There are significant downfalls to managing payer denials in your EHR. Capability gaps abound. Disjointed workflows build silos instead of bridges.
Hospitals stand to lose millions of dollars due to inefficient claim denials management technology and processes. According to the most recent American Medical Association’s health insurer report card, claim denial rates ranged between 0.54% and 2.64% for major private payers while Medicare denied nearly 5% of claims. Considering that many organizations contract with multiple payers, the numbers suggest claim denials cost organizations approximately 5% of their net revenue stream.
Why trust your healthcare revenue to IT systems built for clinical demands—not payer denials? Fight for your revenue by learning more about Intersect Healthcare’s Veracity platform today.
Dedicated Denial Management Technology Protects Your Revenue
Effective revenue protection requires a proactive, two-pronged approach against rising volumes of Medicare, Medicaid and commercial payer denials. Dedicated denial management and appeal technology combined with expert services is a winner when it comes to moving from a reactive to proactive payer response.
If you’re still using your EHR to manage the complex process of payer denials and appeals—it’s time to level-up your game with Intersect Healthcare’s proven Veracity platform. Veracity platform fills EHR gaps, giving your organization the ability to:
- Identify the root causes of payer denials
- Capture coding and clinical validation changes
- Provide targeted education on the front end of the revenue cycle
- Increase knowledge of payer contract terms to mitigate risk
- Move from payer denial management to prevention
- Centralize workflows for unified denial management and appeals
Veracity provides staff with tools to proactively assess the feasibility of an appeal within provider rights and responsibilities based on each unique payer contract—something no EHR can do. Request details to learn more.
Be Stronger Against Payer Denials
Managing the volume of denials and pursuing the appeal process is daunting for revenue cycle staff and leadership under pressure to ensure optimal revenue cycle performance. Our clients simplify, automate and fortify their reimbursement defenses with Veracity.
Intersect Healthcare experts work directly with clients to ensure they are fully prepared to use the Veracity software to effectively track, manage and defend against commercial and government audits and denials. The system provides hospitals and health systems with comprehensive workflow management, tracking, documentation and delivery to:
- Organize and oversee payer denials and appeals (all types, all payers)
- Document all payer communication to eliminate rework and delays
Veracity is the verified IT system of choice for effective, centralized payer denial and appeals management. But don’t take our word for it.
Keep Up with Payer Change
Your payer contract terms change. So does Veracity. The system’s best-practice business rules and intuitive interface requiring no specialized training and little to no IT resources for implementation. We keep up with payers and their shifting requirements—even as the industry moves to value-based reimbursement.
Intersect Healthcare is committed to helping hospitals fight to recover more revenue—under fee for service and evolving at-risk contracts. Trust us to provide the technology, services and education your health system needs to improve financial performance.