Value-based payment (VBP) is a concept that is driving transformation in the US healthcare market and has become more prevalent in discussions within the Australian Private Health Insurance (PHI) industry during the last couple of years, and may soon become an imperative for our country
Healthcare RCM priority processing solution
Optimise your resources.
Optimise your cash collection.
Optimise your business.
Using e5 to optimise cash collection and days to file.
Taking your historical BI data, your priorities, team and exceptions, e5 allows you to predict (and improve) cash collection, ensure claims are processed within days to file and ultimately deliver a better business outcome.
If resources cost $25 an hour, a claim takes 15 minutes to process, the total cost of active claims will be $187k with a net return of $1.5m.
This prioritises the best cash collection return while still considering days to file.
If a claim may not be the highest priority from a cash return opportunity but is about to break days to file, GetNext will prioritise that piece of work.
We understand things change rapidly and with e5 we change with you.
With that in mind, the outcome is quicker processing of claims, faster collection of cash, resources working on the claims that will produce the best return and automating non value add processes.
It’s a smarter way of working.