Access Coordinator Insurance Verifier

• Cloud enabled services? Yes
• Compatible with MaaS? Yes

As part of the Best in KLAS Access Coordinator platform, Insurance Verifier streamlines patient eligibility screening by leveraging FinThrive’s proprietary technology which integrates effortlessly with MEDITECH. This seamless integration ensures accurate verification of patients' insurance eligibility, optimizes the patient access process through automation, and results in greater efficiency for healthcare providers.

• Screens patients for insurance eligibility to provide reimbursement insights, and identifies ineligible patients, reducing administrative burdens.
• Connects to over 880 payers, reducing revenue losses from denied claims and incorrect billing and enhancing financial stability.
• Automates data flows to and from your EHR, enhancing efficiency and reducing manual workload, allowing focus on patient care.
• Manages self-pay patients for real-time counseling, increasing satisfaction and loyalty with precise estimates and streamlined billing, boosting patient trust.
• Recognizes and manages self-pay patients for real-time financial counselling
• Provides more precise estimates to enhance the patient experience

This solution falls under the following topic(s):

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Claims Manager

• Cloud enabled services? Yes
• Compatible with MaaS? Yes

FinThrive Claims Manager streamlines claims creation, editing, validation, and more. Providers can ensure they will get paid faster by ensuring claims are right the first time. Reduce denial rate, A/R days, rejection rate, and time-to-payment all while increasing clean claim rate and revenue. Billing teams can use Claims Manager directly from within MEDITECH via integration for a seamless workflow. Optimize your experience in MEDITECH with Claims Manager.

Key features:

• Improves claim accuracy and increases first pass claims acceptance rates
• Cuts claims status follow-up by up to 90 percent
• Coverage to more than 2,400 payers in 50 states across specialties, geographies, and payer types
• Submit Medicare claims in real-time to Medicare's Direct Data Entry (DDE) system
• A library of 30,000+ claims edits, updated 2X weekly 
• Unlimited custom edits and bridge routines
• EHR/PAS integration with MEDITECH
• Verifies patient eligibility
• Include attachment submission 
• Prioritizes claims that need the most attention
• Detailed claim status
• Clearinghouse routes claims to payers
• Payment (EFT/ERA) tracking and reconciliation, including 835 file, 835 splits, and human-readable
• Worker’ compensation & liability

FinThrive Claims Manager can either replace your current claims management provider, or be a backup provider in case your current provider experiences a system disruption (e.g., cyberattack).

This solution falls under the following topic(s):

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