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.

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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

Corporate Video & Podcast

See and hear how OrboGraph incorporates AI, deep learning and self learning technologies into its product suite

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)

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

Revenue Cycle Management – Attention to Detail is Vital

The June Coker Connection newsletter takes a deep dive into the importance and intricacies of Revenue Cycle Management, a topic we at OrboGraph hold near and dear.healthcare payment solutions

Jeff Gorke, Senior Vice President at Coker Group, opens with an irrefutable statement of fact: “Revenue is the lifeblood of any business. Businesses cannot thrive nor survive, regardless of their market segment or service line, without cash in the door.” With that in mind, the healthcare segment faces exceptional (and lately shifting) challenges in their billing models. Still, there are organizations out there resting on outdated systems to the determent of their bottom line:

In fact, many systems that believe their approach to RCM is fundamentally and  financially sound may find that MACRA/MIPS and bundled payment methodologies will render  their processes outdated in the context of fee-for-value and bundled payment reimbursements.  Most healthcare organizations exist in an era of generic charge capture and claims processing without any visibility and tracking of quality or performance. That is, a level three recheck is performed, it is billed out, the electronic fund transfer (EFT) returns, and the payment is posted to the patient’s account. That scenario is predictable if everything goes along smoothly, i.e., no denials, no rejections, etc.

Gorke goes on to warn that institutions and practices that “back-burner” the important and pivotal role of revenue cycle management at the expense of growing their bottom line, and, ultimately, their ability to address the move away from volume to value that we are observing in the industry, ACA or not.

Here are Gorke’s guidelines for streamlined RCM:

  • Understand, and communicate with staff all of the steps and components involved in the RCM process. (An “ecosystem” approach ensures that staff understands the necessity of every piece of the RCM.)
  • As necessary, realign staff to ensure the right person is in the right job; ensure that “job function” is clearly elucidated.
  • Consolidate, where possible, disparate processes that occur throughout the organization.
  • Establish reporting structures and consistent lines of communication.
  • Provide feedback to the practice(s) so that avoidable denials and errors created at the practice level improve; this also places some of the onus of repairs on those who’ve submitted erroneous work.
  • Design, develop, and implement P&Ps for the clinic or CBO.
  • Improve front office (e.g., check-in) collections of co-pays and deductibles; baseline and budget.
  • Measure, monitor, communicate, alter/adjust (the RCM) as needed.
  • Prepare for bundled payment methodologies and handling of same.
  • Consider status of IT system to handle bundles.
  • Where possible, automate processes for efficiencies (e.g., payment posting)

We couldn’t agree more – – and the OrboAccess Healthcare Payments ecosystem is testament to our commitment to the fundamentals listed above. If you haven’t already, spend a minute with our OrboAccess video to see the possibilities!

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