Business Office Solutions

Isolated products or services from many vendors can fail to deliver weighty, sustained benefits to healthcare organizations. Realizing the need for holistic, comprehensive approaches to complex business requirements, RevenueMed has engineered a variety of solutions that provide true end-to-end benefits that clients can count on.

RevRemit - Paper to ERA Remittance Processing.


Despite the intent that remittance advices from payers to providers should migrate an Electronic Data Interchange format (ANSI 835 files), a stubborn portion of remittances continue to be returned as paper Explanations of Benefit. This stream of paper is cumbersome and expensive for healthcare providers to process internally.

RevenueMed has developed the RevRemit™ solution, which has become the market’s leading service to convert paper EOBs into ANSI 835 files. This service receives scanned EOBs and 837 billing files as its inputs and delivers reliable, high quality 835 files as the principal output. By outsourcing this work to RevenueMed, healthcare providers can treat every remittance as an ERA, even if it is originally returned as paper. This solution saves money, improves service reliability and removes a non-core staffing hassle.

                               >> Detailed Information on RevRemit™
                               >> Download RevRemit™ brochure [PDF 561 KB]

 

RevClaim - Paper to EDI Claims Generation.


A number of older practice management and billings systems with physicians, hospitals and dental practices are not able to generate ANSI 837 billing files to transmit electronically to insurance companies and other payers. Receiving paper is clumsy, inefficient and expensive. RevenueMed’s RevClaim™ solution offers a way of outsourcing this function so that every in-bound claim behaves like a native 837 transaction.

Insurers simply scan the paper claims (generally via their lockbox operator) and transmit these to RevenueMed via secure FTP. We’ll convert these reliably and accurately to 837 files and transmit back to the insurer for upload into your payment processing and claims adjudication software. When compared with in-house operations or even working with other outsourcing companies, RevenueMed’s                                 solution is more reliable, scalable and generally lower cost.

                               >> Detailed Information on RevClaim™
                               >> Download RevClaim™ brochure [PDF 548 KB]

 

RevBill - Outsourced Medical Billing Services .


Medical billing is the linchpin of the provider revenue cycle, yet rising payroll costs, staffing, training, motivating and retaining back office employees is a challenge for many healthcare organizations. To address these challenges, RevenueMed's RevBill medical billing services offers an alternative to in-house staff for a variety of day-to- day back office tasks. From demographic data input to patient eligibility verification to outsourced coding to charge entry to paper remittance processing to payment posting - the RevenueMed RevBill team has you covered.

Utilizing our trained captive staff, RevBill utilizes the latest in secure communication technologies to complete individual tasks or entire business processes – 24/7.

                               >> Detailed Information on RevBill™
                               >> Download RevBill™ brochure [PDF 2.4 MB]

 

Staff Augmentation Services.


In some circumstances, our clients feel that the technologies and business processes that they use are well-entrenched and operating reliably. But the availability and cost of skilled manpower can create operational challenges. In such circumstances, RevenueMed offers workforce augmentation solutions that can offer reliable, sustained access to skiled staff, at rates that can be 25-45% below comparable US wage rates. Our back office staffing capabilites offer a true solution, including initial requirements definition, assistance in codifying client operating procedures, customized recruiting, training and on-going management to hit agreed productivity metrics.