Healthcare Providers

Veradigm Payerpath™

A clearinghouse with a comprehensive suite of revenue cycle management (RCM) solutions

Veradigm Payerpath’s integrated solutions are practice management (PM) agnostic, interfacing seamlessly with all major PM systems.

Veradigm Payerpath delivers an average >98% first-pass clean claims rate and reaches a network of over 3,100 payers.1

Veradigm Payerpath solutions:

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Claims Management Solutions

The key components of the Veradigm Claims Management Solutions Include:

Claims Management

Identify and retrieve missing information, incorrect codes, and data-entry errors that result in rejected or denied claims.

Remittance Management

Notify users when electronic EOBs from payers are available for review.

Notes

Increase operational efficiencies by enabling reconciliation of submitted claims with payer and trading partner reports, responses, and electronic remittances.

Coding, Compliance and Reference Tools

Encompass a robust online coding library that provides coding guidelines, documentation, and policy information to help guide practices through complex technical and regulatory challenges.

Workers’ Compensation

Streamline every step in the reimbursement cycle, from eligibility verification through patient collection. Veradigm Payerpath Workers’ Compensation Claims solution enabled by Jopari, provides payers with a robust solution to manage workers’ compensation claims activity from a single platform.

Medical Claim Attachments

Veradigm’s solution integrates claims adjudication, payment, and documentation management systems to help to reduce friction and operational costs, while providing attachment integration with hundreds of payers using a wide variety of tools. Secure, electronic delivery eliminates mailroom costs, such as scanning, indexing, and document storage, while helping you expedite claim adjudication.

Eligibility Benefits Inquiry

Veradigm eligibility benefits inquiry provides real-time access to the patient insurance information that is critical to a practice’s cash flow. Receive payments more efficiently by providing eligibility verification of patient insurance coverage before the patient’s visit.

Veradigm Claims Management Solutions can help you with:

  • Slow rejections and denied claims
  • Delayed reimbursement
  • Visibility
  • Staff efficiency
  • Lack of automation
  • Complicated coding

Veradigm Claims Management Solutions are a complete system for managing every step in the reimbursement cycle—ensuring prompt and accurate payments. Our web-based claims management system helps eliminate the missing information, incorrect codes and data-entry errors that result in rejected or denied claims.

Veradigm Claims Management Solutions also provides advanced reporting tools to deliver insight into the productivity and financial performance of your practice. Users can sort and work claims based on the unique workflows of their organization.

Remittance Manager notifies users when there are electronic EOBs from payers to review.

Notes reconciles submitted claims with payer and trading partner reports, responses, and electronic remittances.

Knowledge Source Pro with CodeCheck encompasses a robust online coding library that provides coding guidelines, documentation, and policy information.


Patient Engagement Solutions

The key components of the Veradigm Patient Engagement Solutions Include:

Patient Appointment Reminders, Outreach and Surveys

Automatically delivers appointment reminders and other important messages using methods patients prefer and conduct patient surveys

Veradigm Patient Engagement Solutions can help you with:

  • Reaching patients when and how they prefer: Ensures patient outreach success with automated appointment reminders, recalls and other patient engagement communications, freeing up staff to work with in-office patients or focus on other vital tasks.
  • Communicating with patients in real time: Delivers flexible and convenient patient outreach options, with on-demand messaging and real-time patient chat features that help improve patient satisfaction.
  • Connecting with patients for crucial feedback: Assesses patients quickly and efficiently, to gain valuable feedback and insights into patient satisfaction, as well as medical treatment management.

Patient Responsibility Solutions

The key components of the Veradigm Patient Responsibility Solutions include:

Patient Check-In and Payment Collection

Patient Check-In and Payment Collection is an integrated revenue collection tool for front desk and billing personnel to process and record point-of-care patient payments.

Patient Statements

Patient Statements is a fully automated and integrated solution that offers high-quality, customized, full-duplex patient-friendly statements specifically designed to improve patient payment rates through a preferred payment method.

Veradigm Collection Letters

Veradigm Collection Letters removes a challenging responsibility from medical practices by automating patient collections. Collection Letters eliminates the manual process of pursuing past-due accounts and the drain on practice resources by automating collection correspondence.

Veradigm Return Mail Manager

Veradigm Return Mail Manager automates return mail-handling service that helps manage and report on undeliverable Patient Statements and Collection letters returned to the office.

Veradigm eStatements with Online Bill Pay

Veradigm eStatements with Online Bill Pay enables patients to make payments on their statements, presenting their financial responsibility, and offering multiple payment methods from a dedicated patient engagement platform. Through integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.

Veradigm Patient Payment Lockbox

Veradigm Patient Payment Lockbox is an enhanced lockbox solution that receives and processes all forms of mailed patient payments to a secure PO box, where payments are processed, imaged, and delivered electronically to a practice through integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.

Veradigm Intelligent Payments

Veradigm Intelligent Payments applies next-generation technology to a practice’s billing, payment, and collection notification processes, giving patients the opportunity to self-manage their financial responsibility using a digital workflow. The Basic Bundle helps reduce the time-consuming and costly tasks that come with printing and mailing billing statements and accelerates the time from statement to payment. The Premium Bundle moves beyond typical patient billing financial practices by using advanced predictive analytic scoring to deliver a unique patient-oriented billing and payment experience. The scores consider the extent that an individual patient can pay and tailors communication delivery, statement and payment messaging, as well as payment options to maximize yield, increase patient satisfaction, loyalty, and payments.

For more detail, please go to Veradigm Intelligent Payments.

Veradigm Patient Responsibility Solutions can help you to:

  • Free staff from the manual process of printing, inserting, metering, and mailing patient statements with Patient Statements.
  • Reduce or eliminate charges from collection agencies when payments are remitted to the practice with Collection Letters.
  • Enables all forms of payments to be processed securely and directly deposited into practices’ accounts with a dedicated patient payment portal of patient payment lockbox.
  • Enable patients to view, download and print up to a year’s worth of statements, right from within a dedicated patient portal tied to the practice and help support higher patient satisfaction.

Practice Productivity Solutions

The key components of the Veradigm Practice Productivity Solutions include:

EOB Scanning and Review

EOB Scanning and Review uses optical character recognition (OCR)-based technology to upload and digitally index, identify and retrieve explanation of benefits (EOBs) that have been electronically scanned and uploaded.

Practice Performance Analytics

Practice Performance Analytics is web-based analytics and benchmarking tool that reviews electronic remittances for comprehensive denials information and payer payment trends.

Veradigm Practice Productivity Solutions can help you with:

  • Reducing document retrieval time
  • Lack of office space
  • Improving business processes
  • Better business outcomes

EOB Scanning and Review significantly reduces document retrieval time by using optical character recognition (OCR)-based technology, which identifies, indexes and files EOBs. EOB Scanning and Review also improves business processes and increases profitability by minimizing time spent on document management. With this powerful, secure, and cost-effective system, organizations gain physical space due to fewer files and storage cabinets.

Practice Performance Analytics ensures users have the information they need to reduce audit risks, optimize productivity, and improve financial performance.

Practice Performance Analytics accelerates cash flow, improves revenue, increases productivity, and mitigates financial risk by providing proactive alerts, an interactive dashboard, and real-time comparative data access.


References:

  1. Veradigm Payerpath 2021. Data on file.
  2. https://www.mgma.com/data/data-stories/6-keys-to-addressing-denials-in-your-medical-pract

Speak with Veradigm today to request a demonstration of our suite of end-to-end revenue cycle solutions.

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Speak with Veradigm today to request a demonstration of our suite of end-to-end revenue cycle solutions.

Contact us