Physician Revenue Cycle Optimization

Physician Revenue Cycle Optimization is a whole-systems-engineering approach to revenue enhancement that automates critical operational processes to reduce administrative costs, accelerate claims payment, and improve cash flow.

Whole systems engineering that helps you to…

• Move error checking and other traditionally post-billing processes up front
• Connect directly with your most significant trading partners
• Take a more assertive stance on fair and accurate payment

Begin reclaiming a substantial percentage of your gross billings going forward—with no loss of transparency or control, and a solid ROI.

Only Ingenix offers a whole-systems-engineering approach to physician revenue cycle optimization: By using claims history to model proposed changes and forecast impact more precisely, and by comparing multiple contract versions side by side, you will better understand the impact of new contracts. By using explicit calculation of expected reimbursement to more precisely estimate your future cash flow, you will forecast cash better. And by flagging suspect claims before they are submitted, you will reduce your risk of regulatory non-compliance.

In addition, by electronically reconciling 837s/835s, by flagging aberrant transactions, and by maintaining linked inventory of all electronic transactions, you will automatically reconcile all claim-related transactions. And by establishing connections with multiple trading partners to increase negotiation leverage, combined with establishing direct connections to eliminate transaction fees with high-volume trading partners, you will reduce transaction costs.

Cut your receivable carrying cost, reduce your resubmission cost, minimize your underpaid revenue, and maximize your discovered revenue—all with Physician Revenue Cycle Optimization, only from Ingenix.