The lack of interoperability solutions has led to the creation of inefficient administrative processes in US healthcare. Commonly, payers and providers struggle to share clinical data. Without the right technology to share the right clinical data at the right time, providers have been forced to rely on complicated manual workflows to satisfy payer requests for clinical data.
As the volume of payer requests for additional clinical documentation before processing claims increases, provider Health Information Management (HIM) and Revenue Cycle Management (RCM) teams relying on manual processes to share data are suffering. The speed at which HIM and RCM teams can turn around requests for additional clinical documentation directly impacts their revenue cycle performance.
Interoperability to the rescue
By embracing interoperability and automating the clinical data exchange process, providers can better manage their revenue cycle. Moxe has developed software solutions to ensure clinical data is appropriately shared between healthcare stakeholders (i.e., payers, providers, and third parties). Leveraging a growing network of payers and providers, Moxe automates release of information and enables clinical data and insight exchange to deliver the right information at the right time.
Exchanging clinical information automatically helps reduce unnecessary administrative complexity—and costs—in a variety of payment and operations use cases. Revenue Cycle Management automation can be more easily achieved when both providers and payers are able to work from the same high fidelity clinical information.
Three ways Moxe can help providers increase revenue cycle performance:
Lower your cost to collect: Eliminate the need for manual labor to pull clinical data out of your EHR to satisfy denials, appeals, and claims that require additional clinical information to process. Rather than dedicating resources to time-consuming manual chart retrieval, your team’s time can be reallocated to focus on high value tasks instead of mining through paperwork and going back-and-forth with payers.
Lower your RCM stress on HIM: Moxe’s solutions are configured to ensure only the minimal clinical information is released to satisfy a request. Setting up automated processing ensures HIM isn’t bogged down with requests from the RCM team. Both the HIM and RCM teams can rest assured that requests are accurately processed without the risk of manual errors.
Lower your AR days: Moxe's digital solutions are more than 10 times faster than manual efforts. Faster clinical data requests to support RCM workflows will ensure appeals are satisfied in a timely manner. And this will help providers earn reimbursement faster.
To alleviate the need for cumbersome, manual labor, consider supercharging your HIM processing capabilities with a smarter, faster approach to clinical data exchange. Not only will you improve your revenue cycle performance, but you will also improve payer relations and HIM team satisfaction.