• Vision
  • Provider Enrollment / Credentialing
  • Patient Demographics
  • Medical Coding
  • Payment Posting
  • Accounts Receivable

TECHNOLOGY OVERVIEW

ACN Healthcare’s Technology Practice focuses on identifying and delivering unique solutions for Healthcare Organizations. We provide Business Intelligence Dashboards (available on the iPad). Product Development, Support Services and Automation tools for our customers as well as our internal staff.

ACN Healthcare AR Claims Check and Eligibility Check

Global AR Claims
ACN’s AR Claims Check and Eligibility Check are productivity tools that were built to connect directly to a payer’s website to retrieve data on patient eligibility and claim status. It was designed to improve the customer satisfaction by ensuring accurate information and payment times for health care providers.

The technology can be used by organizations for individual transactions or as part of a web-based tool that provides an automated, “no touch” approach to eligibility retrieval and claims status with dramatic enhancements in staff productivity.

A single instance of our application will check a Payer Website and retrieve up to date payer/claim information into any database (mySQL, SQL2012, etc.). Depending on the number of fields, the program will check an average of 5 accounts per minute / 300 per hour / 2,400 per day.

These are AR Accounts – which no longer require a User to spend time looking up each account via the web. The results can then be imported into a billing system – and workflow will direct the claims where the need to go (i.e. Medical Record, Re-Submit, Payment Made, etc.)

New Payers can be added quickly by end-users and do not require programmer support.
To further enhance the User experience, we kept the application workflow simple as shown below:

Business Intelligence and Dashboard Reporting

ACN Healthcare BI Dashboard is a web application; it’s a data visualization tool, which displays the current status metrics for an enterprise. On the other hand, it displays the progress over a time towards specific goals. This application identifies and delivers a graphical view in the form of various charts. In addition to this data, these reports highlight the revenue exhausted.

Reports include:

  • Daily Highlights
  • Financial Summary
  • Analysis by Transaction Date
  • Deficiencies by Provider
  • Annual Collection Statistics
  • ANSI Denial Log by Line
  • Service Level Analysis
  • Transaction Summary by Type
  • Transaction Summary by Payer Type
  • Insurance Aging Report by Payer Group
  • Practice Detail
  • Gross Revenue Mix
  • Gross Revenue Payer
  • Aged Trial Balance
  • AR Aging by Date of Service
  • AR Payer Mix by Payer Type
  • Days in AR by Primary Payer
  • Date of Service vs Date of Charge Entry

For four (4) target audiences:

  1. Billing Companies (both Physician and Ambulance)
    a. Access to the above reports, with daily feeds and automated monthly reporting
  2. End Customers
    a. Access to their individual site – allowing quick view to Cash Flow, Days in AR, Payer Mix, etc.
  3. Radiology Centers
    a. Provides review of modalities and number of each performed throughout the month against pre-set targets
    b. RVU calculations
    c. Breakdown by Reading Physician, Referring Physician, etc.
  4. Hospitals
    a. HL-7 Messaging compared to Charge Master to ensure all procedures are billed out correctly

The data is displayed in custom User Defined Dashboards which integrates with any billing system and available on the iPad thru the App Store and Android devices thru the Play Store.

Our Affiliation

HBMA

Appele Developer

Certified