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ease
features
design
support

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Description

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Description

Enhance your financial performance by centralizing the automation of patient cost estimates, identifying payer underpayment issues, and optimizing contracts all within a single platform. Detect and analyze trends related to insurance company underpayments to ensure your chargemaster is set for maximum efficiency. Delegate investigations and appeals to your team while monitoring their progress seamlessly in one dashboard. Evaluate and compare performance metrics across different payer contracts to negotiate terms more effectively and from a position of strength. Accurately project patient out-of-pocket expenses, instilling confidence for upfront deposits. Facilitate direct online payments for upfront deposits, enhancing patient convenience. Hold insurance providers accountable for the full amounts due, empowering you in contract discussions. Minimize bad debt and reduce the costs associated with collections, while also decreasing the number of days in accounts receivable. This streamlined approach not only improves financial outcomes but also enhances patient satisfaction and trust in your services.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Dentrix
EPIC HRMS
Experity
Greenway Health
ModMed
NextGen Healthcare EHR
Nextech
athenaOne
eClinicalWorks

Integrations

Dentrix
EPIC HRMS
Experity
Greenway Health
ModMed
NextGen Healthcare EHR
Nextech
athenaOne
eClinicalWorks

Pricing Details

$1039.00/one-time/user
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Vālenz

Founded

2004

Country

United States

Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Vendor Details

Company Name

MD Clarity

Country

United States

Website

www.mdclarity.com

Product Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Product Features

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

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