OUR SOLUTIONS
For A Healthier World.
Our solutions utilize sophisticated tools and processes to ensure consistent quality. They are targeted to increase functionality without adding inefficiencies and they are customized to meet the needs of our clients.
TAKING CARE OF BUSINESS, SO YOU CAN TAKE CARE OF PEOPLE.
Automated price transparency and revenue cycle management for healthcare organizations of all sizes.
QUALITY CONTROL AND DENIAL AVOIDANCE
Denials, bad debt, missed opportunities, and cash-flow delays resulting from errors and failures in compliance reduce receivables by 3-10% of gross billings in most organizations. Most healthcare organizations’ current systems cannot manage and respond in real time to the complex and critical tasks required to obtain full payment of submitted claims. Carea Guardian™ delivers real-time, goal-driven analytics to better manage workflow and reduce denied claims to help prevent revenue loss.
DENIAL MANAGEMENT AND RESOLUTION
Most health care organizations see a decrease in receivables of between 3% and 10% due to claim denials, bad debt, missed opportunities, and other cash-flow delays caused by errors and compliance failures. Carea Challengerâ„¢ automates the claim workflow to recover claims that have been denied, rejected, or otherwise remain unpaid. Carea Challengerâ„¢ routes tasks to the right place in the organization to be addressed, significantly reducing the time for a user to follow up on a claim or account.
DENIAL ANALYTICS AND REPORTING
Insurance claim denials, unpaid debts, and other cash flow delays caused by human error and gaps in systems oversight can cut into a hospital’s profits by 10% or more. Carea Discovery™ improves your understanding of the root causes of denials, and arms you with the knowledge you need to anticipate them before they happen, by providing reporting and trending capabilities to effectively manage and prevent denied claims. CHT applications can get your profit-and-loss statements back to reflecting profit.
PATIENT FACING PAYMENT ESTIMATION
With deductibles on the rise, now is the time to ensure your payment collection processes are keeping up. Carea Estimatorâ„¢ uses real-time, goal-driven analytical processing to collect patient balances prior to service, and to ensure that balances unable to be collected are appropriately and proactively addressed by financial counselors. Carea Estimatorâ„¢ can be integrated with other Carea Guardianâ„¢ modules or purchased as a standalone application.
KEY BENEFITS
Designed, built, and scaled for the contemporary healthcare needs.
• Increased and improved cash flow
• Reduction of re-work (back-end)
• Increased patient satisfaction.
• Identifies gaps and productivity issues
• Increase productivity – more accounts per person per day
• Prioritize work better
• Collect and recover more money
• Meets all CMS requirements
• Machine-Radable File
• Increases self-pay cash collections
• Improves cash flow, reduces bad debt
• Reduces collection agency expenses
• Improves patient satisfaction by letting them know what they owe up front
• Reporting helps identify gaps, productivity issues, and training needs
ACCURACY & QUALITY
The benefits of our healthcare solutions:
-Compliance with HIPAA and other healthcare regulations
-Improve data quality
-Accelerate turnaround time (TAT)
-Enhance your bottom line
DATA MODELING
We leverage the "enterprise" data model, to make healthcare to perform data analysis across multiple compartments. Our system captures and aggregates the relevant data allocated in distributed and fragmented data sources.
CUSTOMER SATISFACTION
Increases self-pay cash collections, while improving cash flow, reducing bad debt, and reduces collection agency expenses. They improve patient satisfaction by letting them know what they owe up front. They identify gaps and productivity issues.