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| FEATURES & BENEFITS |
Dramatically improve net recovery on underpayment and denial appeals.
Appealing underpayments and denials is usually expensive. Organizations such as the MGMA (Medical Group Management Association) estimate that the average cost to appeal an underpayment is $25, while the average fee schedule underpayment for commercial clams is $18. This appeal threashold challenge means leaving 3%–5% of your contract on the table as soon as it goes into effect. eobResolve closes that gap from both ends, maximizing underpayment and denial recovery while dramatically reducing associated administrative costs.
Strengthen your confidence In every appeal by leveraging each payor's bundling and repricing rules.
NHXS takes on the burden of tracking each or your payor’s pricing rules, bundling edits and reimbursement policies to determine whether an underpayment has occurred and how it may be disputed. This translates into the detail needed to give you confidence in the quality of your dispute eobResolve gives your medical practice a single powerful engine for analyzing and addressing underpayment issues using the most accurate methodology possible—their payor's very own rules.
Automatically generate highly accurate appeals—for less than one dollar per appeal.
With eobResolve, gone is the uphill battle to resolve appeals. Automatically generate and send accurately formatted, highly customizable payor appeal letters and forms in real time as underpayments are identified. Track outstanding appeals instantly, automatically escalate as needed and aggregate your billing records into high level business intelligence models. Best of all, eliminate unnecessary staff legwork and dramatically cut the cost of revenue recovery.
Save money by using existing claim and remittance data - using the best available source of data for analysis.
Unlike other contract management solutions which require you to commit to an expensive and proprietary data interface, eobResolve instead uses a copy of the existing EDI files sent and received from your clearinghouse. Using a secure transmission, automatically send your existing claim and remittance data (ANSI 837/835, Print Image or NSF formats) into eobResolve and begin to analyze your revenue cycle within hours.
Not only is it easy to get started, but by using the best source of data for a payment analysis, eobResolve allows you to eliminate false positive appeals—and makes it easy to automate the process of generating highly effective appeals.
Powerful reports. Customizable search screens. Graphical trending.
Our easy to use dashboards make the analysis of your business data fast and easy. Whether you want to trend the revenue cycle of your business or create a custom analysis on the fly, eobResolve provides a variety of very sophisticated data mining tools.
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