Revenue Cycle Management
Revenue Cycle Management includes all aspects of the revenue cycle from patient pre-authorization to posting payments. The Revenue Cycle Management module links with the EHR module to post patient charges. The module interfaces with TruCode as a coding tool to check codes and make updates if needed. Claim scrubbing is incorporated to allow non-problematic claims to be processed automatically based upon predefined rules and will flag issues for the billing department. Electronic eligibility and benefit verification, claim submission, and payment posting is available. Patient payment posting is also incorporated into the module. The billing and coding departments have the ability to work from a worklist and stay on one screen to do submission and denial management.
The Revenue Cycle Management module includes reports covering finical data, management information, and key performance indicators. All reports can be customized to meet specific needs and combined to produce director reports. Patients using the VersaSuite Patient Portal can view charges and make payments or create payment plans. All aspects of denial management and collection are also handled.