Delivering the Practice of the Future Now

Medisoft Revenue Manager

Claims are Falling Through the Cracks!

Typical Broken Revenue Cycle

  1. Schedules Patient Appointment
  2. Submit Claim
  3. Pray for Payment

Medisoft Revenue Cycle Manager Has the Answer

Revenue Management assists in managing your electronic claims and your revenue cycle. The product includes real-time edits prior to claim submission, eliminating many of the errors that can result in a rejected claim. This also includes claim status, meaning you won’t need to pick up the phone to call the insurance company to see whether or not a claim was accepted or paid. It even lets you create custom edits, and the Electronic Remittance Advice (ERA) has also been enhanced.

Controlling Revenue Loss

It is no secret that claims play a major role in every practice's revenue cycle. Maintaining your claims keeps your practice healthy. Manually processing claims is tedious and takes up too much of your valuable time. According to John Hammergren, author of Skin in the Game, 25% of claims today are paper based, and it costs $20-25 to process each one. A full 30% of the industry's claims have errors, and half of those are lost. Losing claims can be catastrophic to a practice's income. In fact, some of the top reasons for revenue loss of medical practices are as follows:

  1. Not Verifying Eligibility
  2. Using Wrong Codes
  3. Losing Track of Rejected Claims
  4. Spending Too Much Time Manually Posting Claims
  5. Not Sending Secondary Claims
    6.

Revenue Manager Controls Revenue Loss

Every Step is reported back on your claim.

Eligibility Verification

Eligibility Verification - When a patient schedules an appointment, Revenue Manager verifies the patient's insurance eligibility. It's no secret that claims are a huge part of every practice's cash flow. Ineligibility is one of the most common reasons that claims get rejected. When you use Revenue Cycle Manager, you gain access to batch eligibility, allowing you to send eligibility requests for a patient or group of patients or claims. The results are posted directly into Medisoft, so you can instantly see if insurance coverage is verified!

Back to cycle

Claim Scrubbing

Revenue Cycle Manager has a built-in claim scrubber, allowing you to check your claims BEFORE you send them. You can scrub claims based on Medicare Policy edits, CCI edits, edits based on a variety of other edits, or even create your own custom rules. This saves you tons of tedious manual work to correct and re-file claims that have been rejected. Plus, when your claims are correct the first time you send them, you get paid faster!

Back to cycle

Insurance Acknowledgement (Claim Tracking)

With Revenue Cycle Manager, you get automatic maintenance of a claim's history, including all edits, acknowledgements, and transactions. You'll never lose track of your claim. If you ever wish to inquire about a claim, all it takes is a few clicks of the mouse to send an inquiry to the payor, and the result will be posted to your claim and recorded in your history.

Back to cycle

ERA Claim Posting

Claims are automatically posted - No more manual posting. When you use a clearinghouse, transactions are posted directly into your Lytec Billing Software. Revenue Cycle Manager also lets you know when a claim has been rejected, and why. This makes it easy for you to quickly correct the claim and re-send it efficiently.

Back to cycle

Electronic Secondary Claim Submission

It is too often that secondary claims are rejected because they are submitted on paper. Revenue Cycle Manager handles primary, secondary and even tertiary payments, all electronically to ensure that you get paid.

Back to cycle

Medisoft Revenue Cycle Manager

Revenue Cycle Manager for Lytec is a great new product that allows you to electronically track and manage your claims. Revenue Cycle Manager can work in two ways, depending on your needs.

  1. Revenue Manager Advanced - works with your clearing house, such as RelayHealth for electronic claims submission and ERA
  2. Revenue Manager Direct - allows you to submit to one or multiple payors directly

To get more information Call 800-955-0321 or click here!