Average Ratings 8 Ratings
Average Ratings 0 Ratings
Description
Effective collaboration in patient care hinges on continuous connectivity and access to the latest information. It has become increasingly crucial to streamline the exchange of this information with insurers. Availity simplifies the process of working with payers, guiding you from the initial verification of a patient's eligibility to the final resolution of reimbursements. Clinicians desire quick and straightforward access to health plan details. With Availity Essentials, a complimentary solution backed by health plans, providers can benefit from real-time data exchanges with numerous payers they frequently engage with. Additionally, Availity offers a premium option known as Availity Essentials Pro, which aims to improve revenue cycle performance, minimize claim denials, and secure patient payments more effectively. By relying on Availity as your trusted source for payer information, you can dedicate your attention to delivering quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions enable providers to seamlessly integrate HIPAA transactions along with other essential functionalities into their practice management systems, ultimately enhancing operational efficiency. This comprehensive approach ensures that healthcare providers can maintain focus on their primary mission: patient well-being.
Description
At the core of EqualizeRCM's strategy for managing healthcare revenue cycles are groundbreaking software solutions. The Optimus Suite, our RCM automation platform, is designed to seamlessly integrate with the existing systems of our clients, including EMR, PM, Clearing House, Payer, and others. This innovative platform, supported by a suite of intelligent applications, enables healthcare facilities and practices to streamline their revenue cycle processes while simultaneously lowering operational costs. With the ability to customize Optimus for your specific system, you can enhance your RCM performance significantly. Our denials and accounts receivable management system provides features such as easy claim status tracking, comprehensive dashboard analytics, and in-depth root cause analysis for denials and AR. Additionally, the platform allows for the integration of 835 and 837 data into the denials and AR management framework, facilitating swift claims analysis. Furthermore, we offer a cost-effective and customizable contract payment calculator that helps in assessing expected payments based on provider contracts, allowing for convenient comparisons to actual payments received. This comprehensive approach ensures that healthcare organizations can achieve optimal financial performance.
API Access
Has API
No
API Access
Has API
No
Integrations
AZZLY
Yes
Accurint Crime Analysis
Yes
Bridger Insight XG
Yes
Cohere Unify
Yes
EZBIS
Yes
ElderSuite
Yes
InvisaClaim
Yes
Juris
Yes
Lexis Advance Quicklaw
Yes
Lexis Omni
Yes
Integrations
AZZLY
No
Accurint Crime Analysis
No
Bridger Insight XG
No
Cohere Unify
No
EZBIS
No
ElderSuite
No
InvisaClaim
No
Juris
No
Lexis Advance Quicklaw
No
Lexis Omni
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
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
Yes
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
Yes
Online Support
No
Types of Training
Training Docs
No
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Availity
Country
United States
Website
www.availity.com
Vendor Details
Company Name
EqualizeRCM Services
Founded
2003
Country
United States
Website
equalizercm.com/services/software-solutions/optimus/
Product Features
Hospital Management
Accounting Integration
Yes
Appointment Management
No
Appointment Scheduling
Yes
Bed Management
No
Billing & Invoicing
Yes
Claims Management
Yes
In-Patient Management
Yes
Inventory Management
No
Medical Billing
Yes
Out-Patient Management
Yes
Patient Records Management
No
Physician Management
No
Policy Management
No
Revenue Management
No
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
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Revenue Cycle Management
Accounts Receivable
No
Claims Management
No
Collections Management
No
EHR/EMR Integration
No
For Healthcare
No
ICD-10 Compliance
No
Insurance Verification
No
Medical Billing
No
Patient Portal
No
Patient Registration
No
Patient Scheduling
No
Payment Processing
No
Product Features
Revenue Management
Competitor Analysis
No
Dynamic Pricing
No
For Airlines
No
For Hospitality Industry
No
Forecasting
Yes
Inventory Control
Yes
Price Optimization
No
Recommendation Engine
No
Yield Management
Yes