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Coding Webinar - Nov 18

efficientC ProcessefficientC - A Denial Prevention Solution

We're changing the conversation ... 

efficientC and Insights have joined forces to deliver the industry's ultimate denial prevention product available today. 

Built by revenue cycle experts for healthcare billing specialists, efficientC is a claim management and analytics software product. It combines a responsive clearinghouse and claim scrubber tool with its Insights analytics platform that work together to get you the highest number of claims paid on the very first submission.

 


What efficientC Delivers

  • Paid
  • Unpaid
  • Paid
  • Unpaid

95% of Claims Paid in 20 Days

Through the unique integration and alignment of denials and edits in one system, efficientC gets claims paid fast.

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  • Millions ($)
  • Millions ($)

15% Cash Flow Improvement

Our clients see an average of 15% improvements in cash collections after implementing efficientC.

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  • Denials
  • Denials

40% Denial Reduction in 60 Days

Going beyond denial reporting, efficientC and our team of claim analysts monitor and take action to eliminate future denials.

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FTE Reductions & Re-allocations

With the right technology in place to handle billing and denials, your staff can focus on the most important tasks.

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Latest Blog Posts

Featured
Ready or Not, Hospitals Prepare for Price Transparency

In 2019, the President issued an executive order expanding on previous price transparency measures for healthcare providers.

Starting January 1, 2021, hospitals must provide patients with clear, accessible information regarding their standard charges for the items and services they provide.

The government’s stated goal is to put healthcare price information in the hands of consumers, with the idea that this will allow patients to make more informed health care decisions.

Indeed, some patients have expressed a desire for price transparency, but many will have to be educated about it.

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News - Insights Analytics Press Release

ClaimSource, Inc., announced today that its flagship healthcare clearinghouse, efficientC® and its Insights analytics denial prevention subscriptions can now be purchased as standalone applications.

This paves the way for more healthcare organizations to access efficientC’s powerful analytics platform.

Prior to this announcement, access to Insights analytics required customers to subscribe to efficientC for clearinghouse services as well.

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Three Revenue Cycle Challenges Caused by COVID-19

...and How to Solve Them

The healthcare industry is acclimating to a world in which COVID-19 persists. As regulations and mandates are regularly being introduced, providers are facing problems affecting the revenue cycle.

Here are three common challenges we've seen:

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Testimonials

I did revenue cycle consulting for 20 years before I came to ProHealth Care. I’ve worked with a lot of different systems and efficientC is one of the top systems I’ve ever worked with as far as having data and tools at your fingertips and being able to use it to solve root cause issues.
- Curtis Glaunert, Vice President of Revenue Cycle
efficientC has dramatically improved Watertown Regional Medical Center’s A/R and cashflow. OS utilizes the same efficentC software so they’ll always be looking for ways to improve it. They have a wide array of billing expertise which also comes in handy. If I’m at a loss regarding a specific billing issue, I’ll contact OS as they’ve probably already seen and dealt with the issue. efficientC has been a big “Win” for us.
- Jim Kluge, Director - Patient Accounting & Patient Access