Revenue assurance performed by software that captures data to audit the revenue cycle process, stopping leakages and reducing denials by spotting gaps in processes through data actionable software.
Powered with unique actionable analytics, EFFY Healthcare operating platform overlays existing transactional and operational systems, functioning as a permanent, protective 24/7 auditing and reporting “umbrella” that makes data comparable and enables leaders to take action and to follow up on that action. With substantially lower upfront costs, healthcare organisations can devise rapid interventions for correcting inefficiencies and revenue leakage that impact the bottom line.
EFFY makes current systems increasingly smarter and cleaner, while generating significant ROI within months of implementation.
EFFY’S exceptional Revenue Cycle Management solutions are built upon RAID Healthcare, an end-to-end software platform used worldwide by leading healthcare systems, telecom companies, utilities, retail and other complex industries:
RAID Healthcare brings an inimitable Workbench Engine solution to:
Collect and analyse data
Detect problems, define the variance and trigger alarms
Drill down to analyse, guide and advise leaders exactly what they need to do
Continue monitoring, ensure corrective actions have been taken
WHAT MAKES US DIFFERENT: We not only detect problems, we empower you to take action and fix them!
Healthcare-specific exception-based Analytic Tools:
Stands apart from other vendor offerings: not simply a rigid transaction or operational system, nor a regular data vizualization tool that just reports on everything, our system actually captures, collects, reconciles and analyses data looking for exceptions you want to detect.
And then we help you to act upon the exceptions detected.
Pricing and robust ROI:
- Overlays to existing system
- Mitigates need for immediate and expensive system replacement
- Amplified ROI for defined data sets
Puts hospital leaders in control:
Hospital leaders direct the placement of our business sensors in any area or department throughout the enterprise. Trigger alarms rapidly identifies problems and detect abnormal gaps in any area.
Heightens efficiency to ensure accurate billing, claims management and reimbursement:
Allows decision-makers to address how each of the various components of the patient-provider interaction fit into the revenue cycle – with alerts to gaps that may lead to loss or risk.
- Pre-service, including pre-registration or pre-authorization
- Care delivery
- Gauge impact, quickly correct practices involving charge master, coding compliance, clinical documentation
- Adjust billing services
- Recalibrate administrative services such as contract management, fee schedules, debt collections, managed care contracts and denial management
Data flows quickly and is readily available in real time:
Actionable, analytic, comparable data from throughout the enterprise is quickly made available, with exception reporting that alerts leaders that a fix is needed.
EFFY then provides integrated workflows to guide interventions that will correct the problem and monitor the operations to ensure that the changes have been made.
These capabilities facilitate a rapid fix before the orders are accepted:
- Saves money prior to dropping bills or exceeding length of stay
- Responds to increased financial pressures requiring earlier interventions that support the transition from volume to value-based care.