Reimbursement Manager (Denial Management & Contract Management Software and Services)

Available from Cirius Group, INC.

Accuracy Matters! Reimbursement Manager uses the same fully edited claims sent to the payers by Prebill Manager, and the specific terms of the client’s managed care contracts or Medicare rate information to calculate expected reimbursement. Upon processing of the payer’s electronic remittance advice, Reimbursement Manager compares the calculation of expected reimbursement to the actual payment returned in the payer’s remittance, identifying under payments, over payments, and bad debt logging of unpaid by highlighting payment errors.

Reimbursement Manager produces powerful, fast, and flexible financial and operational reports with one-click export of report data to Excel. The advanced Contract Management analytics allows for strategic and operational insights: forecast contractual revenue, manage multiple complex contracts, and capture all net revenues due. Easily create new contracts and revise existing contracts while using peer to peer payer comparisons of negotiated rates to write more profitable contracts.

Reimbursement Manager allows users to simplify and automate claim denial management and tracking. The advanced Denial Management analytics allows for strategic and operational insights: identify denial reasons, manage denials accordingly, and capture recovery payments. Easily implement automated denial tracking while using comparative reports and the denial knowledge to improve your denial management results.

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