Next Level Approach

Next Level Thinking

As we have seen, to meet the difficult challenges of today’s medical environment, healthcare organizations cannot rely on any one application or system. Technology alone is not the answer.

To gain true cost, performance and quality of care benefits, providers and other healthcare organizations must begin to think about managing transactions in an entirely new way.

This approach envisions the deployment of a fully-automated, integrated, end-to-end transaction delivery solution capable of supporting both manual and electronic processes. This platform-independent solution opens a clear and convenient pathway for communications between payers, providers and other parties – regardless of their current data types, document formats and system capabilities.

Unlike single-focus point solutions, this comprehensive approach addresses the entire lifecycle: from eligibility and submission to editing claims, to communication and presentation, reconciling, imaging, and archiving of claims data.

Depending on their requirements, medical practices can also deploy this approach to:

Review medical claims
View unbilled medical claims
See and manage exclusions and denials
Manage multiple databases
Allocate staff tasks and work lists
Run reports by provider, office or an entire business

By leveraging Web-based capabilities, this model manages healthcare transactions in a way that is secure, transparent and non-invasive. It seamlessly manages any and all types of healthcare information, from EDI to traditional paper-based materials.

In short, this approach constitutes a true end-to-end solution for healthcare transaction management.

Given the complexity of this challenge, how is this possible? The key is a recognition that no single technology or proprietary system can provide the end-to-end transaction management solution needed in today’s complex healthcare environment. Yet while no single technology can provide the answer, the solution does lie in a careful specific application of open, interoperable and future-oriented technology systems.

In many ways, RKB functions as an objective, technology-agnostic partner who can help medical providers evaluate, select and deploy the right solution mix to meet their specific administrative and transaction processing requirements. For this reason, RKB advocates a radical new approach to the administration of medical transactions. This approach calls for the assembly of best-of-market solutions that are designed, implemented and tuned to meet the specific needs of providers, payers and others in the healthcare ecology.

By significantly reducing the cost of administering healthcare claims, the technology-agnostic RKB approach can be used to improve the economics, productivity and quality of care in any provider or payer organization.

Building on RKB proven expertise on claims processing and remittance, we will utilize the best upgradeable solutions through strategic partnerships, acquired products and professional services. By significantly reducing the cost of administering healthcare claims, the technology-agnostic RKB approach can be used to improve the economics, productivity and quality of care in any provider or payer organization.

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