Healthcare FlintRC™ Pre-Certification Automation

Solution

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Summary

Significantly reduce the time required to validate and record pre-certification status and cut the frequency of claim denials and associated revenue losses with FlintRC™

Overview

Boost the bottom line by cutting pre-certification processing time and frequency of claim denials--$283 per transaction.

The FlintRC bot reviews new procedure orders and newly scheduled visits in your scheduling system to identify those that require additional pre-approvals. Based on procedure and patient-specific information, FlintRC pulls together the necessary information from payors and your EMR to assess the status of eligibility coverage, pre-certification and prior authorization.

By entering patient information directly in payor websites, requesting certification/authorization and then recording patient status in your EMR, FlintRC closes the loop in this key piece of Revenue Cycle Management.

Benefits

Published: 16 Jul 2020 | Updated: 16 Jul 2020

Amitech Solutions

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Runtime

.NET Framework

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