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Healthcare
Opportunities: An Example

Revenue Cycle
Managing the reimbursement process--from first patient encounter to zero balance--is a challenge. With shrinking margins and capped reimbursements, providers need to focus on increasing yields while reducing costs. Because there is not enough time or money to replace all aging systems, DST provides a pathway to better utilize existing systems.

Results our clients have experienced:

Patient Access

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  • Departments simultaneously alerted of scheduled admissions
  • Information automatically provided to register and qualify the patient at admission
  • Registrar staff prompted—applicable even for junior staff
  • Proactively scheduled financial counseling for uninsured patients

HIM / Medical Records Management

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detailed view
  • Data distribution is managed between systems, avoiding duplicate data entry
  • Prioritized chart analysis and coding—highest-priority charts handled first
  • Work is moved to the most available, most skilled resources regardless of location
  • Dual-coding for high-dollar, high-priority claims.
  • Complete audit trails, to meet HIPAA and other requirements

Claims Administration / Denial Management

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  • Error reports directed to the department where the error originated
  • Business rules that support best practice and compliance requirements (CMS / Payers)
  • Automatically routed claims, cash postings and bills
  • Multiple systems and bolt-on products integrated into a unified enterprise

 


 

 

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