Revenue Cycle Management and Clearinghouse Services

Veradigm Payerpath^® Solutions

Today's evolving healthcare landscape requires organizations like yours to have an analytical eye on your revenue cycle. Lowering costs and streamlining workflows are critical steps to maximizing your organization's potential.

Veradigm Payerpath^® delivers a robust portfolio of revenue cycle management solutions and services that work with any practice management system, along with advanced integration with Veradigm^® Practice Management.

The web-based, easy-to-use solutions and services help meet the changing regulations and requirements essential to reimbursement. Providers and payers can use Payerpath to improve - and simplify - every phase in the revenue cycle.

Patient Engagement Solutions

Payerpath Appointment Reminders is the newest version of Payerpath Call, with extended features focusing on improving patient experience. Payerpath Appointment Reminders automatically delivers appointment reminders and important messages using methods patients prefer. Beyond appointment reminders, Payerpath Appointment Reminders provides patient outreach by text message, voice call or email for appointment reminders, no-shows, recalls, patient balance reminders, campaigns, and office closures or patient appreciation.

Patient Responsibility Solutions

The six key components of the Veradigm Payerpath Patient Responsibility Solutions are Veradigm Payerpath® Patient Statements, Veradigm Payerpath® eStatements with online bill pay, Veradigm Payerpath® Receipt, Veradigm Payerpath® Collect, Veradigm Payerpath® Return Mail Manager and Veradigm Payerpath® Patient Check-In/Payment Collections.

Payerpath Patient Statements is a fully automated and integrated solution that offers high-quality, customized, full-duplex patient-friendly statements to improve patient payment rates through a preferred payment method.

Payerpath eStatements enables patients to make payments on their statements, presenting a true representation of their financial responsibility and offering multiple payment methods from a dedicated patient engagement platform. Through tight integration with the provider’s billing system, patient payments are posted back automatically and seamlessly.

Payerpath Receipt is an enhanced lockbox product that receives and processes all forms of mailed patient payments to a secure PO box, where payments are processed, imaged and returned for auto-posting seamlessly to patient accounts. All images are accessed securely from Payerpath.

Payerpath Collect removes a challenging but necessary responsibility from medical practices by automating patient collections. Traditionally, patient collection correspondence has been a drain on practice resources. Payerpath Collect eliminates the manual process of pursuing past-due accounts by automating collection correspondence.

Payerpath Return Mail Manager automates return mail-handling service that helps manage and report on undeliverable Payerpath Patient Statements and Payerpath Collect letters returned to the office. Reduces office risk exposure, streamlines workflow and adds efficiencies by eliminating manual handling of return mail.

Payerpath Patient Check-In/Payment Collections is an integrated revenue collection tool for frontdesk and billing personnel to process and record point-of-care patient payments. With Patient Check-In/Payment Collections, personnel can have an informed, in-office conversation with the patient—speeding up collection of revenue.

Claims Management Solutions

The five key components of the Payerpath Claims Management Solutions are Veradigm Payerpath Eligibility, Veradigm Payerpath® Claims Management, Veradigm Payerpath™ Electronic Remittance Management, Notes and Coding, Compliance and Reference Tools.

Payerpath Eligibility provides real-time access to patient insurance information that is critical to your practice’s cash flow. Practices can more closely manage their revenue cycle and gain efficiencies in the patient admissions process to protect their business from unexpected payment interruptions. The results are improved efficiencies and an increased bottom line.

Payerpath Claims Management helps practices identify and retrieve missing information, incorrect codes and data-entry errors that result in rejected or denied claims. Payerpath Claims Management is a web-based claims management system that helps eliminate the missing information, incorrect codes and data-entry errors that result in rejected or denied claims, each costing nearly $25 to correct.

Payerpath Remittance Management notifies users when electronic EOBs from payers are available for review. Remittance Management notifies users when there are electronic EOBs from payers to review.

Notes helps practices increase operational efficiencies by enabling reconciliation of submitted claims with payer and trading partner reports, responses and electronic remittances.

Coding, Compliance and Reference Tools encompasses a robust online coding library that provides coding guidelines, documentation and policy information to help guide practices through complex technical and regulatory challenges. Knowledge Source Pro with CodeCheck encompasses a robust online coding library that provides coding guidelines, documentation and policy information.

Practice Productivity Solutions

The two key components of the Payerpath Practice Productivity Solutions are Veradigm Payerpath® EOB Scanning and Veradigm Practice Performance.™

Payerpath EOB Scanning uses optical character recognition (OCR)-based technology to upload and digitally index, identify and retrieve explanation of benefits (EOBs) that have been electronically scanned and uploaded. Payerpath EOB Scanning significantly reduces document retrieval time by using optical character recognition (OCR)-based technology, which identifies, indexes and files EOBs. It improves business processes and increases profitability by minimizing time spent on document management. With this powerful, secure and cost-effective system, organizations gain physical space due to fewer files and storage cabinets.

Veradigm Practice Performance is a web-based analytics and benchmarking tool that reviews electronic remittances for comprehensive denials information and payer payment trends. Veradigm Practice Performance ensures users have the information they need to reduce audit risks, optimize productivity and improve financial performance. It also accelerates cash flow, improves revenue, increases productivity and mitigates financial risk by providing proactive alerts, an interactive dashboard and real-time comparative data access.

Payerpath Payer List

Access dynamic, real-time information about all supported payers and view enrollment instructions.

Payer List

Revenue Cycle Management and Clearinghouse Services

Veradigm Payerpath® Solutions

Payerpath Payer List

Veradigm Payerpath^® Solutions