revenue cycle management - kaleidacare · the revenue cycle management module enables you to...
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REVENUE CYCLE MANAGEMENTProviders of mental health and social services serve an essential role in their communities, delivering high quality clinical and support services to vulnerable populations. Too often pro-viding these services and being fully reimbursed in a timely manner is both di�cult and resource draining on agencies.
The KaleidaCare Revenue Cycle Management module has three great components:
KaleidaCare Management Solutions Toll Free: 800-913-9883 Web: www.kaleidacare.com2535 Brockton Drive, Suite 450 Phone: 512-219-8025 Email: [email protected], TX 78758 Fax: 512-249-1258
Delivering excellent services doesn’t guarantee payment. KaleidaCare’s Payer Validation component is what you need to ensure that every services is reimbursed properly. Our validation process includes pre-authorization tracking and reporting to ensure administrative billing compliance.
SERVICE VALIDATION:
A key ingredients in optimizing revenue is ensuring that all billed services are paid. The billing and accounts receivable component of our Revenue Cycle Management module provides quick, ongo-ing update and management of the payment status for all �rst and third party payers.
BILLING AND ACCOUNTS RECEIVABLE:
This suite of reports makes is very easy to analyze charges, billings, write-o�s and refunds. With one report �lter, you can view monthly billing by worker, payer, procedure code or a combination. Paired with the Service Validation Error and Authorization Warning Reports, these productivity reports provide a big picture view of accurate billing and e�ortlessly identi�es speci�c areas of “leaking” or loss.
PRODUCTIVITY TRACKING AND REPORTING:
The Revenue Cycle Management module enables you to prevent bad debt in advance by optimizing sta�ng, validating and recording bene�ciary eligibility information and tracking reimbursement.
The star of the Revenue Cycle Management module o�ers HIPAA compliant transaction processing to accelerate your reimbursement. Electronic billing means no more keying into web portals or printing and mailing claims, freeing-up sta� resources for claim follow-up. KaleidaCare’s clearinghouse adds additional payer-speci�c validation to ensure your claims will be accepted, resulting in faster payment turnaround and reduced denials.
ELECTRONIC BILLING:
How can your organization continue to operate in an environment with increasing regulatory costs, policy shifts in funding, rising human services expense and challenging competition? Studies have shown that most organizations “leak” or lose 10% or more of their potential revenue due to poorly designed and implemented �nancial manage-ment systems.