and productivity with industry-leading coding and reimbursement technology, including computer-assisted coding. Reduce claim denials. Optimize cash flow. Simplify compliance with MS DRGs and ICD-10 rules.

Compliance and Audit Management

Save valuable time and resources in the audits and appeals process with leading data, analytics and technology resources. Minimize the cost of preparing, submitting, and following up with appeals. Minimize the effects of RAC. Ensure that your coding practices are accurate, efficient, and compliant.

Cost Clinical and Quality Management

Benefit from the experienced consultants at Ingenix. We can help your health system identify measurable, sustainable cost savings.

• Identify additional opportunities for savings through sophisticated costing methodologies and utilization and resource management strategies.
• Identify opportunities to optimize your revenue cycle.
• Minimize disruption as you transition to HIPAA 5010 and ICD-10 requirements, while identifying opportunities for cost savings.
• Deliver care and maintain patient safety more cost effectively.

Electronic Data Interchange EDI

Significantly reduce expenses with next-generation, Web-based EDI services that infuse your claims submission and reimbursement processes with eligibility, claims status, and transaction processing information when it’s needed. Reduce cost and errors. Efficiently test and certify HIPAA transactions. Connect directly to any payer or clearinghouse, eliminating per transaction fees.

Performance Improvement and Data Analysis

Understand and evaluate performance with solid benchmarking and analytical tools. Pinpoint areas where you can capture more revenue and cut costs without jeopardizing quality of care.

Revenue Cycle Management

Optimize efficiencies and reduce costs across your revenue cycle, from patient access management to eligibility verification to remittance. Ensure likelihood of payment before providing services. Capture more secondary claims revenue. Significantly reduce denials and write-offs. Improve financial performance while reducing administrative and operational costs through business process outsourcing that leverages Ingenix revenue cycle services.

Strategic Planning and Financial Management

Bring in experienced hospital consultants who can help you identify and implement cost reduction strategies, improve productivity across the revenue cycle, and make the most of your IT investments.