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Solutions
Description
Compatibility Level
Clients
Product Capabilities
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EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

RevSpring closes all the gaps to deliver a patient experience that’s as effortless, personal and connected as the device in their hands.

Engage IQ™ centers on patient understanding to deliver a holistic experience that is effortless and personal, which optimizes outcomes for patients, members and providers.

About RevSpring, Inc.:

RevSpring leads the market in healthcare engagement and payment solutions that inspire patients to participate in and pay for their healthcare. We’ve built Engage IQ™, the industry’s only connected patient engagement suite designed to coordinate patient interactions from pre-care to post-care to payment. RevSpring’s intelligent, holistic platform puts patient understanding at the center of one connected personal experience, allowing providers to fully optimize patient satisfaction, data accuracy, staff efficiency and financial outcomes. The company’s OmniChannel communications and payment solutions are backed by intelligence, analytics, contextual messaging and user experience best practices. RevSpring was rated #1 for Most New Capabilities in Patient Engagement by KLAS in 2023 and Best in KLAS in Patient Communications in 2024.

Product Description:
With the growth of high-deductible health plans and the transition to value-based care, there’s a renewed emphasis on the patient financial experience. To meet patient expectations and help increase collections, you need timely, accurate information regarding eligibility, coverage, and copays. Many hospitals also offer self-service tools to engage patients who are shopping for services online as well as financial counseling at registration to facilitate upfront payments. Clearance Patient Access Suite automates the entire process. Features of our solution suite include: • Patient-facing cost-estimate tool • User-friendly dashboard • Eligibility verification and coverage discovery • Notification of admission • HIS integration • Registration data QA • Pre-authorization/medical necessity • Bill estimation • Point-of-service collections • Charity screening and enrollment The Clearance Patient Access Suite offers everything providers need to help financially clear patients and assist in collecting as early in the revenue cycle as possible. The solution helps you perform unlimited eligibility checks on every patient encounter, and assists you in getting the most complete and current eligibility information without time-consuming phone calls and manual searches. The eligibility verification capabilities of Clearance provide staff with consistent views so the most pertinent information, including key notifications, coverage dates, in/out of network views, specialized Medicare and Medicaid views, and eligibility history for an account is available at your fingertips. And by integrating with your HIS, it confirms eligibility throughout the revenue cycle for more accurate downstream billing. In addition to patient eligibility information, notification of admission details is also available. As part of an enhanced eligibility offering, Clearance Enhanced Eligibility uses advanced analytics to identify undisclosed insurance coverage. For patient accounts categorized as self-pay, its risk-suppression feature helps ensure anti-phishing compliance. Unique data sources are used to pinpoint likely funding sources in a targeted approach, presenting you with all valid commercial, government, and managed care insurance coverage. Efficiently Manage Your Workflow: The Connect Dashboard provides a base of operations to get a complete patient financial clearance profile providing at-a-glance information for action. In addition to eligibility details, patient registration data accuracy, pre-authorization, medical necessity, patient bill estimation, point-of-service collection capabilities, and more are all accessible within this same dashboard. Second, staff can utilize a browser-based floating toolbar from within the HIS to access key Clearance Patient Access Suite information without losing focus on registration system activities. Help Improve Registration Data Accuracy in Real Time: Revenue cycle success starts at registration and having accurate registration data can help result in reduced denials, fewer rejected claims, and fewer returned statements. Clearance QA helps identify errors at registration to provide accurate data for all your downstream processes, helping to enhance financial performance and keep your cash flow constant. Registration error warnings are viewable from the Connect Dashboard, helping to alert your registrars early to errors that need to be addressed. Staff can then correct the errors, helping to eliminate the need for additional FTEs to perform manual registration QA/audits. Manage Pre-Authorization and Medical Necessity Workflow: Clearance Authorization helps manage the cumbersome and time consuming pre-authorization and medical necessity processes. The solution determines if a pre-authorization is required and on file with the payer, monitors payers for pending pre-authorization decisions and updates the HIS/Practice Management system with payer results. It also provides a consistent workflow to manage both automatic and manual pre-authorization processes. Clearance Authorization also assists with the checking of medical necessity and automatic creation of necessary ABNs, helping to reduce denials, improve reimbursements, and ensure compliance with CMS. It also includes regularly updated National Coverage Decisions (NCDs) and Local Medical Review Policy (LMRP) content services to help confirm comprehensive Medicare compliance. Validate Patient Identity and Assess Propensity to Pay: Learning as much as you can about patients upfront is often a major challenge for patient access staff. Clearance Patient ID helps you verify that patient demographic data on file is correct and notifies users about patient data issues or red flag alerts that could be related to identity theft. The solution also helps you determine the guarantor’s ability and inclination to pay their bill. By screening patients and checking healthcare payment prediction scores, Clearance Propensity-to-Pay helps your staff assess the likelihood that a patient will pay, and if the payment will be timely. Offer Cost Estimates and Drive Collections: Cost transparency helps consumers make informed choices and plan for how they’ll pay for out-of-pocket expenses. It also helps providers as it enables you to engage consumers, facilitate appointments, build trust, and help increase collections. Clearance Estimator Patient Direct is a patient-facing tool housed on your website that enables patients to obtain reliable cost estimates for common procedures and services. It also helps you meet CMS price transparency requirements and includes appointment prompts to drive engagement. It is integrated with our provider-facing tool, Clearance Estimator, which uses the same charge master, contracts, and claims data to generate estimates. This solution enables you to provide cost estimates at the point of service and request payments based on the patient’s financial circumstances. Find Financial Assistance for Patients Who Can’t Pay Taking care of patients who are unable to pay is part of the mission for many hospitals. Clearance Advocate alerts users to patients who cannot pay and should be evaluated for charity, Medicaid, or other financial assistance. The solution provides an online charity screening interview and enrollment form available within the normal registration workflow. Leverage Patient-Access Analytics to Drive Change: When you want to make strategic improvements in Patient Access operations, analytics can provide the visibility and intelligence you need to make informed decisions and initiate data-driven discussions with stakeholders to drive process change. Acuity Revenue Cycle Analytics™ provides access to near real-time patient access data and trends within and across facilities, helping to provide insight into the effectiveness and financial impact of processes. Leveraging eligibility, estimation, medical necessity, and authorization data presented in an actionable format, Acuity Revenue Cycle Analytics can help you monitor, evaluate, and improve financial and operational performance.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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Product Capabilities

