Happy patient making online payment from home

MEDITECH Revenue Cycle

A strong revenue cycle begins and ends with a satisfied patient

The best healthcare is patient-centered — and your organization’s revenue cycle should be too. Your community wants consumer-friendly, accurate billing statements as well as simple online tools to settle co-payments and balances. With MEDITECH’s integrated Revenue Cycle for Acute, Ambulatory, and Long-Term Care, they will get it — while you build a solid foundation for long-term financial health.

Consolidate your revenue cycle under one roof

MEDITECH's Expanse Revenue Cycle was built with front-to-back integration in mind, giving you a more holistic patient story with every claim. Whether patients are visiting their primary care provider, seeing a specialist, undergoing a procedure at the hospital, or presenting at the ED, MEDITECH ensures that the demographic, insurance, and clinical data needed for timely billing and collections is efficiently captured prior to or at the time of service.

Patient Access/Front Office

Scheduling
Preregistration
Contactless check-in
Registration
Insurance verification
Authorizations
Patient co-pay collect
Financial counseling

Middle Office

Clinical documentation
Transcription coding
Case coordination
Records storage
Release of information
Medical records
Charge capture

Back Office

Claims checking and error resolution
Claims submission
Payment processing and posting
Denial management
A/R follow-up and appeals
Patient statements
Contract compliance

The lower, the better

Intuitive workflows with system-wide integration can substantially reduce A/R days to boost your organization's overall fiscal health.

Howard County Medical Center

Howard County Medical Center uses Expanse Revenue Cycle to achieve greater financial transparency and efficiency, reducing self-pay debt by 42% through community engagement.

“It’s not just about Howard County, it’s about the patients.”
— Morgan Meyer, CFO, Howard County Medical Center

Oswego Health

Using MEDITECH's Revenue Cycle solution to automate processes, Oswego Health has kept their A/R days low, currently averaging between 30-35 days.

“It starts at the top, from the CEO down. Through strong leadership and actionable, transparent data, we’ve been able to achieve our financial goals.”
— Eric Campbell, CFO, Oswego Health

A centralized business office at the heart of healthy profit margins

With providers being expected to reduce inefficiencies and costs while increasing patient satisfaction, you need strong revenue cycle management that is agile and resilient. End-to-end integration beginning at the first points of patient contact — spanning acute, ambulatory, and long-term-care settings — can minimize lost charges, reduce claim rejections, and improve employee productivity.

A seamless experience for patients

Provide a single, accurate, and timely billing statement combining ambulatory and acute charges.
Aid customers with a "one call" environment for billing assistance across all care settings.
Offer patients a single Patient Portal to book appointments and pay their bills.

A unified workflow for staff

Respond to patient or guarantor questions without toggling between care settings.
Use roles-based, prioritized worklists for maximum efficiency.
Trim A/R days with flexible billing, conflict checks, and denial management.
View consolidated revenue reports to manage the overall financial health of your organization.

Denial prevention, beginning with first contact

Get fully reimbursed for the care you provide. Fight costly denials with embedded, front-end denial prevention workflows, a comprehensive appeals process, and the data to monitor trends.

Collect complete and accurate patient and insurance data before services are rendered.

Avoid claim denials. Verify insurance, receive authorization alerts, and perform medical necessity checks upon initial patient contact.

Pre-screen claims and provide billers with a prioritized, exceptions-based worklist of potential denials.

Manage and track the appeals process of denials with actionable worklists.

Monitor and analyze denial trends, as well as the success rate of your appeals, with interactive denial management reports.

MEDITECH Expanse Earns Top Marks in 2024 KLAS Report

MEDITECH ranked #1 in the 2024 Best in KLAS: Software & Services report for Patient Accounting & Patient Management: Small (1–150 Beds), and rated #2 for Midsize (151–400 Beds). KLAS continues to recognize MEDITECH as a market-share leader in this space, and MEDITECH's integrated Revenue Cycle as a top-rated solution.

KLAS 2024 Patient Accounting and Management award

"From an executive standpoint, we can go in the system and very easily see at a high level what is going on with collections, and by insurance, we can drill down within the available dashboard. The reporting capability is superior than the capability in our old product. The billers and collectors like the system a lot. It took them a little time to get used to the system because they were so used to the client server. But the process of looking up claims is very efficient. Our electronics billing piece is very easy to use. There are a lot of robust reports for A/R things."

— CFO, November, 2023

"We have integrated many things together with MEDITECH's system. Our payroll and HR pieces, for example, have been integrated into Expanse Patient Accounting. That has all gone extremely well."