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features
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support

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Description

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Description

Our PCI compliant payment vault securely stores your patient's payment information. With their consent, you can automate and collect payments of a pre-authorized amount post-claim adjudication. Practices can accept patient copays pre-care with estimates to support financial management and plan activation or pre-authorized payments post-care. A fully customizable portal for your practice allows patients to make payments online or set-up payment plans and securely stored payment types. For a more transparent experience, estimate your patients' out of pocket expenses with greater accuracy and discuss payment plans early to improve treatment acceptance.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

AdvancedMD No 
CGM APRIMA No 
DrChrono No 
SilkOne Cloud Chiropractic EHR No 
TRIARQ Health No 
athenaOne No 
athenahealth Population Health No 

Integrations

AdvancedMD Yes 
CGM APRIMA Yes 
DrChrono Yes 
SilkOne Cloud Chiropractic EHR Yes 
TRIARQ Health Yes 
athenaOne Yes 
athenahealth Population Health Yes 

Pricing Details

$1039.00/one-time/user
Free Trial No 
Free Version No 

Pricing Details

$89.00
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Vālenz

Founded

2004

Country

United States

Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Vendor Details

Company Name

ClearGage

Founded

2009

Country

United States

Website

cleargage.com

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice Yes 

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks Yes 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice No 

Patient Engagement

Appointment Scheduling No 
Care Planning No 
Collaboration No 
Messaging Yes 
Mobile Access Yes 
Patient Education No 
Patient Portal Yes 
Personal Health Record No 
Progress Tracking No 
Self Management No 

Patient Management

Admissions Management No 
Bed Management No 
Discharge Management No 
Historical Reporting No 
Patient Flow Management No 
Patient Location Tracking No 
Patient Monitoring No 
Real Time Reporting No 
Waiting Time Tracking No 

Revenue Cycle Management

Accounts Receivable Yes 
Claims Management No 
Collections Management Yes 
EHR/EMR Integration Yes 
For Healthcare Yes 
ICD-10 Compliance No 
Insurance Verification Yes 
Medical Billing No 
Patient Portal Yes 
Patient Registration No 
Patient Scheduling No 
Payment Processing Yes 

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