Our implementation has gone great. Staff members have quickly learned the new system and our patient flow is better than ever."

As important as the medical aspect of a practice is, physicians have to consider the business side as well. They may not be collecting co-pays and filing insurance forms, but they should be aware of what is going on financially and verify that money is being collected and insurance forms filed. Physicians shouldn’t have to depend on others to understand what shape their business is in – they need to be free to attend to their patient’s needs.

Business Objects

Physicians need to be able to review their business’ vital signs as easily as a patient’s. With Business Objects, the physician or office manager can look deep into their own data and return easily understandable clinical and/or financial data in a single report. They can build custom reports through a drag-and-drop query method that lets them mine their own data database.

Claim Scrubbing

If a practice submits claims with errors to insurance carriers, payments are delayed until the errors are fixed. The longer the lag time between when a claim is submitted, rejected, and returned, the greater the chances the claim will never be paid. It’s essential that claims heading to insurance carriers be as error-free as possible. That’s where Alpha II’s code wizard comes into play. Code Wizard scrutinizes a practice’s claims the same way an insurance carrier does, which leads to cleaner claims being submitted.

Insurance Follow-up

Even when an accurate claim has been submitted, it can still get stalled or even lost within a payer’s system. CareRevolution® lets users set certain criteria that will send out alerts if a response to a claim is not received within those criteria. This allows the practice to proactively monitor outstanding claims and take action when required.

Patient Collections

Every business has to address delinquent accounts. Dealing with the out-of-pocket responsibilities of the patient can be complicated. While an organization wishes to maintain a positive relationship with their patients, they still have to collect on outstanding balances. CareRevolution® provides those responsible for collections the information they need to contact the patients and, if needed, set up alternative collection methods. CareRevolution® also provides the functionality to interact with collection agencies if necessary.