RelayClearance Plus Takes Aim at Denials, Administrative Costs and Staff Productivity

  RelayClearance Plus Takes Aim at Denials, Administrative Costs and Staff

Streamlines pre-authorizations, confirms medical necessity, enables real-time
registration accuracy and more

Business Wire

ALPHARETTA, Ga. -- June 18, 2014

As healthcare providers strive to reduce claim denials and associated
administrative costs, RelayHealth^® Financial helps them turn the corner with
the latest release of RelayClearance^TM Plus, the company’s pre-service
financial clearance solution. The solution’s new capabilities help providers
streamline authorization and medical necessity workflows and improve
registration data accuracy. The result: fewer downstream denials, less rework,
and enhanced staff productivity.

Authorization processes today can be inefficient and needlessly costly,
consuming valuable staff time and even potentially delaying care.
RelayClearance Authorization is being introduced to help solve this problem by
allowing providers to seamlessly and proactively identify whether an
authorization is required and has been secured. Manual touch-points, phone
calls and faxes are significantly decreased, which helps eliminate costly
delays and increase patient satisfaction.

“By simplifying the often cumbersome, complex and resource-intensive
pre-authorization process, hospitals are better equipped to set up the rest of
their revenue cycle for success,” said Matt Larsen, vice president of Product
Innovation for RelayHealth. “With pre-authorization and medical necessity
integrated into the RelayClearance Plus suite, not only can providers
centrally manage all financial clearance activities from one solution, but
they can also help reduce denial costs and shed some cumbersome manual

Claims denials cost providers time and money — and the earlier in the revenue
cycle they can be prevented, the better for all involved. RelayClearance QA
has been added to the RelayClearance Plus suite to help alert registrars to
errors in real time to improve registration accuracy. As a result of the error
reduction, the probability of denials can be reduced much earlier in the
revenue cycle, and all processes following registration may benefit from more
accurate data.

The latest release of RelayClearance Plus helps providers:

  *Streamline the pre-authorization process by determining if a
    pre-authorization is required and on file with the payer, proactively
    monitoring payers for pending pre-authorization decisions, and updating
    the HIS/Practice Management system with pre-authorization results.
  *Confirm Medical Necessity and perform clinical code auditing for Medicare
    outpatient services as part of the registration process, helping to reduce
    losses due to Medical Necessity write-offs. The solution confirms ongoing
    compliance with audit rules, monitors regulatory and policy changes, and
    creates Advanced Beneficiary Notice of Noncoverage (ABNs) to help reduce
    denials, improve reimbursements and ensure CMS compliance.
  *Improve registration data accuracy in real time by identifying errors at
    registration and providing accurate data for all downstream processes.
    This helps boost financial performance and cash flow. Registrars receive
    error warnings and can correct the errors up front, helping to eliminate
    the need for additional staff for manual registration QA/audits.
  *Monitor team performance with a Team Management dashboard to view key
    performance indicators for team and individual measures such as:
    eligibility submission accuracy, completed eligibility verifications, and
    point-of-service collections. Team goals are easily managed and views are
    available at both the user and management levels.
  *Raise visibility of registration and eligibility workflows with a
    browser-based floating toolbar that  provides a heads-up view of patient
    benefit eligibility activities. As a result, staff can simultaneously
    monitor key registration activities and workflow within the HIS.

Today, changing insurance status, increasing patient out-of-pocket
responsibility and higher overall deductibles are combining to complicate the
pre-service financial clearance process. Hosted in the cloud and provided as
an on-demand software service, RelayClearance Plus helps hospitals and health
systems accelerate reimbursement and optimize revenue — from registration
through point-of-service collections. RelayClearance Plus empowers users to
perform unlimited patient eligibility checks, validate patient identity, and
screen for charity/financial assistance; estimate patient financial
responsibility and determine a guarantor’s ability and inclination to pay; and
optimize patient collections at the point of service.

To take the first step towards streamlining and automating your patient
pre-service financial clearance, contact a RelayHealth Solutions Advisor at

For more information on McKesson RelayHealth Financial’s solutions, visit our
Web site at, learn
from our experts at the RelayHealth blog, follow us on Twitter at
@RelayHealth, or visit the RelayHealth Facebook page.

For more information on McKesson Health Solutions, please visit our website,
hear from our experts at MHSdialogue, and follow us on Twitter at

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About McKesson RelayHealth Financial

Every day across America, more than 2,000 hospitals and health systems rely on
RelayHealth to help them process over 5 million patient claims, worth over
$1.1 trillion annually. Our broad array of revenue cycle management solutions
use the power of the cloud and big data to help healthcare professionals make
better financial decisions for their organizations and patients, right at the
point of care. Nobody does more than RelayHealth to bring healthcare
connections to life. For more information, visit

About McKesson

McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a
healthcare services and information technology company dedicated to making the
business of healthcare run better. McKesson partners with payers, hospitals,
physician offices, pharmacies, pharmaceutical companies and others across the
spectrum of care to build healthier organizations that deliver better care to
patients in every setting. McKesson helps its customers improve their
financial, operational, and clinical performance with solutions that include
pharmaceutical and medical-surgical supply management, healthcare information
technology, and business and clinical services. For more information, visit

Tags: McKesson, McKesson Health Solutions, RelayHealth, Revenue Cycle, Revenue
Cycle Management, Authorization, Pre-Authorization, Registration Quality
Assurance, QA, Denials, Medical Necessity


McKesson Health Solutions
General and Business Press
Grant Evans, 610-205-5846
Public Relations
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