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Centricity EDI Services Brochure


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Electronic data interchange and proactive services for Centricity revenue cycle management customers.

Centricity EDI Services combines revenue cycle expertise and proven
services to help speed up the revenue cycle and increase productivity. Proactive
monitoring and support help to detect payer issues — often before you even realize
there’s a problem.

Key features
• Tight alignment with payers ensures mandates, updates and other payer-specific adjustments are addressed and communicated
• Management of payer connections and ownership of payer issue resolution
• Web-based tracking and reporting of all pertinent data, including transaction volumes, file and claim levels, rejection highlights, and rejection details
• Best-practice workflows and automated task management to streamline follow-up
• Notification of changes in payer processing to ensure continuous transactions

Published in: Health & Medicine

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Centricity EDI Services Brochure

  1. 1. GE HealthcareElectronic data interchange and proactive servicesfor Centricity revenue cycle management customers
  2. 2. Accelerate revenue perfKey features• Tight alignment with payers ensures mandates,updates and other payer-specific adjustmentsare addressed and communicated• Management of payer connections andownership of payer issue resolution• Web-based tracking and reporting ofall pertinent data, including transactionvolumes, file and claim levels, rejectionhighlights, and rejection details• Best-practice workflows and automatedtask management to streamline follow-up• Notification of changes in payer processingto ensure continuous transactions
  3. 3. formance. Centricity EDI Servicescombines revenue cycleexpertise and provenservices to help speed up therevenue cycle and increaseproductivity. Proactivemonitoring and support helpto detect payer issues—often before you even realizethere’s a problem.Fully integrated solution for yourCentricity revenue cycle softwareCentricity EDI Services is a proven all-payer clearinghouseand proactive services offering that helps you reduce costsand A/R days, while maximizing profitability. Centricity EDIServices enables scheduling-to-payment workflow thatelectronically connects you to virtually any payer. Exclusivelyfor Centricity Business, Centricity Group Management, andCentricity Practice Solution customers, Centricity EDI Servicesfully integrates eligibility, claim, and remittance data intoyour Centricity revenue cycle solution to help you improveefficiency and reduce inaccuracies in the billing process.We’ll monitor your revenue cycle,so you can focus on patient careCentricity EDI Services allows your organization to processand track claims through the entire billing cycle. Beginningwith the first patient encounter, your staff can proactivelyverify insurance eligibility.Once claims are submitted, Centricity EDI Services providesdaily proactive monitoring of all transactions to identify issuesand prevent claim processing delays—before they can havea negative impact on your bottom line. Centricity EDI Servicescan be quickly implemented, and GE Healthcare staff willbegin monitoring your revenue cycle performance immediatelywhile also managing the technical backend—so you canfocus on delivering healthcare and business operations.
  4. 4. Stay true to your vision in aDocumented financialperformance improvements.• Interactive eligibility verification canbe done quickly and easily, reducingdenials and write-offs.• Faster claim and remittance fileprocessing—typically within onehour—improves time to paymentadjudication.• Payer edit integration allows earlieridentification of problem submissions,so claims can be corrected soonerand payments received faster.• Cleaner claims and decreased rejectionsresult in improved cash flow.Proven FTE efficiencies.• Automated eligibility verificationand claims status checking reduceunnecessary effort.• EDI transactions integrated in theworkflow reduce manual processing,increasing staff productivity.• Fewer claim corrections free up yourstaff for more value-added projects.• Electronic remittance advice significantlyreduces manual payment posting.Validated value-added services.• Best practices from GE make payeredits easier to understand and manage.• Proactive monitoring and supportdetect payer issues impacting numerouscustomers—often before you realizethere is a problem.• The Centricity EDI Services teamworks with you to anticipate andreduce problems and improve issueresolution times.• Payer analyses through reporting andweb-based tracking allow you to takea closer look at transaction volumes,file and claim levels, rejection high-lights, and rejection details.• The Centricity EDI Services teamworks to eliminate EDI “black holes”to reduce financial risk.
  5. 5. changing landscape.Accelerate financial performanceand profitabilityIn the face of declining reimbursements, changes in patientcoverage, and increased competition, you must reduce claimrejections and denials, write-offs, and the time required tosubmit and remit a claim. Centricity EDI Services streamlinesfinancial operations, provides greater insight into financialperformance, and helps you identify any issues before theydisrupt or delay payments.You must also avoid any disruptions to your revenue cycle dueto ICD-10, 5010 and other regulatory mandates. Centricity EDIServices is ICD-10 and 5010 ready, helping customers preparefor compliance well in advance of the mandated deadline.Minimize manual “corrections” thatmay result in errorsEligibility verification, claim submission, posting remittance,and status checking by hand are extremely time-consuming,error-prone, and costly. Centricity EDI Services links