Business Details
Your Trusted Partner for Revenue Cycle Management Solutions
We are a specialized provider of Revenue Cycle Management (RCM) solutions for healthcare institutions, including hospitals, health systems, and physician practices. Partnering with Cognizant, we leverage intelligent automation, proven methodologies, and experienced professionals to optimize financial performance and operational efficiency. Our services address critical challenges such as accounts receivable management, eligibility verification, coding, denials management, and third-party liability, ensuring healthcare providers focus on delivering patient care. Backed by a proven track record, we delivered $13M in additional revenue for MetroHealth by reducing denials by 30%.Our commitment to innovation empowers clients to navigate evolving regulations, rising costs, and patient financial responsibilities while maintaining compliance and transparency. Through tailored end-to-end solutions, we enable data-driven transformations that enhance financial health and streamline business processes. Our expertise in healthcare economics positions us as a trusted partner for institutions seeking sustainable growth in a rapidly changing industry.
Services
Hospital RCM
Accounts Receivable
Eligibility Solutions
Coding Solutions
Chargemaster
Complex Denials
Patient Access
SSDI Services
Physician RCM
Credentialing
Highlights and features
- We partner with Cognizant to deploy cutting-edge automation in healthcare RCM.
- Our solutions reduced denials by 30%, generating $13M in additional revenue.
- We specialize in hospital and physician group RCM with tailored end-to-end services.
- Our team combines industry expertise with proven methodologies for financial optimization.
- We focus on solving complex challenges like third-party liability and compliance.
Services
Hospital RCM
Our Hospital Revenue Cycle Management solutions streamline billing processes, eligibility verification, and accounts receivable management using automation. We address complex denials, third-party liability, and regulatory compliance for hospitals and health systems. By leveraging Cognizant's expertise, we enhance financial performance while enabling institutions to prioritize patient care.
Eligibility Solutions
Our eligibility solutions ensure accurate insurance verification and enrollment, minimizing coverage gaps and third-party liability. We identify secondary coverage and workers' compensation claims to secure timely reimbursements. By automating these processes, we reduce administrative burdens and improve revenue integrity for healthcare providers.
Coding Solutions
Our coding solutions ensure precise charge capture and compliance with evolving regulations. We address complex denials through accurate CPT and ICD-10 coding, reducing revenue leakage. By combining automation with certified coders' expertise, we optimize reimbursement for hospitals and physician groups.
SSDI Services
We assist patients in securing Social Security Disability Income (SSDI) benefits, ensuring financial access to care. Our services include case evaluation, documentation support, and appeals management to maximize eligibility outcomes. This reduces patient payment burdens while improving institutional revenue stability.
Physician RCM
Our Physician RCM solutions manage billing, credentialing, and complex claims for group practices. We recover underpayments and automate cash posting to enhance profitability. By tailoring workflows to specialty needs, we reduce administrative overhead and improve practice efficiency.
Questions
What is Avectus Chargemaster's core service?
We provide Revenue Cycle Management (RCM) solutions for hospitals and physician groups, focusing on billing, claims processing, and financial optimization.
How does Avectus Chargemaster improve healthcare revenue?
We use automation and Cognizant's expertise to reduce denials, streamline eligibility verification, and address third-party liability, boosting financial performance.
What industries does Avectus Chargemaster serve?
We specialize in healthcare RCM for hospitals, health systems, and physician practices.
Can Avectus Chargemaster help reduce claim denials?
Yes, our solutions reduced denials by 30% for MetroHealth, yielding $13M in additional annual revenue.
Is Avectus Chargemaster partnered with Cognizant?
Yes, our partnership with Cognizant enhances our ability to deliver data-driven, scalable RCM solutions.
