RelayAssurance™
Accelerate Cash Flow with Superior Revenue Cycle Solutions
Claims management is the key to timely cash flow and efficient operations. Yet this process is often labor intensive and complex, leading to payment delays, increased collection costs and revenue leakage.
Benefits
- Increased cash flow
- Maximized claim and remittance processing
- Fewer returned claims and denials
- Higher staff productivity
Features
- Web-based system with intuitive user interface
- Advanced workflow tools automatically process routine tasks
- Claim errors clearly indicated and offer “one-click” corrections
- At-a-glance dashboard of key performance areas
- Direct, real-time submissions to Medicare
- Advanced pre-submission edits
- Automated secondary billing
Solution Information
RelayAssurance tackles all of these issues with a single web-based system, allowing you to quickly monitor claims to keep your cash flowing with access to more than 1,800 health plans— including direct entry to Medicare. Use RelayAssurance to reconcile claims with payor responses, check eligibility before billing, and manage secondary billing and reimbursement. It’s easy to navigate, which minimizes training needs and improves productivity. Plus, an Operational Dashboard and more than 90 standard reports provide actionable data to refine your financial performance.
Automated Workflow
Comprehensive automation drives workflow and eliminates routine tasks to improve staff productivity. RelayAssurance enables you to:
- Check eligibility prior to claim submission to reduce denials
- Generate claims secondary to Medicare
- Check Medicare outpatients for medical necessity compliance
- Reconcile reimbursement against billed charges
Intuitive User Interface
Web-based and easy to navigate, RelayAssurance improves productivity by minimizing training. Claim errors are clearly indicated in red and in many cases, the error can be fixed with one click.
Advanced Editing
Shorten your payment cycle with improved editing for increased first pass acceptance, reduced rejections and minimal rebilling. RelayAssurance features advanced editing capabilities, including 837 institutional and professional edits, CCI edits for all lines of business based on Medicare standards, Medicare Medical Necessity and 72-Hour Medicare compliance edits. You can even create and manage your own edits.
Remittance Management
Electronic remittance files from all payors are delivered in one HIPAA 835 standard format. Efficiently upload and post remittance to your patient accounting system while updating the claims management database.
State-of-the-Art Technology
RelayAssurance employs the state-of-the-art database technology for reduced support needs and enhanced flexibility. The Software-as-a-Service (SaaS) model reduces hardware and support requirements and permits access by users from any personal computer through the use of digital certificate technology. And RelayAssurance is fully HIPAA compliant.
Modules
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Print and Mail Options Printing and Mailing Services to Simplify Management of Paper Claims |
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Automated Secondary Claims Automatically generate secondary claims and EOBs |
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Remittance Management Customize and automate remittance processing at the clearinghouse level |
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Claims Status Management Identify claim issues and expedite adjudication |
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Host Integration Easily access claim status information via notes in your HIS |
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Remittance Settlement Increase Productivity and Accelerate Cash Flow through Accurate and Efficient Remittance EDI |
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Medicare Direct Entry Application to simplify production and submission of Medicare claims and secondary to Medicare claims |
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Medicare Secondary Outsourcing Increase Revenue While Lowering A/R Days and Costs |
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Eligibility Claim Edits A Safety Net to Catch Coverage-related Issues Before They Convert into Denials, Delays and Re-work |
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