FLEXIBLE TURNKEY IMPLEMENTATION

IMPLEMENTATION PROCESS

1

LEGACY SYSTEM ACCESS

Add 2 users to every system

  • Practice Management
  • Primary Clearinghouse
  • Additional Clearinghouses
  • Necessary Payer Portals

2

BETH SETUP

Obtain data from legacy systems

  • Record process for historical data
  • Record process for real time data
  • Predictive data extraction models

 

Master Data Management

  • Payer and provider confirmation
  • Fee schedule calculations
  • Contract terms

3

AI DATA TRAINING

Run standard rules library

  • All edits (CCI, LCD, NCD, MUE, Guidelines)
  • Payment accuracy calculations
  • Outstanding claim status

 

Self learning rules

    • Reverse engineer historical denials
    • Reverse engineer payer guidelines
    • Run prediction tests

REVENUE REALIZATION PHASES

There are 3 distinct phases of performance improvement:

1

IMPLEMENTATION

Month 1 – 3

2

AR REDUCTION & UNDERPAYMENT RECOVERY

Month 3-15

3

PEAK PERFORMANCE

Month 15+

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