Everything you need to optimize your revenue cycle
Centricity EDI Services offers a robust portfolio of services that enable you to focus on your healthcare business while streamlining processes and workflow.
Eligibility Verification: GE Healthcare’s Eligibility Verification solution through Centricity EDI Services enables you to utilize a highly automated exception-based workflow to verify patient eligibility immediately and improve the ability to collect full payment by informing the patient of their financial responsibility at the time of arrival. Eligibility verification helps you achieve better insurance accuracy with reduced effort on the front end while helping to reduce back-end denials and rejections which further reduces unnecessary delays and costs in the revenue cycle.
Electronic Claim Submission: The solution enables electronic claims submission to over 1000 payers through a single point of connectivity. Centricity EDI Services not only facilitates the electronic submission of claims, but customers can also learn the status of a claim at any point, prevent claims from being lost, quickly understand the root cause for a rejection, fix the problem and resubmit your claim.
Electronic Remittance Advice: Posting claims by hand is a tedious, expensive process that is fraught with the risk of errors and inaccuracies. By enabling electronic claim remittance providers can post remittances directly into their revenue cycle management solution automatically, frequently with no manual intervention resulting in faster claim adjudication.
Advanced Payment Tracking: An innovative approach to identify missing or late payments. Complex predictive algorithms determine when payments should be received and will notify the user of late or missing payments.
Integrated Auto Claims Status (AutoCSI): AutoCSI takes action on the missing or statistically late payments identified by the Advanced Payment Tracking system. Claim Status Inquiries are automatically generated for claims that are late or likely missing. Late claims status and responses are seamlessly routed directly into native revenue cycle workflows and task engines. This functionality reduces staff time and accelerates the revenue cycle by automatically identifying unpaid claims and submitting Claim Status requests to payers.
Denial and Rejection Management: Automated and integrated workflow tools bridge together GE Healthcare’s EDI clearinghouse and proactive services with work lists within your revenue cycle to manage the claims that either failed to pass up-front edits or that were denied for payment by the payers. Denial analysis and reporting capabilities offer a thorough analysis of potential problems related to their data entry, coding, and key business processes, enabling customers to make better informed decisions with less time and effort.
Payment Automation: The Centricity EDI Services Payment Automation solution enables you to to receive process and post third-party payments electronically with minimal manual effort. Now, instead of staff wasting time sorting mail, matching both paper and Electronic Remittance Advice (ERA) to expected payment, posting third-party payments, creating deposit tickets or making trips to the bank, GE Healthcare’s Payment Automation offering enables complete automation of these tasks.
Hosted Claims Manager: Centricity EDI Hosted Claims Manager is a rules-based, front-end clinical editing tool that allows you to review professional and institutional claims before submission in order to help reduce claim denials, shorten your accounts receivable cycle and increase the rate of collections. The solution allows real time scrubbing prior to claim submission, helping to reduce claim denials and costly audits, detects when invoice is incomplete before claim submission, helping to improve the revenue cycle process and helps to speed up reimbursement and decrease days in A/R because claims are more likely to be compliant the first time they are submitted.
Payment Reconciliation: Matches bank deposit files with Electronic Remittance Advice (ERA) files to confirm that the money has been received by your financial institution and that it is safe to post the ERA file in your practice management system. Payment Reconciliation decreases costs by greatly reducing the manual task of reviewing ERA files compared to bank deposit files. The solution’s exception-based workflow easily identifies ERA files that have not yet received funding or deposits that have not yet received the corresponding ERA file, so you and your team can focus on other important tasks such as establishing additional ERAs and EFTs.
Advanced Reporting Powered by Reimbursement Analytics: Extends EDI reporting capabilities by offering advanced business intelligence and analytic reporting mechanisms to report on electronic payment information. The tool provides actionable current and historical information to help you identify and address factors driving reimbursement delays and other issues impacting the financial health of the practice. Advanced Reporting powered by Reimbursement Analytics offers a customizable dashboard, easy to build ad-hoc report writer and customizable alerting system to provide the tools to understand where the financial challenges may be within your organization. Furthermore, it provides customers comparative data to assess performance against state and national peers within their same specialties.
Fully HIPAA compliant, CAQH® CORE Certified and ENHAC Accredited.