SAI360 FOR HEALTHCARE REVENUE INTEGRITY DIRECTORS

Reducing revenue leaks, improving reimbursements and eliminating issues of non-compliant billing requires effective processes and controls. That’s why you need an efficient, focused program for claims audit and denials management that brings revenue integrity full circle.

Prevent denials

  • Visibility into root causes of denials from physicians, service lines, payers and more
  • Real-time, actionable intelligence for a 360° view of financial exposure
  • Continuous monitoring of claims remittances to detect at-risk payments
  • Configurable workflows that route denied claims through entire audit and appeal process
healthcare revenue dashboard
healthcare payer claims

Stay ahead of payer audits

  • Improved auditing of claims data to reduce billing errors and improve reimbursements
  • Enhanced data and information sharing across all stakeholders
  • Efficient, timely responses and appeals
  • Automatic detection and notification of documentation requests from CMS FISS

Promote revenue integrity

  • Secure and efficient management of claims denials and payer audits
  • Increased transparency and accountability across multi-functional teams
  • Effortless reporting to leadership on denial trends and financial exposure

Explore Healthcare Revenue Integrity Management on the SAI360 platform

healthcare claim payments

Discover How to Manage Risk from Every Angle