Solutions for Every Revenue Cycle Stage in Healthcare

Reventics provides best-in-class post-encounter medical billing and claims management solutions to help improve revenue and compliance outcomes.

Our unique approach is based on physician developed policies and training programs that are integral to the coding solution. Our auditing includes internal and external reviews of coding accuracy, policies, and procedures to ensure that you are running an efficient and a compliant, liability-free operation.

Billing and Claims Management

During the assessment phase of an engagement, Reventics benchmarks clean-claim and
first-pass rates to compare against industry best practices.

The assessment phase includes an audit of claims failing to pass our bill editor software. Based on the results, Reventics RCM program identifies root causes and works with the appropriate teams (e.g., Patient Access, Coding, IT) to implement the required changes to bring KPIs within an acceptable range.

Reventics' RCM and CDI services are focused on ensuring that claims contain complete, accurate data that results in timely, optimal payment. By applying a series of interrelated steps, including patient demographic validation, insurance mapping, and insurer-specific edits applied to diagnosis and procedure codes, we optimize our clients' cash flows.

Accounts Receivable Management

Reventics provides Account Receivable (AR) management services for physicians or healthcare organizations to significantly improve the timing and amount of collections.

Our team of highly qualified AR professionals will apply tailored approaches to a client's AR taking into account age, insurance type, and dollar threshold to accelerate collections. With our open technology AR management platform, Reventics seamlessly transitions clients' accounts with no cash flow impact.

I can’t believe we achieved double digit improvement in RVUs and reimbursement.

— VP and Department Administrator
Large Community Health System with 7 Hospitals in the Mid Atlantic

Payment Posting and Rejection Processing

Reventics' payment posting technology includes manual and electronic remittance payment posting and reconciliation services.

It provides credit balance services to help ensure compliance with refunds of over-payments. Cash policies and procedures are evaluated and improved as needed. As changes are implemented, we perform ongoing audits to identify procedural compliance. Reventics ensures that the proper reconciliation processes exist to tie cash records to actual deposits and provide the required reconciliation reports back to the accounting and finance departments.

Improve Your
Claims and Billing