Growing volumes of patient claims and increasingly complex reimbursement methodology require rules-based technologies to optimize financial results. To build on the result of the real-time claim status information available in eCSI, Ovation developed eCSI Workflow, an exception-based workflow tool for claims and denial follow-up. Ovation eCSI Workflow maximizes productivity and results by automating decisions and processes based on the enriched eCSI information.
Ovation eCSI Workflow is a sophisticated web-based tool that queues and prioritizes outstanding claims to ensure that revenue cycle staff focus on only those claims needing their attention for quick and complete payment, others can go untouched. Additionally, it streamlines steps to consolidate information from payer and hospital systems to automate the resolution of outstanding claim denials.
Ovation eCSI is a web-based, direct-to-payer claim status inquiry workflow tool that:
- Obtains payer proprietary denial transactions as soon as one-day post billing
- Eliminates the need for staff to check payer websites
- Reduced AR days by 42%
- Increased cash flow
- Increased staff productivity
- Reduced controllable losses by 75%