Availity Revenue Cycle Management For Practices & Medical Groups
Revenue Cycle Management

Faster access to accurate data means a better revenue cycle for hospitals

Availity’s Revenue Cycle Management (RCM) solution provides real-time access to critical data within existing workflows—registration, coding and billing, and claims processing. With the right information at the right time, your hospital can gain efficiency, improve visibility into the revenue cycle, and optimize financial performance.

Features

  • Claims submission management allows you to submit claims in batch or one at a time and get real-time notification of receipts.
  • Edit/Error management identifies errors in real time and allows you to quickly see the fields to fix.
  • Claims delivery management ensures your claims take the fastest path to the health plan through our network of direct connections.
  • Remittance management automatically posts ERAs in the format required by most practice management systems.

Add-On Modules

  • Advanced claim editing creates custom edits that fit your organization's business rules.
  • Comparative analytics allows you to benchmark your hospital’s performance against state and national peers.
  • Denial management lets you see the details behind your denial rates to address errors, reduce write-offs, and improve your cash flow.
  • EOB to ERA conversion uses automated remittance and posting to allow you to automatically post all of your payments.
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