New in Iridium Suite v5.6.0 – Real-time Eligibility

One of the most common problems in medical billing is billing an incorrect or an

One of the most common problems in medical billing is billing an incorrect or an
inactive insurance policy. Realtime Eligibility requests are designed so that providers can determine if a payer has a particular patient policy on file and the status and/or the benefit information about that policy. Technically this is referred to as 270/271 transactions. These transactions allow the provider to preemptively determine if the patient has active insurance or not. One of the most common use patterns is to check a patient’s eligibility before they even step foot in the office so you can make sure they are insured and the payment method is acceptable. The Iridium Suite automates this process even further by allowing you to auto-generate the patient demographics and policy data based on the demographics supplied from the payer in the eligibility response.

For more information, call our sales team.

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

Revenue Cycle Management: Accomplished.

START BILLING BETTER WITH SHAVARA

by Shavara

Shavara has the accumulated 'experience capital', the market know-how, the intricacies of coding, billing and connectivity that we have 'learned'. It is the basis of the work we do in Catalysis - Shavara's Professional Services Engagements.

ThinkCatalysis
Revenue Cycle Management: solved.

What is Catalysis?

To "catalyze" is to rapidly advance by applying powerful tools and industry expertise. Catalysis becomes the process to gain access to the power, apply it to solve gaps and vulnerabilities - then rapidly advance. Shavara possesses the tools to apply Catalysis via collaborative engagements. Our infinite targets are the enterprise organizations: Hospitals, clearinghouse processors, Insurance companies (payers), and large physician practices, peppered throughout the Healthcare system that all share equally the challenges, pitfalls, inefficiencies, ineffectiveness, and the deliberate speed-bumps placed there by bureaucrats to slow down the revenue cycle.

What are the costs of these speed-bumps to the Healthcare system? The costs are in the billions.

Inefficiencies / ineffectiveness / inaccuracies in coding and billing mean:

a higher cost of money due to extended A/Rs
a higher cost of operating due to the number of additional staff required to research and chase down A/Rs
a decline in the quality and calibre of care - care outcomes due to the necessity of placing so much cost on the administrative and operational side of the equation

Therefore, solving this eliminates and holds the potential to improve organizational effectiveness, reduce the cost of healthcare and improve healthcare outcomes.

So, who is Shavara? What is that old lamp on the corner of the desk?

That lamp holds wisdom. The cumulative potential of that wisdom holds the potential to dramatically impact operational effectiveness and improve healthcare outcomes.

For Information on Catalysis contact Shavara's Services Division