youelectronically to virtually every payer for the processing ofclaims and electronic remittance advice. It automates eligibilityverification, EOBs, referrals, and authorizations, while managingattachments, claims and remittances, and claims statuschecking, reducing unnecessary effort. By minimizing thenumber of claims that require manual corrections, you’llreduce the chance for errors. And you’ll free up staff formore value-added projects, increase staff productivity,and streamline information access.The landscape in which you operate is complex andevolving, but your primary goals remain consistent.Centricity EDI Services helps you stay on course.An extra set of eyes. Without the extra FTEs.Imagine having an extra set of eyes to manage and proactivelymonitor your revenue cycle—without using any additional FTEresources. That’s the value of EDI Services from GE Healthcare.Centricity EDI Services provides results-based solutions thathelp you manage the collection process using fewer resources.Our expert service and integrated software offering can helpimprove the management of your revenue cycle.By combining GE’s proactive monitoring services with anintegrated approach that automates and standardizes thebilling process, GE’s full-service EDI solution delivers measurableimprovements that impact your ROI:• Improved financial performance• Improved FTE efficiencies• Enhanced integrated workflow• Support for EDI 5010 standardsCentricity EDI Services’ automated check points throughoutthe claims process have been shown to produce quantifiableresults for Centricity revenue cycle management customers,who experience fewer rejections, faster turnaround times,and reduced days in accounts receivable.
  6. 6. Everything you need tooptimize your revenue cycle.Centricity EDI offeringsCentricity EDI Services offers a robust portfolio of servicesthat enable you to focus on your business while streamliningprocesses and workflow.• Eligibility verification• Electronic claims• Electronic remittance• Claim status• Paper claim services• Hosted claims management• Denial/rejection management• Payment Automation• Analytics Dashboard
  7. 7. The GE difference.Fully connected to your revenue cycle solutionCentricity EDI Services fully integrates with Centricity Business,Centricity Group Management, and Centricity Practice Solution,creating an intuitive scheduling-to-payment workflow thatencompasses all billing activities. By managing claim andremittance data from within your Centricity revenue cyclemanagement solution, you can improve productivity andobtain better insight into financial performance.Benefit from better visionGE Healthcare doesn’t just provide you with a method forconducting clearinghouse transactions. Centricity EDI Serviceshelps you produce cleaner claims, track their status, andaccelerate remittance. By providing a closer look at transactionvolumes, file and claim levels, rejection highlights, and rejectiondetails, Centricity EDI Services helps you identify areas forimprovement. Proactive monitoring services anticipate problemsand detect payer issues before they have the opportunity todisrupt cash flow, improving financial performance.Proven, robust servicesMore than 1,900 healthcare organizations currently entrustGE Healthcare with their financial success by using CentricityEDI Services to manage over 200 million claims annually. GEHealthcare provides a complete offering that delivers consistentresults for customers who demand high quality and reliabilitywhen it comes to managing claim volume. Centricity EDI Servicesare EHNAC certified, reflecting transactional quality, operationalefficiency, and data-security capabilities. Customers valuethis reliability.In a crowded marketplace withnumerous dedicated clearinghousevendors, Centricity EDI Servicesstands apart—with integrated,intuitive workflow, better insight,and robust services.
  8. 8. DOC1126171imagination at workAbout GE HealthcareGE Healthcare provides transformational medical technologies and services thatare shaping a new age of patient care. Our broad expertise in medical imaging andinformation technologies, medical diagnostics, patient monitoring systems, drugdiscovery, biopharmaceutical manufacturing technologies, performance improvementand performance solutions services helps our customers to deliver better care to morepeople around the world at a lower cost. In addition, we partner with healthcare leaders,striving to leverage the global policy change necessary to implement a successful shiftto sustainable healthcare systems.Our “healthymagination” vision for the future invites the world to join us on our journeyas we continuously develop innovations focused on reducing costs, increasing access, andimproving quality around the world. Headquartered in the United Kingdom, GE Healthcareis a unit of General Electric Company (NYSE: GE). Worldwide, GE Healthcare employees arecommitted to serving healthcare professionals and their patients in more than 100 countries.For more information about GE Healthcare, visit our website at www.gehealthcare.comGE Healthcare540 West Northwest HighwayBarrington, IL©2012 General Electric Company – All rights reserved.General Electric Company reserves the right to make changes in specifications and fea-tures shown herein, or discontinue the product or service described at any time, withoutnotice or obligation. This information does not constitute a representation or warranty ordocumentation regarding the product or service featured. Timing and availability remainat GE’s discretion and are subject to change and applicable regulatory approvals. Contactyour GE representative for the most current information.GE, the GE Monogram, Centricity and imagination at work are trademarksof General Electric Company.General Electric, by and through its GE Healthcare division.*Trademark of General Electric Company.