American HealthTech launches RCM suite

American HealthTech, Jackson, Miss., has introduced automated eligibility verification as the first component in its new revenue cycle management (RCM) solutions suite. The tool automates the process of verifying a person’s benefits and coverages prior to service, which can ensure correct billing, reduce denied claims and make reimbursement processes more efficient.

Hospitals have used automated eligibility verification for years, but skilled nursing facilities (SNFs) are now finding themselves in urgent need of automated tools to capture revenue, explains Teresa Chase, president of American HealthTech. “A facility with dozens or hundreds of residents—and no automated eligibility verifcation process—can burn thousands of dollars on inefficient eligibility management every month,” Chase said in a press release, noting that the average cost of managing denials is about $25 per claim.

Additional modules in the company’s RCM solution—expected to be released in first quarter of 2016—include claims scrubbing for 837 claims, claims status and remittance management. Modules for denial management and contract management will follow later in 2016.

Pamela Tabar

Pamela Tabar was editor-in-chief of I Advance Senior Care from 2013-2018. She has worked as a writer and editor for healthcare business media since 1998, including as News Editor of Healthcare Informatics. She has a master’s degree in journalism from Kent State University and a master’s degree in English from the University of York, England.