Interactive revenue cycle management tool

The
Revenue
Cycle
Pre-registrationRegistration at Time of ServiceInsurance Coverage VerificationPoint-of-Service Collection Appropriate Clinical DocumentationClinical AssessmentStaff Management Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionPayer follow-upDenial ManagementRemittance ReconciliationPatient Payments Benchmarking and AnalyticsStatus ReportingExtended Financial Analytics
full-color-wheel 1. Patient access management 2. Care quality 3. Billing / collections 4. Reporting / benchmarking

Throughout the revenue cycle it is important to maintain a profitable and efficient organization. Each step works together to ensure that your patients or residents have a positive experience and you receive reimbursement from a multitude of payers without delay. While there are many options to consider, ABILITY® has applications to streamline the process. This allows multiple departments who interact with each phase of the revenue cycle to work together in a cohesive manner.

Our interactive RCM tool will help you to identify the right ABILITY applications to help you address the challenges facing your organization. No matter what step in the revenue management cycle needs to be streamlined and made more efficient, ABILITY has a product to meet your needs.

Click on an area to learn what products are right for you.

Patient Access Management

Creating a painless front end process for patients is an important step in the process for a healthy and effective revenue cycle. Collecting accurate information and simplifying the eligibility verification and point-of-service collection processes are a solid start to a smooth and painless process throughout the revenue management cycle.

Click on a section within the wheel to learn which ABILITY applications can help with:
Pre-registrationRegistration at Time of ServiceInsurance Coverage VerificationPoint-of-Service Collection
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Patient Access Management: Pre-registration

Collect information at time of appointment or pre-registration with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Registration at Time of ServiceInsurance Coverage VerificationPoint-of-Service Collection
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Patient Access Management: Registration at Time of Service

Easily organize information from patients as they sign in for their appointments or are admitted to receive care with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Pre-registrationInsurance Coverage VerificationPoint-of-Service Collection
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Patient Access Management: Insurance Coverage Verification

Submit insurance inquiries and validate coverage via several ABILITY® applications:

Click on another section within the wheel to learn which ABILITY applications can help with:
Pre-registrationRegistration at Time of ServicePoint-of-Service Collection
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Patient Access Management: Point-of-Service Collection

Handle pre-payments and copays with ease using:

Click on another section within the wheel to learn which ABILITY applications can help with:
Pre-registrationRegistration at Time of ServiceInsurance Coverage Verification
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Care Quality

As a patient or resident receives care, there are several steps necessary to ensure that the billing cycle remains efficient and accurate. From managing staff to ensuring accurate clinical documentation and supporting quality improvement initiatives, ABILITY® provides several options for healthcare organizations.

Click on a section within the wheel to learn which ABILITY applications can help with:
Appropriate Clinical DocumentationClinical AssessmentStaff Management
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Care Quality: Appropriate Clinical Documentation

Review clinical documentation, currently available for OASIS and MDS, for accuracy and consistency prior to submission through:

Click on another section within the wheel to learn which ABILITY applications can help with:
Clinical AssessmentStaff Management
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Care Quality: Clinical Assessment

Document clinical assessments and follow the process of care with ABILITY® applications:

Click on another section within the wheel to learn which ABILITY applications can help with:
Appropriate Clinical DocumentationStaff Management
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Care Quality: Staff Management

Ensure proper staff scheduling at provider level using:

Click on another section within the wheel to learn which ABILITY applications can help with:
Appropriate Clinical DocumentationClinical Assessment
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Billing and Collections

In order to maintain a profitable organization, having a solid handle on the billing and collections process is crucial. Claims must be submitted in a timely and accurate manner to reduce rejections and shorten the time to receive compensation from payers.

Click on a section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionPayer follow-upDenial ManagementRemittance ReconciliationPatient Payments
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Billing and Collections: Claims Submission and Scrubbing

Submit claims and have them checked for errors via automated claims validation and scrubbing with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Status Inquiry and Issue ResolutionPayer follow-upDenial ManagementRemittance ReconciliationPatient Payments
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Billing and Collections: Claims Status Inquiry and Issue Resolution

Check the status of claims, submit corrections and updates and receive payer correspondence notifying you of claims that require follow-up via:

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingPayer follow-upDenial ManagementRemittance ReconciliationPatient Payments
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Billing and Collections: Payer follow-up

Simplify payer correspondence with one place to receive all-payer messages. Stay on top of denial messages, claim and remittance advice status updates within one application.

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionDenial ManagementRemittance ReconciliationPatient Payments
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Billing and Collections: Denial Management

Handle denials and resolve issues when a payer rejects a claim with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionPayer follow-upRemittance ReconciliationPatient Payments
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Billing and Collections: Remittance Reconciliation

Applying payments and reconciling balances is easy when staff can receive electronic RAs from payers through:

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionPayer follow-upDenial ManagementPatient Payments
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Billing and Collections: Patient Payments

Handle patient payments online, create payment plans and track all forms of patient payment in one place with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Claims Submission and ScrubbingClaims Status Inquiry and Issue ResolutionPayer follow-upDenial ManagementRemittance Reconciliation
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Reporting and Benchmarking

In order to maintain an efficient and profitable organization, it is important to understand and analyze information. Maintaining accurate reports and records is also imperative for certain compliance scenarios.

Click on a section within the wheel to learn which ABILITY applications can help with:
Benchmarking and AnalyticsStatus ReportingExtended Financial Analytics
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Reporting and Benchmarking: Benchmarking and Analytics

View reports and analytics to prepare benchmarks to gain visibility into your organization’s clinical and financial health with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Status ReportingExtended Financial Analytics
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Reporting and Benchmarking: Status Reporting

View the status of claims on an individual or multi-payer level to better understand accounts receivable using:

Click on another section within the wheel to learn which ABILITY applications can help with:
Benchmarking and AnalyticsExtended Financial Analytics
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Reporting and Benchmarking: Extended Financial Analytics

Need more intensive analytics information? Find advanced denial management features, check trends of in-office claim errors, and learn how you compare with your peers with:

Click on another section within the wheel to learn which ABILITY applications can help with:
Benchmarking and AnalyticsStatus Reporting
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Want to learn more about what ABILITY applications can do for you? Speak with one of our representatives to learn how you can create a seamless revenue cycle or attend a free webinar to learn more.
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