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Revenue Cycle Management Solutions |
| Ingenix revenue cycle management solutions leverage state-of-the-art technologies to provide facilities and hospitals with unprecedented control over their coding, compliance, and reimbursement processes. From streamlining admissions to increasing cash flow, these solutions will help you balance clinical and financial issues and most importantly, convert claims into revenue. |
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These products can help your facility:
- Achieve more accurate and compliant coding
- Increase coder productivity
- Receive accurate reimbursement
- Reduce claim denials
- Risk and the potential of fines and audits
- Increase connectivity between hospitals and payers
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Products:
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AIM Healthcare Claims Resolution
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AIM Healthcare Services, Inc. is now part of Ingenix. AIM uses INTELLIJET™, a universal connectivity platform, for electronic resolution of errant claims. This web-based system links payers and providers and automates manual processes for maximum efficiency, eliminating recurring errors while resolving issues to improve payment accuracy. The claims resolution system includes:
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APC Assistant™
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APC Assistant™ is a comprehensive, web-based resource that contains the latest regulatory information so you can keep pace with the nuances inherent in the APC methodology. |
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APC Coding Resources
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Facilitate clean claim submission with Ingenix APC Coding Resources and save money on the administrative staff needed to reprocess denials, recoup valuable reimbursement dollars, or to avoid unnecessary write offs. |
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CareMedic EFR Network™
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CareMedic Systems, Inc. is now part of Ingenix. The eFR Network offers enterprise revenue cycle solutions that streamline complex issues while reducing or eliminating manual tasks. From initiation to compensation, the eFR Network includes fully integrated tools that help hospitals increase cash recovery and enhance efficiency while lowering operational expenses. The CareMedic eFR Network Solutions are comprised of:
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Coding, Billing and Compliance Conference
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Chart auditing, chargemasters, and changes to ICD-9-CM codes, DRGs, and APCs are just some of the topics you can learn about at the Ingenix Essentials Coding, Billing, and Compliance conference. |
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CPT® Coding Resources
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Accurately code outpatient procedures and services with the official list of codes and nomenclature published by the American Medical Association. Our CPT® code books will quickly guide you to the right code-the first time. |
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Cross Coders
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These resources provide the crosswalks your facility needs to properly link CPT® codes for various specialties to the appropriate ICD-9-CM and HCPCS Level II codes so you are sure to code it right—the first time. |
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Data Files
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Get the most accurate, up-to-date code data for your hospital's coding needs with our Data File subscription service. Simplify your update processes, improve accuracy, and increase your organization's profitability. |
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Desk References
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The process by which a claim is coded can make the difference between a reimbursement check and a claim denial. Coding references from Ingenix can help your staff better understand medical codes and reduce errors on claims. |
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DRG Coding Resources
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Access the information your hospital needs for accurate DRG assignment and staff training. DRG Coding Resources provide the guidance your HIM staff needs to make the appropriate DRG selection, auditing, and submission. |
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ECMPro™
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ECMPro™ is an enterprise content management (ECM) system that helps increase efficiency and productivity by enabling you to depend on one current source for managing the complexities of code-based reimbursement. |
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Education and Training Resources
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The complexities of medical plans, changing government regulations, and multiple preauthorization requirements are just some of the challenges hospitals face. Keep your staff skilled without excessive cost. |
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Facility Reference Library
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Manage your facility-based coding, billing, and reimbursement with updateable CDs that target inpatient and outpatient billing, facility editing, and clean claims submission. |
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HCPCS Level II Coding Resources
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Lacking the latest HCPCS Level II codes can severely compromise your hospital's revenue. Use the HCPCS Level II Professional and Expert code books and get the reimbursement you deserve for supplies, services, and drugs. |
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ICD-9-CM Coding Resources
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Reference Volumes 1, 2, & 3 of our ICD-9-CM Professional or Expert code books for your diagnosis and procedure coding needs. Featuring the latest official code set, instructional notes, conventions, and coding guidelines. |
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Ingenix EASYGroup
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Keeping up with the complexities and constantly changing regulations of multiple prospective payment systems (PPS) can cause compliance headaches. But with Ingenix EASYGroup, a leader in PPS reimbursement does all the updating for you. |
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Ingram & Associates Revenue Model Optimization Services
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Ingram & Associates is now part of Ingenix. Ingram & Associates offers medical billing and collections support; revenue, reimbursement, and recovery solutions; and specialty medical coding and compliance services, including interventional radiology and cardiology special procedures (CVIR), designed to help you gain revenue integrity. These Revenue Optimization Services include:
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Medicare Resources
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Receive the information your hospital needs to bill under Medicare prospective payment systems including DRGs and APCs with Medicare Resources from Ingenix. |
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Online Coding and Referential Resources
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Integrating our robust online coding, billing, and reimbursement solutions can help your hospital to efficiently reduce costs, increase revenue capture, optimize labor, and improve process management. |
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Specialty Coding, Billing and Payment Tools
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Benefit from these all-in-one, specialty-specific solutions—valuable tools when reviewing both inpatient and outpatient charts to quickly determine the most appropriate and comprehensive procedures. |
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TransactionManager™
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Ingenix TransactionManager™ puts you in control of your payer connectivity by optimizing direct transaction exchange with your payers and trading partners. |
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Web.Strat
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Coders typically use one of two methods to code cases: book-based encoding or logic-based encoding. With Ingenix Web.Strat, coders can use the method they prefer, allowing them to be more productive and take less time to code a claim. |
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Web.Strat Compliance Module
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Now that Medicare’s Recovery Audit Contractor (RAC) program is permanent, coding practices that are accurate, efficient, and compliant are more important than ever. The Web.Strat Compliance Module provides you with the tools to implement a successful coding compliance program and the mechanism to evaluate, monitor, and document program achievements. |
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Questions?
To discuss how we can help your organization, please contact us:
engage@ingenix.com or
(800) 765-6713 |
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