Why Cost Per Successful Payment Should Replace Denial Rate
In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s
MedEvolve, a leading provider of revenue cycle management (RCM) solutions that provide effective intelligence, automation and accountability for healthcare organizations, has been recognized as the top RCM workflow automation company by Black Book Research. This accolade showcases MedEvolve’s commitment to delivering innovative solutions that help healthcare organizations maximize labor across revenue cycle functions to deliver optimal bottom-line impact.
Rank | RCM Firm |
|---|---|
1 | MEDEVOLVE |
2 | MD Clarity |
3 | Waystar |
4 | Experian Health |
5 | Ewall Solutions |
6 | Nextgen |
7 | Thoughtful AI |
8 | EvidenceCare |
9 | ModMed |
10 | Streamline Health |
11 | R1 RCM |
12 | Change Healthcare |
13 | SCP Health |
14 | Issio Solutions |
15 | Medsphere |
16 | Finthrive |
17 | MPower Health |
18 | Millenia |
19 | Finvi |
20 | AGS Health |
Criteria | RCM Firm |
|---|---|
Strategic Alignment of Client Goals including VBC HIE ONC | MEDEVOLVE |
Innovation | MEDEVOLVE |
Training | Waystar |
Client relationships and cultural fit | MEDEVOLVE |
Trust, Accountability, Transparency, Ethics | MEDEVOLVE |
Breadth of offerings, client types, delivery excellence | MEDEVOLVE |
Deployment and implementation | EvidenceCare |
Customization | Waystar |
Integration and interfaces | MEDEVOLVE |
Scalability, client adaptability, flexible pricing | MEDEVOLVE |
Compensation and employee performance | MD Clarity |
Reliability, consistency | MEDEVOLVE |
Brand image and marketing communications | MEDEVOLVE |
Marginal value adds and modules | MD Clarity |
Financial Viability & Managerial Stability | MEDEVOLVE |
Data security and backup services, patient privacy | MEDEVOLVE |
Support and customer care | MD Clarity |
Best of breed technology and process improvement | MEDEVOLVE |
Effective Intelligence combines Patient Financial Clearance Automation, Medical Billing Workflow Automation, and Real-Time RCM Analytics in a cloud-based platform designed to integration with your current EMR/PM technology to measure the effectiveness of your RCM staff.
Review and assess your practice’s financial status in 5 min or less and know exact where you are losing money and why. Measure the work effort of every revenue cycle employee, incentivize and retain your top performers, and help employees that need improvement.
You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment. Configure checkpoints and use central task management to quickly clear patients and keep your front office staffing needs at a minimum.
As team members log in to the web-based application and record each “touch” of a claim, outcome, and next task, key data points are recorded like who completed the task and when, outcome, task notes, internal / external messages sent, collection success and other data points that feed into our real-time analytics.
Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.
Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.
In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s
A team can spend 40 hours resolving 200 claims, watch 180 of them pay, and still report a comfortable 8 percent denial rate. That number doesn’t tell you what it
Hospitals and health systems spend an estimated $40 billion a year on billing and collections. A system replacement changes the interface, not necessarily the economics.
In this guide, MedEvolve breaks
Most AI vendor pitches are built around task-completion metrics: claims processed, calls placed, codes assigned, denials ‘worked.’ These numbers are easy to demo and easy to report. They are also,
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