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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
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