Impacting the bottom line
by providing unsurpassed value, quality and business insights
Revenue Cycle Management
Our team of highly-skilled professionals work towards helping your organization’s progress by reducing the cost-to-collect, improving net collections, and and using automated technology to derive better process performance, quality, and turnaround time.
Our proprietary Newton AI platform automates and provides greater insight for physicians, HIM, account receivables, and billing professionals.
Full Service RCM
Eligibility validation, demo/charge entry, A/R follow up and payment posting
Medical records extraction and coding automation
Insights in missing procedure and diagnosis codes
Significant productivity gains with reduction in turn-around time by more than 60%
Expertise in multiple practice management systems, specialties, and EMR(s)
Highly trained resources average 4+ years of healthcare experience
Coding / HIM Services
ApexonHealth offers comprehensive coding services as part of our full revenue cycle management and medical billing services, or as a standalone serivce for organizations doing thier own billing.
Our solutions are highly flexible and use innovative technology platforms and automated workflow solutions. We deliver a variety of reports to track quality and key metrics with value-added services including DNFB reconciliation, compliance reporting, provider deficiency reporting and more.
Clinical documentation improvement
Predictive CPT, HCPS, diagnosis, HCC, and RAF scores
Code audit services
Reduced revenue leakage
Customized process flows including predictive analytics to improve coding quality and reduced CDI deficiencies
Improved patient risk profile
A/R and Denial Management
Our team handles all critical functions involved in A/R management, including filing of appeals, assessing insurance low pays, updating insurance contracts, managing unapplied balances, managing refunds, and processing patient statements and deliquency letters.
We use cutting-edge technology by combining business intelligence, actionable intelligence and advanced analytics to manage and analyze data, then create information to support business decisions and solve business problems. Our efficient, automated workflow tools provide our clients with extremely detailed and thorough reporting on every claim worked on.
A/R Management Features
Insurance and patient follow up
Old A/R clean ups and resolutions
Credit balance and appeals
Denial Management Features
Predictive denial scoring engine
Root cause analysis AR follow-up
Follow ups of predictive claims and uncovering root cause of denials
Make claim edits or scrubber more efficient
Reduction in A/R days, Increase in Collections, Reduction of 90+ A/R
ApexonHealth provides analytical toolkits, data warehouse solutions, and actionable intelligence using visualization software to help providers deliver high quality care and attain their financial and compliance goals
Physician productivity, anomaly and benchmarking
Collection insight and forecasting
Hospital resource optimization
Significantly improves financial performance
Customized process flows including predictive analytics to improve coding quality and reduced CDI deficiences
Improved patient risk profile
ApexonHealth helps the HIM/Revenue team using Newton AI solutions to capture and bill all charges. We have a deep understanding of Provider billing and typical causes for revenue leakage. Our approach is to combine our strong domain knowledge with industry leading technology to deliver business results that exceed our client’s expectations.
Code audit, denial management, and AR management tools
Code adequacy analyzer and collection optimizer
Coding and Scoring
HCC code and RAF scoring engine
Forecasts cash collection
100% of code audit review using machine learning
Accurate prediction of encounter level denials