Limit Revenue Leakage
Inefficient A/R & denial workflows fail to collect millions of dollars of net patient revenue despite the administrative cost that comes with it. Providers continue to witness lower reimbursement rates, costly write-offs, denials, and increased aging. Challenges stem from archaic processes and poor data, leaving providers frustrated.
Take Back Control Of Your Reimbursement
Revenue loss and uncompensated care don’t have to be normal. To stay profitable, healthcare providers can no longer remain reactive to A/R and denials. Relying on status quo recovery processes are slowly killing your profitability.
Take control of your revenue recovery with the power of AI and automation. We equip your revenue cycle team with smart processing that accurately identifies which claims will be paid, prioritizes recovery and denial management, and frees your team from time-intensive repetitive activities.
Leverage System Integrations
Maximize Revenue Recovery
Optimize claim allocation at the optimal time to collect
Improve Cashflow
Focus on claims with the best chance of reimbursement and get cash in the door faster
Reduce Aging
Ensure claims nearing timely filing are not missed
Decrease Cost To Collect
Automation reduces manual tasks and improves productivity
Prevent Denials
Denial insight helps you indentify trends and avoid repeat denials
A/R INVENTORY INSIGHTS
Gain A Complete Financial Picture In One Dashboard
Integrated data across multiple EMR and billing systems to provide comprehensive oversight of current A/R inventory. Enables transparency and insights into the various A/R categories and supports deep analysis across multiple dimensions like facility, payer, denial and aging categories.
- Understand Current Collection Rate vs Potential Collection Rate
- View recovery performance by payer, practice and code
- Collected Amounts vs. Allowed Amounts
- Shortfalls by Categorization Groups & CPT
Leverage actionable financial intelligence to take control of your revenue recovery.
RECOVERY PREDICTION
Prioritize Claims With The Highest Probability Of Reimbursement
Continuous AI-based predictive analysis of all outstanding A/R and denial inventory to determine recoverability at a claim or charge level. Our prediction models operate at a high degree of accuracy and take into account claim status, payer guidelines, procedures, contractual allowed, denial complexity, remittances made, and more to determine recoverability.
- Unmatched recovery prediction accuracy
- Accurately forecast collectible dollars and timelines
- Higher net reimbursement
Get a clear picture of what’s recoverable and a more accurate financial picture.
INSURANCE DISCOVERY
Uncover Hidden Coverage and Avoid Patient Surprise bills
Prevent bad-debt and write-offs and capture uncollected dollars from payers with deep data mining technology. We not only help you find undiscoverable coverage but also take care of billing the claim.
- Reduce charity write-offs
- Increase patient satisfaction
- 90% accuracy rate
Let our solution do the work while you sit back and collect the revenue.
PRIORITIZE CLAIMS
Prioritize Claims With The Highest Probability Of Reimbursement
By identifying which claims are recoverable and the expected reimbursement, your team starts every day set up for success with an optimized work queue..
- We guide recovery teams in every action needed and when.
- Reduction in operational costs
- Forecast workload and resource allocation
- Monitor team performance
Through prioritization, recovery teams are able to improve productivity and effectiveness.
RECOVERY AUTOMATION
Lean On RPA Bots Handle Low-Value Tasks
We leverage RPA Bots to automate necessary but time-consuming processes freeing up your team to focus on complex claims.
- Increase team bandwidth
- Touch more claims
- Eliminate manual follow-up and appeals
Reducing manual tasks decreases your cost to collect allowing teams to focus on revenue-generating tasks.
OPERATIONAL ANALYTICS
Measure Team Performance
Measures the overall productivity and effectiveness of your AR recovery team with our analytics solution. Gain insights into areas of opportunity for resource and work planning.
- Productivity reporting
- Claim results for each team member
- Resource planning
With better insight into your team’s performance and productivity, allow you to better allocate work and identify coaching opportunities.
Leverage System Integrations
Our cloud-based AI/ML-powered A/R and Denial Management solution is a seamless extension of your billing system.
The Depth Of Our Experience
What Your Peers Say About Our A/R and Denial Management Solution
“When you are managing A/R at an organization of our size, you really have to be at your best and strategize daily. The AI/ML-based recovery prediction is a game-changer and provides a continuous collection potential of A/R inventory. My team’s reaction time to resolve issues and work on new revenue opportunities has improved tremendously. We are seeing additional dollars flowing in, our net collection rates have improved, we do not have to write-off as much and our inventory aging is in a spectacular spot.”
Sr. VP RCO, National Radiology Group
“My time is now freed from data crunching to allocate work to agents on the ground and operational reporting. Now, Infinx’s solutions do all of that for me along with application of multiple other dimensions to the prioritization strategy that I could always dream of applying manually. I am now able to focus on things where I am best at – spending time with my team to act on issues and improve our RCM operations and reimbursements.”
Revenue Cycle Operations Manager, National Radiology Group
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You Asked, We Answered
Curious if our A/R and denial management solution will meet your needs? Here are your peers’ most common questions when evaluating our eligibility and benefits solution.