Change Healthcare

Help Accelerate Prior Authorization: - Automate manual processes by determining if a pre-authorization is required and on file with the payer. - Create a consistent workflow for manual intervention of pre-authorization follow-up to ensure mission-critical steps are not overlooked. - Help reduce losses due to write-offs by automating Medical Necessity checking as part of registration, and perform clinical code auditing for Medicare outpatient services. - Monitor payers electronically for pending pre-authorization decisions with results automatically posted to your health information system. - Help reduce authorization-related claim denials by accessing an audit trail where the authorization verification was obtained and results were stored. - Create Advanced Beneficiary Notices with expected charges for the patient which allows them to accept liability prior to care delivery.

Assurance Reimbursement Management is an analytics-driven claims and remittance management tool that helps healthcare financial managers efficiently manage all types of payer claims, including commercial, Medicare, Medicaid, and Worker’s Compensation, in one integrated system. Assurance provides ongoing claim visibility and supports proactive just-in-time follow-up until payment is received. Assurance Reimbursement Management gives hospitals, physician practices and other ancillary providers the capabilities to accelerate claim payment, limit denials, improve resource utilization, and reduce costs.

Acuity Revenue Cycle Analytics is an analytics platform that leverages data from across the revenue cycle continuum (from patient access to remittance) to provide a holistic, cross-functional view into behaviors, processes and trends for the purpose of making timely decisions impacting financial outcomes, staff productivity and patient experience. • Dashboard showing a snapshot of critical information to quickly and easily identify problem areas in the revenue cycle. • Data compilation is automatic and in near real-time. • 80+ standard (yet also customizable) reports are available. • Users can create unique reports using any available criteria for unique use cases. • Suggested performance thresholds based on industry-wide data give context for whether performance is exceeding, on track or lagging goals. • Offers suggested thresholds or customize to meet unique needs. Visual indicators highlight when performance is outside of thresholds. • Acuity Advisor helps guide use of the wealth of data within the application by suggesting reports for common issues. • Reporting Bundles include visibility into data to improve processes in Patient Access, Services Rendered, Billing Efficiencies, Reimbursements, Denial Analysis, and Payer Relations.

• Collaborates with each client to define the approach and process to maximize ROI and client satisfaction • Works as supplement, complement, or replacement to internal processes or existing vendors • Provides tailored reporting that focuses on prevention and identification of opportunities within the clients operation

Pulse Revenue Cycle Benchmarking provides hear real-time visibility into your revenue cycle performance through detailed, data-driven comparison with peer organizations. By harnessing the vast data network of Change Healthcare, Pulse Revenue Cycle Benchmarking allows you to measure your facility against peers, best performers, and industry averages. The result is a dynamic baseline to support continual revenue cycle improvement. Drive