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Patient accounting

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Help your team focus on the most impactful efforts

Bring simplicity to your revenue cycle team and patients

Every day providers offer an abundance of services to their patients. They are then faced with collecting, organizing and analyzing information from those services to be reimbursed in an accurate and timely manner. Cerner recognizes that back-office teams need solutions that work for them – and ultimately for their patients. That’s why we prioritize automation, third party connection and alignment to clinically driven workflows to help meet the current needs of providers and patients alike.     

A clinically driven revenue cycle, which connects clinical and financial information, powers our revenue cycle products. It creates claims that match the medical record as a natural byproduct of the clinical documentation. When clinical and financial information is connected, back-office workflows can become exception-based which helps teams operate quickly and precisely. With our patient accounting solutions, you can also connect patient accounting data, like denials, back to upstream areas like registration and case management through common tools. 


Features

Cerner RevElateTM Patient Accounting is built to fit your revenue cycle demands. The scalability, advanced automation and open, extensible environment targets improving care, compliance and maximum reimbursement for your organization. The cloud-native design is intended to scale to fit your organization. It updates reimbursement calculations as demographic and charge activity changes for your patients.


The advanced automation and open, extensible environment of Cerner RevElate empowers you to: 

  • Tackle workflow redundancy 
  • Dedicate your most valuable people to high value work  
  • Dynamically connect workflows 
  • Innovate to help drive growth and enable future proofing 

Cerner RevElate workflows enable you to: 

  • Implement upstream scrubbing as early as the point of charge generation 
  • Align coding through the encounter linking rules  
  • Automate Diagnosis Related Group (DRG) grouping 
  • Utilize workflow functions from both Cerner and third parties  

While there are many new enhancements to our patient accounting offering, Cerner remains committed to the clinically driven revenue cycle. The advanced automation of Cerner RevElate offers a more robust, intentional way of connecting clinical and financial information, ultimately helping to facilitate positive outcomes for your patients. 



Cerner contract management provides capabilities to help manage your payer contracts. Integration enables a more streamlined user experience across billing and contract management.  Modeling also supports simulation and analysis of third-party payer reimbursement.


Our contract management workflows enable you to: 

  • Monitor patient services, calculate expected reimbursement as charges are posted to the patient encounter and identify payment variances 
  • Manage 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 
  • The contract management engine applies payer requirements for the aggregation and segregation of services without user intervention 
  • Support bundled and global payments and value-based purchasing, as well as other health care payment reform initiatives 

Modeling in contract management allows you to:

  • Define varying populations from production encounters to use in scenario calculations
  • Apply a variety of payer contract models to various populations
  • Apply a variety of health plans to various populations for encounter linking, non-covered charges and benefits
  • Use a variety of delivered groupers/pricers to standardize reimbursement calculations
  • Store modeling results for future retrieval
  • Copy contract modeling details into your live contracts
  • Manage modeling scenarios within analytics



Charge services icon

Charge services

Our near-real time charge capture creates charges based on clinical documentation. This enables you to: 

  • Facilitate reduction in manual intervention by capturing revenue based upon clinical events and documentation
  • Determine charge information (i.e., prices, CPTs, revenue codes, etc.) by mapping logic based on specific criteria such as insurance plans, encounter types, location, etc.   
  • Transform charges to handle state and payer requirements 


*Portions of Cerner RevElate are under development. Cerner makes no assurances that the capabilities described herein will be provided in the product. The legacy Cerner patient accounting product is still being sold for certain markets, such as CommunityWorks. As the product becomes generally available, Cerner will work with organizations individually to establish an implementation timeline. Work with your Cerner sales associate to understand the path that is best for your organization. Contact us here.



FAQs

What are the benefits of a clinically driven revenue cycle?

The Cerner clinically driven revenue cycle enables administrators, care teams and coders alike to pull from a single patient record and take advantage of clinical automation that helps tackle traditionally manual work tasks.

Contract management is part of the Cerner RevElate data model and can support both net-down and gross A/R reporting. Calculations of expected reimbursement are updated frequently as demographic information, charges and contracting changes are updated in the revenue cycle system. In this way, the user has a near real-time view of the applicable contract calculation and terms.

The Cerner Patient Accounting product has historically been a part of the Millennium® database infrastructure. With a move to automation, purpose-built data models and cloud integration components, Cerner RevElate Patient Accounting will be the new go-forward patient accounting solution. Due to the volume of clients that need to migrate to Cerner RevElate, the current Cerner Patient Accounting tool will continue to receive support and upgrades including some of the automation capabilities also available for Cerner RevElate. For current clients interested in more information about Cerner RevElate, please reference our FAQs by logging in using your Cerner care account. For new clients, please work with your sales associate to understand how Cerner RevElate impacts you.

Cerner RevElate is designed to be open and extensible. It can use both traditional HL7 interfaces as well as web-based APIs to connect with third parties.

Cerner surveyed clients between March 8-April 29, 2022 who participated in a Cerner-led demonstration of Cerner RevElate. The following insights were gathered from the 157 clients that responded to the survey.

  • 62% of respondents believe Cerner RevElate will help solve their organizations' challenges (clients responded somewhat or strongly agree).
  • 88% of respondents feel confident or neutral in the Cerner RevElate strategy.
  • 80% of clients said they are receiving adequate communication about Cerner RevElate (clients responded neutral, somewhat or strongly agree).

As the first beta client moving from Cerner Patient Accounting to Cerner RevElate Patient Accounting, Charleston Area Medical Center shared:

"When my team first saw the demo of Cerner RevElate, I recognized that this is going to allow my team to focus on more complex denial-related issues so that we can work through some of our backlog in our respective queues and also work smarter. We also saw some of the smart workflows inside of this product that will really help take the guessing game out because we can use the smart workflows to direct the rep to follow the right process and resolve a denial depending upon the payer.​" - Christine Sturtevant, Associate Administrator of Revenue Cycle, Charleston Area Medical Center

Revenue cycle management offerings