The rules impacting the true patient obligation are numerous and complex. When you add in rules for crossover obligations from secondary payers, computing the net patient obligations accurately consumes a lot of resources, and most practices end up with more write offs than they would like to have.
MANAGING PATIENT OBLIGATIONS
Insights and Tools to Improve Patient Payments
Quantifiable Tools to Improve Patient Payment Obligations
Synergy Revenue Integrity helps practices navigate through all the claims level detail and remittance advice details to uncover the root causes of problems around accurately determining patient payment obligations. We help you easily identify recurring issues down to the procedure/provider level with individual payers so that you can take corrective actions. Interactive drill-through dashboards enable you to see the impact of process improvements, education and action plans to improve payer workflows.
Real-time Tracking of Patient Responsibility
Managing the patient responsibility through aging reports often misses the underlying causes and patterns that lead to growing A/R. Synergy Revenue Integrity enables you to see up to date patient responsibilities by payer and to drill into details by providers. You can see what is driving variances by procedure and identify other process deficiencies such as coding practices, authorizations management and contract load issues with payers.
We integrate your A/R into Synergy Revenue Integrity so that we can compare the patient payment portion of the encounter as determined by your practice management system to the remittance advice from payers. We monitor payer and patient variances to help you identify revenue leakage and identify the root cause contributing to the leakage.
BUSINESS INTELLIGENCE & PROCESS IMPROVEMENT SERVICES
See the Whole Picture, Make Lasting Improvements
The volume of data associated with every claim transaction is simply too great to manage without sophisticated business intelligence. Synergy Revenue Integrity puts analytics in your hands that help identify trends and patterns across all payers. Sophisticated analytics and drill through tools provide unique views and help identify the root causes of revenue integrity problems.
Synergy illustrates the impact of corrective actions and the progress towards quantifiable goals you’ve established. Daily updates show how each process improvement initiative is performing against your goals and ensures that everyone is on the same page.
