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BILLING and REVENUE CYCLE MANAGEMENT

Billing & Revenue Cycle Management system is a specialized patient billing system for healthcare institutions. The automated system is designed around the basic health constructs of patient transfers and services and can bill patients by the time spent in wards and locations using DRG and ICD codes. Billing & Revenue Cycle Management system spends up time between service provision and payment collection through capturing all patients service activities ensuring that none is left out. The system is important for healthcare organizations to capture and leverage data analytics and insights in order to properly train their staff and make real-time business decisions. Developed with future upgrades in mind, the system is designed for open customization so as to respond to future changes in business and service delivery models of hospitals.


services

features

    • Integration: automatically receives, processes real-time incoming patient and service data from source systems and sends updates back to the original systems.

    • Patient Billing and Claim Management: automatically calculates the charges based on the healthcare facility's billing policies and generates invoices for patient treatments.

    • Accounts Receivable: automatic or manual receiving of payments from debtors with allocation of each payment to the relevant invoice.

    • Electronic Claims: automatically generates electronic claims to the relevant health agencies, submits claims, accepts payments, speeds up the billing cycle from weeks or months to days and greatly improves cash flow

    • General Ledger: extracts GL Journal file for a period from the billing transactions for posting to the Financial System General Ledger

    • Reporting: reports the billing and revenue performance through a series of standard reports and client-uploaded Crystal Reports as well as allowing for detailed analysis and exploration through custom reporting.

services

BENEFITS

    • Functionality and reliability

    • Ease of tracking all transactions

    • Reducing high cost of labor involved in patient billing process

    • Ensuring accurate billing information

    • Increasing cash flow and revenue collection

    • Time saving and accuracy

    • Handling simple and complex insurance case mix scheme

    • Implementing local Middle East insurance eligibility and claim rules

    • Adapting local workflow with complete comprehensive configurable workflow design

    • Real time business decision making based on data analysis insights

    • Reporting and analysis engine to help decision makers focus on revenue maximization without losing focus on patient quality service

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