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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

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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

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.

Three Steps to Avoid Denials and Increase ReimbursementRunning a successful practice relies on getting reimbursed for services in a timely manner. After all, the best physician and staff can only operate while the bills are being paid. Coding and billing can be a time consuming function in any practice, but proper coding and timely submission are necessary. Often, healthcare practices find themselves inundated with claims denials that must be made up by either resubmitting the claim, passing the payment off to the patient or writing the charge off.

As we approach the deadline to implement what is in essence a new coding system in ICD-10, it is even more imperative to get a handle on why claims are denied before one problem snowballs into another. There are several steps healthcare practices can take to gain control of denials:

    1. Analysis – Improper coding, non-covered beneficiaries or services and claims submitted after deadlines are often reason for denials of reimbursement. Analyzing the reasons that are commonly causing your practice’s denials can indicate areas of claims processing that can be optimized to reduce these denials.
    2. Group Review – Once the primary reasons for denials have been defined, regular meetings with staff can be helpful. Making sure the front office staff is taking the proper verification steps with each patient is essential to avoiding denials even before the procedure has taken place. Whether the reason is improper verification of insurance or benefits not covered, the front office staff can implement a plan of action to ensure that current and new patients have all the correct information on file as well as ensure that certain procedures are covered prior to services being rendered. If improper coding is an issue, medical staff can review charts to ensure documentation is correct and adjust diagnoses where and when necessary, avoiding codes that may not be appropriate for certain services.
    3. Verification – Claims can be technical or detailed in nature. Proper review and editing before submitting the claim is a big step towards avoiding denials. Make sure to validate that the claim is clean with the right codes, in the right format for the insurance company it is being submitted to and not mismatched in any way. Validating and editing claims before submission can be time consuming but it allows the provider more control over the end result as working denials is not only time consuming but commonly unclear and tricky. Practices will always deal with denials. Reviewing and editing claims prior to submission gets the hard work out of the way before it becomes an issue. Never add to the number of denials that have to be resubmitted tomorrow by not verifying information in the first place.

Three steps to more efficient claims processing is all it takes to progress towards the reduction of claim denials. When the practice staff works together to make sure every step in the process from denial analysis to process reviews to verification of information is in place, common errors are avoided. The result is timely claims processing, with reduced denials, increased reimbursement, a happy staff and a confident patient population.

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