Emdeon Announces New Advanced Denials Management Service; Completes Transition of CaparioOne to Emdeon One
Emdeon One is a cloud-based platform that enables healthcare providers to use a real-time solution to check eligibility, submit and track claims, manage rejections and denials and accept patient payments at the point of care, online or over the phone, all from one integrated platform. Emdeon One also provides a thorough reporting suite that helps providers monitor performance and identify trends and issues that impact their bottom line.
“We designed the new Advanced Denials Management service based on feedback from our customers who were looking for a way to simplify the often tedious and lengthy denials management process,” said Jim Riley, general manager of revenue cycle technologies for Emdeon. “This new service will enhance the value of Emdeon One to our customers by helping providers keep more of the money they’re owed and ultimately reducing the cost of care overall.”
According to industry estimates, the average cost to rework a denied claim is $25, and more than 65% of all denied claims are never appealed. With the new Advanced Denials Management service, available through Emdeon One, providers can simplify the process of searching for and identifying denied claims, and can quickly and easily create and send appeal letters. The new service also offers detailed reports showing important information for identifying, classifying and determining root causes for denials, helping providers pinpoint opportunities for improvement within their billing processes.
“As providers are being challenged with new reimbursement models, such as patient-pay and pay-for-performance, it’s more important than ever to have the tools to make getting paid easier,” Riley continued. “In addition, ICD-10 is upon us once again and industry experts are strongly recommending that providers have a solid denials management solution in place long before the deadline to combat what will likely be a spike in denials after the October 2015 deadline. Emdeon One with its new Advanced Denials Management service gives providers those tools in a single place with a single solution.”
Emdeon is the largest intelligent financial, administrative and clinical health information network in the nation, processing more than seven billion transactions with a claims value of $1 trillion annually. Emdeon’s Intelligent Healthcare NetworkTM reaches 700,000 physicians, 81,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories and 1,200 government and commercial payers.
Emdeon will be demonstrating all of the features of Emdeon One including the new Advanced Denials Management service at booth 631 during the annual MGMA conference on October 26-29, 2014, in Las Vegas, Nevada.
Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers, pharmacies and patients in the U.S. healthcare system. Emdeon’s offerings integrate and automate key business and administrative functions of its payer, provider and pharmacy customers throughout the patient encounter. Through the use of Emdeon’s comprehensive suite of solutions, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.
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