Healthcare Revenue Integrity Management
Be proactive. Gain complete control of the entire audit process while managing denials and audits.
Automate to improve efficiency, reduce errors
- Automated workflows route claims through the entire audit and appeal process
- Stay on top of the audit and appeals process with with email notifications and reminders
- Identify at-risk billing and payments via one-time or scheduled searches on claim and remit data.
Easily report on and analyze claims data
- Real-time graphical dashboards provide a high-level view, while robust visualization tools let you dig into the data
- Customize dashboards based on individual roles and responsibilities
- Embedded advanced report writer can be used to design reports for different stakeholders
Integrate with the systems you depend on
- esMD (Electronic Shipment of Medical Documentation) integration eliminates the need for manual shipping and faxing of: medical records, RAC discussions, Medicare pre-authorizations, and appeals.
- Take advantage of our platinum-level integration with Optum’s Executive Health Resources (EHR) to manage your appeals process.
pre-built healthcare modules
The SAI360 Healthcare GRC solution offers tailor-made modules for healthcare and managed care providers in the US.
Reduce revenue leaks and be audit-ready.
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The SAI360 team