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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.

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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.

Platform Modernization

Modernizing payments in the banking and healthcare industries

AI, Self Learning & Deep Learning Technologies

Optimized AI and deep learning models for the automation of check processing and healthcare posting

Operationalizing AI & Self Learning in Checks

Revolutionizing check processing and fraud prevention for the banking industry

Delivering Healthcare Payment Electronification

Increased accuracy levels, decreased error rate for healthcare payments posting

Product Videos

See how each product/service module of OrboAnywhere and OrboAccess delivers value from our check and healthcare payment platforms

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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.

Access EOB Conversion

Delivers EOB/EOP electronification with information intelligence via AI and deep learning technologies

Access Correspondence Letters

Extracts posting data and tracks reimbursement progress via workflow management

Access Payment Reconciliation

Streamlines the reconciliation process of ERA, ACH, EOB and checks

Access Patient Payments

Automates patient payments for posting

Access Denial Intelligence

Spotlights trends in denials to reduce receivables via prevention

Healthcare Payments Automation Center

Scalable, reliable, flexible cloud-based hosted data center on Amazon Web Services (AWS)

Modernizing RCM with AI

An informative resource to assist RCM companies in understanding how to solve today's problems with the help of AI.

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.

Anywhere Fraud

Transaction and image analysis for on-us and deposit fraud detection of counterfeits, forgeries, and alterations.

Anywhere Recognition

Divergent multi-engine CAR/LAR, ICR, OCR & AI check recognition for the Omnichannel

Anywhere Validate

Validate payment negotiability of paper originated items

Anywhere Payee

Match, read, and validate payees for risk and operational workflows

Anywhere Positive Pay

Payee name verification of business checks using issue files

Anywhere Compliance

Mitigate risk in check payments for OFAC, BSA/AML, UCC, Reg CC, and KYC

Restrictive Endorsement

Automatic validation of restrictive, mobile and non-restrictive endorsements

Traditional Products

Based on the Accura XV platform

Modernizing Omnichannel Check Fraud Detection

An informative blog series exploring payments fraud and image technologies used to fight financial crimes.

The CHANGE HEALTHCARE HEALTHY HOSPITAL REVENUE CYCLE INDEX estimates that out of the $3 trillion in claims that were submitted in 2016, 9 percent ($262 billion in charges) were initially denied. For your average health system, that adds up to as much as 3.3 percent of NPR, dinging them for an average of $4.9 million in jeopardized cash flow.

When you consider the complexity of the HME/DME billing and the ridiculous reasons some claims are denied, it’s no stretch to believe that every facility should focus on obtaining as much insight as possible to their HME/DME denials.


Are Denial Managers Too Comfortable With HME/DME Risk?

Many denial managers, though, are a little too relaxed when it comes to the level of DME denials risk they expose themselves to, leaving their appeals processes to pick up slack in the claim creation and submission process.

This approach not only falls short of an effective pre-denial prevention program but also exposes facilities to an often unnecessary and expensive appeal process. Change states that we spend $8.6 billion on administrative appeal costs across the country, which breaks down to $118 per claim — and that’s on top of the fact that only 63 percent of denied claims are actually recoverable.

Ideally, every denial manager should be able to perform a breakdown of their HME/DME claims that’s more in-depth than the information above and answer questions about:

  • Percentage of DME claims denied each year
  • Cost per denied DME/HME claim cost to appeal
  • Percentage of hard to soft denials
  • Percentage of preventable DME denials
  • Steps to minimize preventable denial numbers


The Foundation of Reduced DME Risk

According to Henri Cattier, Partner at Commonwealth Health Advisors,

“We have identified that many DME providers do not have the tools in place to adequately track, report and manage the overall process. The ability to uncover priorities in the data can significantly reduce receivables, collections and days sales outstanding (DSO).”

Technology-enabled business intelligence and flexible reporting which aggregates data sources which include EDI 835s and 837s, EOBs, ACH, and checks are critical to this approach. Access Denial Intelligence opens the door to denials risk mitigation and trend insight for proactive denials managers across the country.

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