Payment Cycle Management

Improve end-to-end claims processing performance. Save time and money by identifying fraudulent and abusive claims for investigation before the claim is paid. Leverage the established framework of Medicare’s Prospective Payment System to decrease the cost of care – “pay as Medicare pays,” which can reduce in-network reimbursement costs by 25 percent. Achieve a consistent and reliable claims review process with claim adjudication, compliance, and reimbursement innovations:

• Reduce the time to review claims
• Accurately and efficiently review claims
• Decrease administrative expenses
• Maximize consistency in claims processing
• Achieve ICD-10 compliance with efficient code mapping and translation