Reventics provides best in class post-encounter 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.
Delivering New Age Post-care Billing and Collections Solutions
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 assesment phase includes an audit of claims failing to pass our bill editor software. Based on the results, Reventics 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' 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 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.
We are very happy with the improvements from Reventics CDI that we are comfortable moving work from two other coding vendors to Reventics.
— VP, Revenue Cycle
US Top 10 Academic Medical Center in the North-East
Payment Posting and Rejection Processing
Reventics' payment posting 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.
