Improve financial outcomes using datadriven insights from EXL Health and REVELOHEALTH

Revenue cycle management impacts organizations at every level. Facing constant revenue pressures, the need for healthcare providers to accelerate revenue capture and protect working capital is more crucial than ever.

EXL Health’s Integrated Revenue Management Solutions (IRMS), developed in conjunction with our business partner REVELOHEALTH, deliver healthcare providers and organizations information to accelerate revenue recognition and stabilize the bottom lines so that they can confidently serve their patients. How? We look and go deeper to improve revenue capture, optimize payment processing operations, and maximize and protect working capital through payment analytics and comprehensive payment processing solutions.

EXL Health’s Integrated Revenue Management Solutions with REVELOHEALTH offer:

  • Best-of-breed A/R automation with unmatched domain expertise to offer a complete revenue cycle management solution.
  • Data-driven payment processing services.
  • Revenue analytics to optimize revenue cycle management.
  • Tailored offerings to meet your specific business needs.
  • The information, tools and services to help optimize your business, control your future, and achieve your mission of improving lives and health locally.

Workflow Design

Our unmatched combination of industry and functional expertise enables us to infuse best practices into your processes to drive efficiency and effectiveness.

  • Map your revenue cycle from date of scheduling through date the account balance is resolved
  • Identify gaps within the custody chain of patient information
  • Use the physical map and gap analysis to see the financial impact of those gaps in relation to financial operation
  • Remediate other areas within revenue cycle management with a specific list of priorities

Optimal Analytics

Comprehensive analytics enable providers to launch competitive Exchange offerings aligned to their communities. We offer:

  • Operational analytics
  • Productivity
  • Performance
  • Stratification
  • Score cards

In addition, we offer a series of analytics from the revenue cycle management process that are defined against best practices and provide you with the tools to define performance at three levels — RCM workflow, practice management, and provider management.

Payment Posting

Infuse your revenue management ecosystem with tools to accelerate and define the payment process and drive overall operational effectiveness using our end-to-end analytics. Our solution offers:

  • Cash reconciliations, exception handling and manual payment posting within 48 hours to reconcile patient accounts promptly
  • Direct payer contact and research to swiftly identify non-reconciled payments
  • Dedicated and focused efforts to improve ERA enrollments
  • Lockbox and correspondence processing for non-electronic communications and payments
  • Policies for write-offs and adjustments.
  • Uniform processes for non-ANSI and custom code posting for proper categorization and increased visibility

In addition, we offer a series of analytics from the revenue cycle management process that are defined against best practices and provide you with the tools to define performance at three levels — RCM workflow, practice management, and provider management.

Denials Management and Insurance A/R Follow Up

Identify potential problem areas before issues arise, enabling you to adapt your revenue management system to improve your cash flow.

  • Get an overview of denied claims and understand how they are driving your A/R days and staffing allocation
  • Understand denials in-depth by payer and denial code/category to trend payer issues and resolve root causes
  • File appeals on all denial types where billing information, documentation and/or contract specifications meet payment policy requirements
  • Follow up with insurance companies to obtain claim status, request expedited payment and gather insights for lagging payments
  • Develop and implement policies and procedures through the use of EXL Health’s advanced analytics engine
  • Improve the financial and operational health of your practice(s) and promote scalability