RevSpring delivers important financial information to patients using SMS/text messages and email allowing them to act on that information sooner and at a lower cost.

RevSpring can send one easy to understand patient statement - either digitally or paper - that combines charges from disparate EMR environments throughout your health system’s enterprise. We route and process digital payments to the right merchant environment and EMR/HIS system for each service area and post digital payments back to the correct EMR.

RevSpring offers tailored payment solutions—pay in full, payment plans, patient financing and financial assistance—presented through our PersonaPay™ portal. Patients using PersonaPay also can easily set up and manage electronic statement delivery, payment plans, card/banking, digital wallet information and payment preferences.

RevSpring's True Estimate solution determines the patient’s financial liability by using the hospital’s chargemaster (CDM) and the contracted payer rates. It combines the chargemaster amount, the contracted payer rate, and the patient’s insurance benefit details to calculate the patient’s financial responsibility after insurance. It also implements logic to apply prompt-pay and self-pay discounts when arranging for payment.

Use Cases

Description:

Engage IQ™ is built to ensure the best response and outcomes at each stage of the patient journey. It is also designed to make the overall experience remarkable, by building trust with patients through consistency and personalization.

Engage IQ features the following:

  • A digital front door delivers a retail-like experience for consumers to shop for services, compare prices and self-schedule
  • Channel intelligence empowers patients to interact with providers in the channels they prefer and are most likely to respond to
  • Operationalization of RevSpring’s proprietary propensity to pay models predict likely payment outcomes so providers can improve them—from the very beginning of the patient experience
  • OmniChannel reminders ensures patients remember and prepare for appointments
  • A digital intake experience pre-populates known information, and allows patients to input and correct personal data using innovative optical character recognition (OCR) for enhanced convenience, fewer handoffs, and essential accuracy
  • A virtual waiting room lets patients check in from the car, from their living room, or anywhere, and co-pay or prepay using the device in their hand
  • Automated care plans keep patients connected to their providers—with critical follow-up after a care episode
  • A digital first approach to billing uses intelligence to determine patients most likely to engage digitally, while using printed communications strategically to increase response and control costs
  • The use of empathy in the self-service and staff-assisted payment experience, leveraging intelligence to match payment options to the needs of the patient to increase yield and self-service convenience, and reduce staff burden.

Pediatric use cases:

None provided

Users:

The value of Engage IQ spans all types of provider organizations. Primary benefits include:

  1. Increased yield and a predictable rate based on the provider’s own patient population and current performance
  2. Self-service improvements to off-load busy staff
  3. Cost savings, with a focus on not simply more engagement but precise engagement using print and digital channels
  4. Administrative cost savings, with focus on front-end data quality, such as clean claims and patient intake accuracy, and more

These benefits apply to:

IDN/Health Systems, Physician Groups, Pharmacies and other Specialty Providers, including Urgent Care, Ambulance Services, ASCs, Orthopedics, Dermatology, Women’s Care, and more. 

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, eClinicalWorks, Athenahealth, Azalea Health/Prognosis, MEDHOST, Allscripts/Eclipsys, GE, McKesson, CPSI, Point Click Care

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

RevSpring's goal is to match our solutions to the strategic investments you’ve made in your software platforms. Beyond that, we strive to integrate seamlessly. That means blurring the lines between your HIS systems and ours, elegantly filling the gaps that may exist in your platforms, and helping you deliver a positive patient financial experience.

Differentiators vs Competitors:
  1. Active integrations with 97% of the EHR market
  2. We don’t endeavor to compete with the EMR/EHR functionality, we complete it
  3. 7 integrations in the Epic’s Connection Hub and/or Epic’s Toolbox (a leading number)
  4. Dedicated integration team focused on new and expanding integrations to meet our client’s business and technology needs

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Health Equity

Keywords

Images

No images provided

No images provided

Videos

1 of 3

RevSpring_Patient Journey Video.mp4

No videos provided

Downloads

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RevSpring_EngageIQ-PreCare_Brochure.pdf

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Alternatives

Company Details

Founded in 1997

Founded in 2007

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