Revenue Cycle Management (RCM) Dashboards:

Our RCM dashboard allows Healthcare Providers to track the activities of claims on daily, weekly, monthly or quarterly basis using interactive visualizations enabling them take appropriate decisions before they become uncontrollable and allows provider spend more time on patient care. These dashboards can well support your needs related to receivables improvement, patient satisfaction and better health outcomes.

Daily Weekly Monthly
  • Claim Edits
  • Patient Charges
  • Balancing
  • Month to date Collections
  • Unbilled Cases
  • Percent of accounts receivable days over 90 days
  • Collections
  • Denial percentage
  • Charge lag
  • Statement lag
  • Unbilled cases
  • Underpayments
  • Bad debt write-offs
  • Credit balances
  • Clean claim percentage

Suspect Analytics- Missing codes:

Healthcare Payers are facing challenges in capturing the proper risk scores resulting in the improper payments and poor patient’s care. Missing, incomplete or inaccurate diagnosis codes can negatively impact your individual member risk scores leading to worse health outcomes and effecting the plan performance.

Karvy addresses the challenges by utilizing predictive score models to fill the gaps by utilizing the historical data, authorizations, laboratory, therapy and DME data.

Karvy helps in identifying and stratification of members with the highest probability of missing, incomplete or inaccurate codes appropriate for prospective and retrospective targeting and ranking members with the highest probability of having missing or incomplete diagnosis codes.

Utilization Analytics

Healthcare Payers are facing problems in controlling the growing healthcare expenditure also maintaining the health of employee. There is substantial evidence to show that many of the events that are reimbursable by a health care benefit plan are both controllable and preventable.

At Karvy, we offer Utilization management solutions that help in controlling the overall claim costs by reducing the number of unnecessary episodes of care and helping health plan participants get the care they need in the most efficient way meeting medical necessity.

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