RelayClearance Plus Takes Aim at Denials, Administrative Costs and Staff Productivity 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 processes.” 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 800-752-4143. For more information on McKesson RelayHealth Financial’s solutions, visit our Web site at http://www.relayhealth.com/solutions/financial-solutions, 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 @McKesson_MHS. Related McKesson Health Solutions News RelayAnalytics Pulse Provides Actionable Data to Help Hospitals Speed Revenue Cycle Providers Rank RelayHealth Number One in Revenue Cycle Satisfaction Providers Rank RelayHealth AhiQa as Category Leader 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 http://www.relayhealth.com/solutions/financial-solutions. 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 www.mckesson.com. Tags: McKesson, McKesson Health Solutions, RelayHealth, Revenue Cycle, Revenue Cycle Management, Authorization, Pre-Authorization, Registration Quality Assurance, QA, Denials, Medical Necessity Contact: McKesson Health Solutions General and Business Press Grant Evans, 610-205-5846 Public Relations firstname.lastname@example.org
RelayClearance Plus Takes Aim at Denials, Administrative Costs and Staff Productivity
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