realmed.comRevenue Cycle Management

AVAILITY PORTAL Login Register Home Solutions Provider Solutions Portal EDI Clearinghouse Vendor Solutions Platform & Clearinghouse Solutions Supported Systems Supplier Code of Conduct Developer Solutions Healthcare APIs Healthplan Solutions Connect Contact Us Locations Events Resources Payer Lists Availity Payer List RCM Payer List Blog News / Press Releases Training and Education Network Status Preferred Vendors About Careers Executive Leadership History Availity India Search Request a Demo Optimize your revenue cycle with less effort As the business of healthcare becomes more complicated, hospitals and physician practices need solutions that make it faster and easier to manage critical workflows throughout the entire revenue cycle, prevent denials, and receive payments faster without placing an additional burden on existing staff. Availity’s (RCM) solution simplifies claim and payment processing while delivering intelligent reporting and analytics that pinpoint revenue cycle trends. Availity RCM integrates with almost any PM or EMR system and helps you optimize workflows to get the most from your technology investments. Our RCM team has vast experience helping practices, hospitals, and health systems of all sizes maximize profitability—from small providers with simple in-house systems to large, specialty Epic integrations . Pre-service data quality Many issues related to claim denials and patient payment can be traced back to problems at the front of the revenue cycle. Availity RCM helps you address these gaps with integration tools that eliminate manual processes and speed up your registration process. Eligibility and Benefits—Automatically check eligibility and benefits in real time, before a patient visit or admission, including co-pays, deductibles, and co-insurance. With an all-payer solution, you see payer information in a consistent and easy-to-understand format. Patient Collections—Give your patients a branded online payment option that allows you to process credit cards through the application. Self-pay Eligibility Verification—identify potential patient coverage options under Medicaid and major payers with this additional module. Authorization Services —a better way to manage prior authorizations Need a comprehensive way to manage all front-desk activities? Availity’s Patient Access Management suite can streamline the patient collections process with tools to improve revenue from the moment a patient checks in to the time that the claim is paid. Read More Powerful post-service claims management You can’t let mistakes during the claim submission process affect your ability to get paid. Availity RCM helps prevent errors, while providing analytical tools that improve organizational insight. Claims Submission—Submit claims in batch or one at a time in standard and non-HIPAA standard formats and receive real-time notification and line-item, detail-level tracking. Edit/Error Management—Before claims are submitted, identify errors in real time such as those related to HIPAA compliance, eligibility, NPI, and payer-specific rules. Claim Status and Tracking—Automatically track claims in real time, match payments from 835s back to claims submitted, and search for unpaid, delayed, or pended claims, as well as claim histories for proof of timely filing. Remittance—View or print claim payments, and receive ERA files in formats that allow your practice management system to automatically post payments and easily track remits received. Patient Collections—Improve post-visit collections with the ability to scrub addresses to ensure accurate delivery and with an online branded payment portal. Analytics and reporting—Get integrated status, payment and claim detail, and historical information in a single database, and view data that is focused on batch-level controls and error patterns, so you can focus on root cause. Read More Denial prevention vs. denial management Don’t just manage denials—take active steps to prevent them. Availity RCM offers a suite of products and services to give you flexibility in developing end-to-end denial strategies that fit your organization. Dramatically reduce error rates, improve cash flow, and reduce write-offs through customized claim edits and rules, appeals workflow management, and analytics and pattern reporting. Availity RCM also offers outsourced service options. Our suite is backed by experienced staff and industry-leading customer service to support your goals and offer guidance when needed. Additional modules to increase your RCM power Availity RCM offers several additional modules to further empower your revenue cycle management: Take claims submission functionality to the next level with several options including: Secondary Claim Management, Drop-to-Paper for primary or secondary claims, Workers’ Compensation, All-Payer Attachments, Enhanced Medicare solutions, and Dental claim submission. Integrate the process of printing pre-collection letters and patient statements, and deliver a single source to integrate claim status, payment, and claim detail and history information with Patient Statements. Need further help with remittances? Denial Management helps you identify denial patterns; EOB to ERA Conversion creates ERAs from paper payments that can be automatically posted by your practice management system; Remit Reconciliation Services automatically matches the EFT with the ERA and releases remits when reconciliation is complete; and Lockbox Services automates the process of depositing, posting, and managing paper payments. Read More Search our website Search Fill out the form below to see how helps you get faster access to accurate data. Page Submitted From I am a Physician Practice Hospital/Health System Partner Vendor Payer/Health Plan Developers Other # of Providers First Name Last Name Job Title Organization Name Phone Number Email Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code What is your current EMR or PM system? What specifically are you interested in? EDI Clearinghouse Patient Access Management Authorization Services REST API What are you looking for? Demo Info Other Additional Details Quick Links Careers Regulatory Compliance Privacy Policy Memberships Contact Us Training and Education News Center Availity India Connect with us: Twitter Instagram YouTube Facebook LinkedIn Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 4 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment. © Copyright 2021 Availity, LLC. 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