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Billing, Claims and Contract Management

Billing, Claims & Contract Management

As reimbursement changes become a reality, your organization needs a strong financial foundation in order to succeed.

Our integrated billing, claims and contract management solutions enable your organization to verify expected reimbursements and manage any variances and denials right within your workflow.

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A single platform designed to enable cleaner claims, improve communication and speed up reimbursement

Power of integration

We’ve built our clinical and financial solutions on a single platform, which reduces the need for foreign interfaces and enables a single point of accountability.

  • Integrate communication between billing and clinical teams to improve process efficiencies (users can see patient financial data and, with appropriate security, link directly to the char for any necessary reviews)
  • Leverage functionality like work queues to help manage collections
  • Manage denials, variances and appeals in a single workflow
  • Track performance across your entire system
  • Quickly post payments to view a patient’s account status
  • Store and retrieve documents electronically using imaging technology

Real-time charge capture based on clinical activity

  • Create charges based on clinical documentation
  • Route charges automatically
  • Transform charges to handle state and payer requirements
  • Determine charge information (i.e. prices, CPTs, revenue codes, etc.) by tiering logic based on specific criteria (insurance plans, encounter types and location)

Advancing the claims process

  • Remove the need for foreign interfaces to Cerner’s clinical systems
  • Support payer billing requirements with flexible claims rules
  • Push assignments to your billing staff using automated work queues allowing them to prioritize their work
  • Create custom workflows based on business office needs
  • Send statements and letters automatically to patients and payers using Cerner’s correspondence service

Manage your payer contracts

  • Mange the life cycle of a reimbursement contract
  • Leverage a variety of reimbursement calculations and claim qualifying types
  • Re-price historical claims in near real-time and post them back to a patient account
  • Access more than 30 Federal, State and Commercial Prospective Payment Systems

CTAs

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Read the stories of our clients' successes using our solutions.

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Contact us to schedule a demo and request sales information about this solution.

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Watch our Revenune Cycle Management client achievement video playlist.

More About Billing, Claims & Contract Management

Related Offerings

Case Management

Connect clinical and financial information and automate utilization management, clinical documentation improvement and discharge care management within Cerner’s EHR.

Health Information Management & Coding

Electronically monitor, support and manage health information of all types for a comprehensive, secure medical record.

Patient Access

Get complete and accurate information at the point of service to help manage your cash flow.

Practice Management

Enable a comprehensive workflow including registration, scheduling, patient tracking, patient accounting and reporting through a single platform in the ambulatory setting.

Revenue Cycle Management Services

Integrate people, process and technology, to help improve workflow efficiencies, meet organization metrics and control cost to collect.

FAQs

Can I access the patient chart directly if I need to review specific clinical information related to a claim?

Our billing, claims and contract management solutions can integrate communication between billing and clinical teams to improve process efficiencies. Users can see patient financial data and, with appropriate security, link directly to the chart for any necessary reviews.

Our Revenue Cycle Operational Reporting tracks performance across your entire system.

With Cerner Patient Accounting, you have the ability to push assignments to your billing staff using automated work queues allowing them to prioritize their work. Additionally, you can create custom workflows based on business office needs.

With Cerner Contract Management, you have the ability to re-price historical claims in near real-time and post them back to a patient account.