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Optimizing Healthcare Revenue Cycle Management with Veradigm's Revenue Cycle Services

Enhancing Financial Performance

Veradigm Revenue Cycle Services offers a comprehensive suite of solutions tailored to streamline and optimize healthcare revenue cycle management (RCM). These services, which are EHR-agnostic, empower healthcare providers to achieve lower Accounts Receivable (AR) days, minimize claim errors, and reduce denials, surpassing industry benchmarks. With over 30 years of experience in the field, Veradigm has a proven track record, serving more than 29,000 providers and processing $4.2 billion in annual payments.

Measurable Improvement

Through Veradigm Revenue Cycle Services, providers can experience concrete benefits such as a 99% net collections rate, a 98% first-pass clean-claims rate, and an average revenue improvement of 3-5%. These services allow healthcare organizations to focus on patient care, while simultaneously enhancing operational efficiency and financial health through automation and advanced analytics.

Expert RCM Solutions

Veradigm's revenue cycle management solutions go beyond technology, recognizing the importance of a dedicated team for success. With a commitment to ongoing support and tailored guidance, Veradigm ensures that providers receive the necessary assistance to adapt workflows and processes as their revenue cycle needs evolve. Whether it's coding, scheduling, eligibility verification, claims management, billing, collections, or advanced analytics, Veradigm's services are designed to optimize efficiencies and maximize returns on investments.

Tailored Support

Veradigm's Revenue Cycle Services address the complex challenges that healthcare practices face today, including regulatory and payer requirements. By offering customized services and workflows while following industry best practices, Veradigm ensures that providers can navigate transitions to value-based care and complex billing regulations effectively. With scalability, transparency, efficiency, and effectiveness at its core, Veradigm's services provide a comprehensive solution to manage the entire revenue cycle from initial contact to payment effectively.

Advanced Analytics and Reporting

Veradigm Revenue Cycle Analytics offers a powerful business intelligence tool that enables comprehensive reporting for informed decision-making. This tool acts as an extension of your analytics department, providing deep insights into financial and operational performance. With real-time access to data, revenue cycle analytics enhances transparency, efficiency, and effectiveness, allowing practices to optimize their financial processes and drive better outcomes.

Unlocking the Power of Healthcare with Allscripts' Veradigm Network

Revolutionizing Healthcare Connectivity

Allscripts' Veradigm Network is reshaping the healthcare landscape by providing a robust platform that connects life sciences, health plans, payers, and healthcare providers. With seamless integration and data sharing capabilities, the Veradigm Network enables streamlined communication and collaboration among various healthcare stakeholders. This interconnected ecosystem promotes efficiency, transparency, and improved patient outcomes.

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Optimizing Payer-Provider Interactions with Veradigm Collaborate

Efficiently Engage Providers for Effective Gap Closure

Healthcare providers (HCPs) are now moving towards a value-based care model, receiving reimbursement based on patient care quality rather than quantity. Veradigm Collaborate offers a suite of solutions designed to enhance payer-provider interactions, ensuring effective gap closure efforts. By delivering consolidated alerts for risk adjustment, quality, and pharmacy opportunities, Veradigm Collaborate streamlines communication with providers, minimizing abrasion and alert fatigue. Through customizable prioritization algorithms, providers receive only the highest confidence level alerts, facilitating faster gap closures and reducing the need for costly Medical Record Reviews (MRR). By integrating a secure, self-service web portal, providers can efficiently close gaps and upload supporting documentation, ultimately reducing workflow disruption and enhancing efficiency.

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Maximizing Revenue and Reducing Risks with Veradigm Risk Mitigator for RADV Audit

Understanding the Financial Consequences of a RADV Audit

Undergoing a Risk Adjustment Data Validation (RADV) audit from entities like the Centers for Medicare and Medicaid Services (CMS) or the Department of Health and Human Services (HHS) can pose significant financial risks for health plans and payers. Unsupported Hierarchical Condition Categories (HCCs) found in such audits may be extrapolated to represent an error rate affecting the overall population, impacting organizations profoundly. Even a single unsupported condition in a RADV audit sample can lead to substantial financial implications.

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Streamline Patient Care with Practice Fusion EHR Software

Efficiency in Patient Care

Practice Fusion EHR offers a cloud-based solution that allows healthcare providers to access information securely and effectively. The platform is designed to streamline workflows, making charting more efficient and simplifying the management of patient care plans. With features like certified e-prescribing, imaging and lab integrations, and automatic updates to meet best practices and regulatory compliance, providers can save time and focus more on patient care.

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Optimizing Healthcare Management with Veradigm Payer Analytics

The Importance of Effective Risk Adjustment in Healthcare

Effective risk adjustment in healthcare plays a vital role in ensuring accurate funding allocation and optimizing patient care. Veradigm Payer Analytics offers a comprehensive suite of solutions that cater to the needs of Health Plans and At-Risk Providers, helping them navigate the complexities of the healthcare landscape with ease. By addressing various functional areas such as Finance, Actuary, and Pharmacy Program Management, Veradigm ensures that every aspect of the healthcare strategy is covered, leading to improved outcomes for all stakeholders involved.

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