LAS VEGAS, June 26, 2016 /PRNewswire/ -- nThrive, an independent patient-to-payment solutions company, is helping providers maximize point-of-service collections, adapt to new reimbursement models and reduce payor rejections and denials. To address these challenges, create greater efficiencies and return more dollars to healthcare organizations, nThrive will showcase new technology solutions that automate and streamline these critical revenue cycle functions at the upcoming Healthcare Financial Management Annual National Institute (HFMA ANI) conference, June 26-29 in Las Vegas. Visitors at booth #821 can request demos to experience how our technology solutions integrate as add-on modules to Epic and other host systems to enhance capabilities.
Improving Patient Access
MedAssets-Precyse has teamed with Epic to provide an integrated eligibility and benefits solution as part of its Patient Access Suite, offering users the ability to obtain patient insurance eligibility and benefits information within a provider's patient accounting system (PAS).
"This is significant because users no longer have to access an external insurance verification application and re-enter patient and insurance information. By integrating with Epic, the required information is automatically sent to the Patient Access Suite when an eligibility request is initiated," says Jit Sivalogan, director, product management for Patient Access Solutions, nThrive.
Few areas of the revenue cycle impact the speed of payment more than claims processing. To cut through the complexity and help prevent denials upfront, nThrive has teamed with Epic and Cerner™, two of the industry's largest PAS providers, to create its Accelerated Claims Reconciliation Solution.
"Putting access to a thorough, continuously updated edit set higher upstream in the billing process vastly improves the chance of errors being caught and resolved prior to the claim going to a clearinghouse and being submitted for payment," explained Moliehi Weitnauer, vice president of Claims Management, nThrive.
Adapting to CJR and Other Value-Based Models
To assist participating organizations under the Comprehensive Care for Joint Replacement (CJR) model and help others prepare for future mandates, nThrive has developed CJR-Live, a predictive modeling tool that is incorporated into its Episode of Care solution. CJR-Live™ analyzes claims data, providing the ability to quickly identify high-cost patients for necessary intervention within the 90-day episode. Daily reports provide visibility into CJR patients who have been discharged from an acute care facility, flagging risk factors for complications so more intervention can be provided. Insight on inpatient complications, readmission risk, discharge disposition and length of stay also are provided on a daily basis.
"This new capability leverages claims data and positions providers to successfully take on risk-based contracts," explained Mah-Jabeen Soobader, PhD, senior vice president, Episode of Care, nThrive. "For instance, if a patient is identified as a high-risk, high-cost patient, the provider now has actionable and timely information on hand to create an informed care plan ensuring the right care is provided, which is good for the patient and also ensures that appropriate services are provided."
On display at HFMA ANI is our HIM Technology Platform is designed to help providers rethink old operational models, and support a new, more streamlined approach to the transformation of clinical-to-financial processes. It is a cloud-based, integrated, single-database solution supporting coding, case management, CDI and audit functions.
Our education platform, Precyse University DNA™, is the leader in revenue cycle education with content spanning the entire revenue cycle. It is a tailored online education, performance management, and benchmarking solution enabling healthcare providers to implement structured, personalized training programs for coders, billers, clinical documentation improvement specialists, physicians, case managers, and all healthcare professionals who are part of the revenue cycle. It uses first-of-its-kind staff knowledge and performance assessments, self-paced education, on-demand webinars, video games, and the Precyse University DNA Control Center™ analytics platform to drive accurate reimbursement and create a more resilient revenue cycle.
"The Precyse University DNA education complements the nThrive portfolio to provide sustainment of our solutions," explains Tom Ormondroyd, president of education and analytics, nThrive. "This is an all-in-one revenue cycle performance optimization and education solution. Using a revolutionary approach, it provides revenue cycle leaders with powerful capabilities to identify weaknesses and opportunities to optimize documentation, coding, and processes to allow organizations to proactively resolve them before they hit the bottom line."
In addition to learning more about our technology and education solutions, visitors to booth #821 at HFMA ANI can experience the complete nThrive portfolio, including services, consulting, and analytics.
nThrive is built on a legacy of excellence. In the past you knew us as MedAssets, Precyse and Equation. While each formerly a leader in its own right, we've combined our talents and capabilities into a single enterprise. From patient-to-payment, we'll provide all the technology, advisory expertise, services, analytics and education programs you'll need to thrive in the communities you serve. For more information, please visit www.nthrive.com
Audra Murphy, nThrive