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Resources

Check out our reservoir of information related to check recognition and healthcare payment technologies. We frequently update this section with the latest news, trends, and analysis of the banking and healthcare industries.

Reg CC

Compilation of resources to help you navigate Reg CC

Platform Modernization

Both the financial and healthcare industries are undergoing modernization initiatives in check payments and remittance.  See how OrboGraph is using AI, self-learning and deep learning models to drive innovation in these industries to deliver workflow automation.

Healthcare Payments

OrboAccess automates remittance and payment posting as well as enables full research and business intelligence analysis for RCM companies, clearinghouses, billers, and providers.

Check Processing

OrboAnywhere automates paper originated payments (i.e. checks, money orders, drafts) and remittances for balancing and posting while reducing risk and losses in the areas of check fraud, payment negotiability and compliance.

Access Denial Intelligence

Spotlighting trends in denials to reduce receivables via prevention

Access Denial Intelligence

Access Denial Intelligence is the newest addition to the OrboAccess suite. The system analyzes and identifies denied claim trends and improves work processes as a decision support resource.

 

Built on the framework and technology of business intelligence, reporting views can be “sliced and diced” from a variety of interrelated data sources including; EDI 837 claims, EDI 835 ERA, EOB/EOP, ACH, and checks.  By incorporating both clinical and revenue cycle data into insightful metrics, management can identify and prioritize problematic trends in denied claims. The result is to maximize the recovery of revenue on denied claims, reduce leakage, and shorten accounts receivables.

 

The system offers a highly intuitive user experience designed for use by multiple levels of management and users across the healthcare provider.  C-level and revenue cycle management can use the system as a benchmark for success, monitor key performance indicators (KPIs) and create direction for proactive denial correction. The system also delivers predefined schedule reports.

 

RARC Analysis
orboaccess healthcare payments

Want to learn more?

Access Denial Intelligence Brochure

System Benefits

Analysts, denial group managers and billing specialists can interrogate custom data, export worklists and run custom queries based on a wide array of fields. Examples include:

 

  • Claim Adjustment Reason Code (CARC)
  • Remittance Advice Reason Code (RARC)
  • Claim Status
  • Payers
  • Providers (Rendering Physicians)
  • HCPCS
  • Diagnosis

 

Using a well-defined methodology to identify the most denial-prone entities within each category will enable the user to create a more efficient recovery process as well as a proactive program for denial prevention.

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