Revenue Cycle Automation

Revenue Cycle Management:

• Prior Authorization ​
• Insurance Claims - Posting
• Patient Payment - Posting
• Coordination of Benefits: Primary, Secondary, & Tertiary
• Price Transparency & Real-Time Estimates
• Revenue Integrity - Payment Audits (Under & Over)
• Provider: Insurance Enrollment
• Revenue Integrity - Charge Description Master (CDM) Management
• Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)
• Insurance Claims - Denied & Rejected Follow-Up

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Provider staff, Business Office employees

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

Element Blue's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.