Simply a Smarter Solution
As we have seen, to meet the difficult challenges of today’s medical environment, healthcare organizations cannot rely on any one application or system. 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 claims lifecycle: from originating and editing claims, to communication and presentation, reconciling, imaging, and archiving of claims data.
Revenue Cycle Check and Balances for Healthcare Providers
In today’s healthcare environment, billions of transactions are exchanged each year through a network of complex and costly channels. This environment is fragmented and extremely dependent on information exchange. Duplication is rampant and costly; many transactions are "touched" by two to three intermediaries before they are processed by payers and payment is received by providers. The national cost is staggering and the operational dynamics of it all is equally profound.
Working directly with its’ banking partners, and as an extension of their lock box services.
RKB transforms all elements of a healthcare transaction into a single digital stream. Electronic remittances (835 files) are retrieved from providers and clearinghouses; and as required,
transform paper EOB’s to electronic 835 formats to enable truly paperless or "straight-through" processing. Key functions include a Single View presentment of all EOB data, Denial and Exception processing, Secondary Billing, reconciliation and re-association, Recovery of lost revenue, Appeals and Re-billing functions, and much more. Files ready for immediate posting are returned instantly to providers’ billing systems. The architecture is flexible and allows for easy integration with multiple vendors.