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features
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support

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Description

The process of patient access serves as the foundation for the entire revenue cycle management in healthcare. By ensuring that patient information is accurate from the outset, healthcare providers can minimize errors that often lead to additional work in administrative departments. A significant portion, between 10 to 20 percent, of a healthcare system's revenue is spent on addressing denied claims, with a staggering 30 to 50 percent of these denials originating from the initial patient access phase. Transitioning to an automated, data-oriented workflow not only mitigates the risk of claim denials but also enhances patient care access, thanks to features such as round-the-clock online scheduling options. Furthermore, patient access can be refined by streamlining billing processes through real-time eligibility checks, which provide patients with precise cost estimates during registration. Additionally, enhancing registration accuracy leads to greater staff efficiency, allowing for immediate rectification of discrepancies and errors, thereby preventing expensive claim denials and the need for further administrative corrections. Ultimately, focusing on these elements not only safeguards revenue but also elevates the overall patient experience.

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 

Screenshots View All

Screenshots View All

Integrations

ABLE Platform Yes 

Integrations

ABLE Platform 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 Yes 
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 Yes 
Webinars Yes 
Live Training (Online) No 
In Person No 

Types of Training

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

Vendor Details

Company Name

Experian Health

Founded

1994

Country

United States

Website

www.experian.com/healthcare/products/patient-access-registration

Vendor Details

Company Name

EqualizeRCM Services

Founded

2003

Country

United States

Website

equalizercm.com/services/software-solutions/optimus/

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 No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Medical Scheduling

Appointment Management No 
Billing & Invoicing No 
Drag & Drop No 
Facility Scheduling No 
Multi-Location No 
No-Show Tracking No 
On Call Scheduling No 
Patient Records No 
Patient Scheduling No 
Physician Management No 
Recurring Appointments No 
Self Service Portal No 
Staff Scheduling No 

Patient Scheduling

Analytics/Reporting No 
Approval Process Control No 
HIPAA Compliant No 
Mobile Access No 
Notifications/Alerts No 
Online Scheduling No 
Patient Communications No 
Patient Intake No 
Patient Portal No 
Patient Records Management No 
Payment Processing No 
Reminders No 
SMS Messaging 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 

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