eValuator by Streamline Health

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eValuator™ is a cloud-based software solution designed to analyze medical coding and charge accuracy before the billing process begins. Its primary function is to ensure that medical billing codes are accurate and compliant, which can help healthcare providers avoid revenue loss and potential compliance issues. Key Functionalities: Automated Pre-Bill Coding Analysis: eValuator™ conducts an automated review of medical codes before they are sent for billing. This helps in identifying any inaccuracies or discrepancies in the coding process. Real-time Analysis: The software provides real-time results, allowing healthcare providers to quickly identify and rectify any coding errors. This timely intervention can prevent potential revenue loss and reduce the chances of claim denials. Coverage for Various Care Types: The software is designed to handle coding analysis for Inpatient, Outpatient, and Professional Fee (Pro-Fee) care. This comprehensive coverage ensures that a wide range of medical services are accurately coded and billed. Case Prioritization: eValuator™ ranks each case based on the need for further review and the potential financial impact of any recommended corrections. This helps healthcare providers focus on the most critical cases first. Automated Workflows: The software comes with built-in automated workflows that guide users through the process of identifying and addressing coding issues. This streamlines the correction process and ensures that errors are rectified efficiently. Robust Reporting: eValuator™ offers detailed reporting features that provide insights into coding accuracy, potential revenue impact, and areas that may require additional training or attention. Cloud-Based Implementation: Being cloud-based, eValuator™ can be quickly implemented without the need for extensive on-site infrastructure. This also ensures that the software is always up-to-date with the latest coding guidelines and regulations.

RevID by Streamline Health

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Purpose: RevID™ is a software solution designed to reconcile and optimize medical charges before they are submitted as claims. Its primary goal is to ensure that charges are accurate and complete, thereby preventing revenue leakage and ensuring compliance. Key Functionalities: Automated Compilation and Analysis: RevID™ automatically compiles and analyzes all charge data to detect discrepancies between clinical data and billing data. This means it checks if what was documented in a patient's clinical record matches what is being billed. Identification of Discrepancies: The software identifies potential issues or discrepancies in the charge data. These issues are then presented to the staff for review and correction. Optimized Charge Capture: By identifying and rectifying discrepancies, RevID™ ensures that all appropriate charges are captured for every patient encounter. This helps in preventing revenue loss due to missed or inaccurate charges. Daily Reconciliation: The software facilitates daily reconciliation of charges, ensuring that billing data is accurate and up-to-date every day. Automated Prioritization: RevID™ automatically prioritizes potential issues, directing staff to the most critical discrepancies first. This helps in efficient and timely correction of errors. Robust Reporting: The software provides detailed reports that offer insights into charge accuracy, potential revenue impact, and areas that might need further attention or training. Increased Staff Productivity: By automating the charge reconciliation process, RevID™ allows healthcare staff to focus on other important tasks, thereby improving overall productivity.