Denial Management Document Management ECM Solution

Financial performance depends on it

Healthcare organizations invest heavily in choosing the right billing and Accounts Receivables systems, yet most solutions fail to capture or contain the content needed to effectively manage your business. OnBase Revenue Cycle solutions can help.

The fact is, much of today’s business content is still communicated in an unstructured format, such as: phone, fax, email, or through other paper-intensive work processes. As a result, today’s HIS solutions are often ill-equipped to help manage the information needed for healthcare workers to make timely and efficient decisions on behalf of the organization.

Naviant works with Hyland’s OnBase RCM’s receivables management to help today’s healthcare facilities capture, store, process, integrate, and manage exception-based accounts, along with all of the unstructured content that encompasses them. The result is a single, system-wide, workflow solution that enables healthcare organizations to:

  • Improve their days receivable outstanding (DRO), receiving more cash, faster
  • Reduce their cost to collect
  • Increase account collections and decrease denial/defects
  • Unify disparate data into a single platform with one-click access

OnBase RCM combines the best of OnBase’s Enterprise Content Management (ECM) repository with a client-definable RCM user interface, along with simultaneous access to your line-of-business billing and AR system for seamless integration and ease of use. Moreover, the Denial Management solution identifies the reason and source of each denied claim, allowing your staff to isolate and prevent future reoccurrence of the denial while improving training of those involved in the process. As a result, cash flow is improved, denials are reduced, and staff is freed to resolve even more accounts. Oversight and management of the solution is provided through client-definable work queues, tracking performance at the facility, department, or user levels with dynamic drill-down reporting and charting tools for real-time status, data analysis and trending, and productivity.

The application tracks the complete cycle of open receivables, including both open AR and denied accounts, and it generates reports to identify the efforts that resulted in payment. Additionally, lag times between follow up and resolution are documented, providing valuable information when it comes time for contract renegotiations.

Proven RCM solutions for patient financial services

Because OnBase RCM provides the tools to capture denials, analyze trends and identify key issues that result in defects and denials, management can make informed, knowledgeable changes within those deficit areas. The account analysis application provides the tools needed to help you:

  • Identify the root cause of your most costly denials
  • Detect denial patterns and trends, as well as process breakdowns
  • Assess the financial impact of denied claims, delayed payments and partial payments
  • Analyze the effectiveness of follow-up resolution procedures
  • Uncover areas for improvement in your overall business process