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

Optimize your revenue cycle with less effort

Providers are looking for ways to receive payments faster without placing additional burden on front-desk staff. Availity’s Revenue Cycle Management (RCM) solution helps simplify claim and payment processing, while delivering powerful reporting and intelligent analytics that pinpoint revenue cycle trends.

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 be fixed.
  • Claims delivery management ensures your claims take the fastest path to the health plan with 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 claims editing creates custom edits that fit your organization's business rules.
  • Comparative analytics allows you to benchmark your practice'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.
  • Patient payments allows you to manage patient payments, including integrating claim status, payment, claim detail, and history into a single database.
  • Patient statements allows you to integrate patient statements and pre-collection letter printing with the rest of your claims and payment process, providing the same transparency and common workflows.
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