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

Equip your clients with flexible, robust access to their most important clinical and financial data

When you include Availity’s Revenue Cycle Management in your clients’ solution, they’ll get effective, efficient workflows that deliver HIPAA standard and custom transactions to their desktop – both pre- and post-claim. From solo practitioners to large hospital systems, providers get an intuitive interface that reduces their administrative burdens and improves payment processing.

Features

  • Providers can submit professional and facility claims in real-time or batch, and get confirmation that the payer’s receive them.
  • Real-time form validation highlights missing information and errors for immediate correction.
  • The Availity network ensures effective routing of data to health plans.
  • Providers can post and receive electronic remittance advice in formats compatible with most practice management systems.

Add-On Modules

  • Advanced claim editing works with providers’ business rules using pre-built or custom edits.
  • Comparative analytics allows you to pull and analyze comprehensive data from your electronic remittances. You can create custom reports that help you identify denial and payment trends for your organization.
  • Denial management simplifies the denials process through automated and configurable workflows, delivering the insight your organization needs to reduce denial rates and improve staff productivity.
  • Patient payments can be accepted online or at the point of service, eliminating standalone batch terminals and increasing collection of the patients’ charges.
  • Automated secondary claims cross-checks participating Blue cross and Blue Shield plans for cross-over Medicaid claims and submit fully compliant secondary claims.
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See how Availity's Revenue Cycle Management solution gives your clients efficient clinical and administrative workflows.
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