Managing a Healthcare Revenue Cycle: The Challenges and Solutions
Managing a healthcare revenue cycle is a complex task that involves juggling patients, payers, referrals, and a billing team. The process becomes even more challenging when it involves deciphering key performance indicators (KPIs) and compiling numerous reports each week. To address these challenges, Prochant introduces a transformative approach with its proprietary technology, Prochant Pulse.
Optimizing Revenue Cycle Management with Real-Time KPI Dashboard
Prochant Pulse introduces a real-time dashboard that revolutionizes how healthcare organizations manage their revenue cycles. This advanced, web-based tool is specifically designed to cater to the intricate demands of healthcare revenue cycle management. By offering a dynamic view of essential KPIs such as Days Sales Outstanding (DSO), the percentage of Accounts Receivable over 90 days, clean claim rate, and payment rate, etc, Prochant Pulse ensures that you are always informed about the financial health of your organization.
The dashboard allows users to monitor crucial revenue cycle KPIs continuously. With real-time data at your fingertips, you can quickly identify trends, pinpoint inefficiencies, and understand the financial dynamics affecting your operations. This immediate insight is crucial for making informed decisions that can significantly impact your bottom line.
Managing Staffing Workloads Efficiently
Prochant Pulse manages staffing workloads based on the complexity of tasks and skill levels to drive down denials, reduce Accounts Receivable (A/R), and increase payment rates. It offers comprehensive dashboards and charts that enhance visibility across the entire revenue cycle. These tools provide complete drill-down capabilities to the invoice or order level, eliminating the delays traditionally associated with waiting for reports. This feature allows users to delve into detailed data effortlessly, enabling granular analysis of the revenue cycle.
With its real-time monitoring and alert system, Prochant Analytics actively identifies and highlights issues within the revenue cycle, prompting immediate action to resolve them. This proactive approach not only saves time but also helps healthcare providers maintain financial stability by preventing revenue leaks.
It empowers healthcare organizations by providing immediate notifications when issues arise, such as when a major payer denies claims. This level of immediacy in reporting ensures that potential problems are addressed before they escalate, significantly reducing response times and mitigating risks.
Automating Revenue Cycle Workflows
Prochant Pulse leverages Robotic Process Automation (RPA) to automate repetitive tasks such as cash posting and handling denials. Its AI-driven analytics predict payments and denials to enhance financial stability.
Configurable AR Queues and Allocations
Contextual Tasking and Workforce Balancing Dashboard
Key Process Areas:
- Intake
- Prior Authorization (PA)
- Claims processing
- Management of holds and cash
- Eligibility Verification (EV) and Prior Authorization
Enhanced Automation Features:
- Automated Cash Posting
- Accounts Receivable (AR) Inquiries and Resolution Actions
Support Tools:
- Questionnaire-based Decision Support Framework for Standard Operating Procedure (SOP) Tracking and Compliance
- Interactive Voice Response (IVR) and Voice BOTS
By streamlining the revenue cycle management process, Prochant Pulse significantly reduces the stress associated with managing complex healthcare billing and payment structures. It allows healthcare providers to reclaim control over their revenue cycles, ensuring that they can focus more on patient care and less on financial intricacies.
Enhancing Efficiency and Security
The integration of modern technologies and adherence to the highest security standards make Prochant Analytics a robust solution for healthcare revenue cycle management. The ease of configuration and the intuitive design of the interface ensure that users can maximize the benefits of the platform without the need for specialized training. The platform utilizes the latest Microsoft technologies, including Azure, to offer a reliable and secure service environment. The modern, user-friendly interface of Prochant Analytics is not only easy to navigate but also efficient, making it accessible to users without extensive technical expertise. Moreover, it is the only tool in its field that is HITRUST certified, adhering to HIPAA’s gold standard for information security.
Prochant Pulse redefines the standard for revenue cycle management in healthcare. With its state-of-the-art technology stack, real-time data access, and proactive management tools, it stands out as an essential asset for any healthcare organization looking to optimize its financial operations. For those interested in experiencing these benefits firsthand, Prochant invites you to schedule a demo and see how much stress Prochant Analytics can alleviate for your organization.
Interested in seeing a demo of Prochant Pulse? Fill out the form below to schedule your personalized demonstration and discover how we can help transform your revenue cycle management.
Prochant is the only AI-driven reimbursement service provider in the home-based care industry. We deliver focused revenue cycle management (RCM) solutions to healthcare providers with 7 wholly-owned global delivery centers. Our expertise lies in providing end-to-end RCM for home-based care, infusion, and specialty pharmacies, consistently delivering exceptional results to some of the leading healthcare providers in the country. We harness specialized automation technology and deep industry knowledge to streamline the time-consuming and expensive reimbursement process. As a result, we help healthcare providers accelerate their collections, increase revenue, and reduce operational costs while managing risk. Prochant is HITRUST certified, the gold standard for HIPAA security. For more information, please visit prochant.com.