Identify what’s inefficient in your revenue cycle and fix it. We show you where your opportunities and risks are across your revenue management process including people, policies, workflows, and technologies through an elastic set of AI-enabled solutions.
Etyon’s technology solutions are used in combination to maximize success factors of our various programs:
Program that specializes in connecting and integrating data from various sources, utilizing multi-source data logic and mappings to ensure accuracy and consistency. With a focus on data quality assurance and accuracy checkpoints, Etyon helps Providers streamline their data collection and analysis processes for more efficient decision-making.
Program offers a range of capabilities including the calculation and accuracy of all RCM and finance KPI's, comprehensive executive dashboarding, daily audio briefings, and hardwiring monthly performance conversations. These capabilities allow businesses to better track and analyze their performance data, and have more informed discussions about their financial and operational strategies.
Program capabilities include predicting denial volume and dollar impacts, automating the process mining of denial root-causes, providing comprehensive denial mappings and logic, implementing an automated project assignment methodology, hardwiring process improvement monitoring efforts, and enhancing comprehensive denial analytics.
Program specializes in predicting insurance payment risk and offers AR task recommendations, implements best-practice follow-up policies and procedures, maximizes internal collections, enhances staff claim touches and workqueue behaviors, hardwires AR risk score follow-up efforts in EMR, implements and enhances comprehensive A/R analytics, and coordinates Treasury reserves and bad debt.
Program capabilities include predicting patient payment risk, implementing best-practice follow-up procedures, enhancing staff claim touches, ensuring estimate accuracy, and implementing and enhancing comprehensive self-pay and credit balance analytics.
Program capabilities include fostering and utilizing best-practice scorecarding, automating the detection of underpayments and payment variances, and implementing and enhancing comprehensive payer analytics.
Program capabilities include hardwiring standard data-driven staff evaluations, monitoring tenure and turnover practices, optimizing incentive programs, and ensuring alignment of compensation and performance.
Program uses data and machine learning in to optimize financial operations through revenue, expense and cashe predication, advanced analytics and treasury reserve automation processes.
Etyon's AI-enabled Financial Performance tools help hospital and health system leaders enhance automation practices to help key business questions around the following areas:
Predict denials prior to service to optimize front-end workflows and increase first pass payment rates.
Risk score every clean or denied claim in your accounts receivable every night to ensure appropriate aging policies and resource allocations across work-queues.
Know exactly how many touches and what cost resources are having on buckets or invoices to ensure optimal follow-up performance.
Automatically find and quantify all order mismatch and missing referral leakage across physicians, services lines.
Determine payment accuracy on mixes of claims, payers, services and denials to ensure accurate and timely reimbursement.
Automatically find and quantify all registration leakage across locations, representatives and payer plans.
Automatically audit the authorization request and delivery process to ensure all claims have appropriate authorizations prior to service.
Capture more cash and financially clear more patients prior to billing.
Automatically find and quantify dollars lost through non-covered services and claims management inefficiencies.
Automatically reconcile and audit claims placed with Vendors to ensure maximum external recovery efforts.
Automatically determine reimbursement and recovery risk to determine accurate and consistent financial reserves.
Identify optimal discharge times, schedule staff according to acuity, and understand ordering turnaround times.
Drive your revenue cycle to be more dynamic, collaborative, and intelligent with connected data, people and processes across the revenue management process.