CentraMed RM Analytics™

CentraMed’s RM Analytics is a cloud-based reporting and analytics solution that supports any audit, review or process improvement activity to improve internal processes and prevent leakages.

Value Proposition:

CentraMed’s RM Analytics provides best-in-class business intelligence with a focus on the most significant revenue improvement opportunities in all revenue management initiatives. With a patient-centric approach, RM Analytics expands from individual patient account level detail to illustrate potential enterprise-wide impact on revenue and generates and prioritizes work queues with maximum revenue improvement opportunities on a real time basis. From RAC audits to 3rd party Defense audits, from payment variance reviews to charge, coding and CDI documentation reviews, RM Analytics provides for the tracking and trending of transactional and process correction – thereby assisting in the prioritization of findings and prevention of further/future revenue leakages.

Detailed Solution Overview:

RM Analytics contains several modules that allow the user to import all patient relevant data on pre-determined claim types and populations – thus creating daily work queues and priorities by review type.
The modules include:
– Charge Audit, housing concurrent, defense, and special audit charge capture audit results. All itemized audit results are posted to the patient account and kept in the data repository for tracking and further analyses.
– Managed Care/Payment Variance containing audit results for managed care, commercial and denials management payment discrepancy reviews. Underpayments are kept in their own A/R system and cash collections are tracked and posted daily.
– CCDR (Coding Compliance & Documentation Review) with the results of specialized, targeted audits driven by CentraMed for high risk CMS documentation and coding errors that often result in underpayments.
– Trend Tracker which transforms process improvement observations into quantified process improvement initiatives by reconciling revenue and usage data with transactional results – and providing overall revenue impacts by initiative. The process used is Joint Commission compliant for systemic and error correction activities.

Bottom Line:

CentraMed’s RM Analytics solution provides one of the most comprehensive audit and analytics solutions available today. Whether you have an internal or vendor-based revenue management department or outsource audit services, RMAnalytics ensures a solution that converts data into actionable information for correction and overall process improvement.

Powered by WishList Member - Membership Software