Omtool™ - Omtool Solutions for Claims Management
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Does this describe your company’s paper document workflow?
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Claims Management

Symptoms: The required documentation to support the claims management process is typically stored in multiple on-site and off-site locations, in different applications and in a variety of formats, both paper and electronic. The inability to quickly and easily access the necessary documents creates delays that ultimately impact the revenue-cycle and customer satisfaction. The final outcome includes rising costs, lowered reimbursement/ cash collection and increased claims denials and receivable days.

Rx: Omtool's answer to these challenges is document imaging at the point-of-service with the Image-In Direct Capture digital capture system and in the business office with Image-In Business.

These software applications are designed to support internal operations, improve revenue-cycle performance by allowing an unrestricted flow of essential information for timely billing of services and support of claims. As a result:

  • Claims are paid more quickly
  • Denials are reduced
  • Off-site storage costs are reduced or eliminated
  • Customer issues are handled more efficiently.

Registration: The account life cycle begins with the registration process. Capturing the correct information upfront decreases and/or eliminates denials and rework on the back end that leads to increased A/R days. Omtool's ADT e-Forms prompts the registrar to capture pertinent patient-related documents and signatures. These may include patient identification, insurance cards, payer authorization, electronic signature of consent, Medicare and other forms used to support the adjudication process.

  • Workflow is automatically determined by unique patient type, insurance and/or specific departmental requirements.
  • Each document is automatically indexed to the patient's "electronic folder" when the patient account and medical record numbers are automatically received from the host registration system.
  • A rules-based capture sequence ensures each image is tagged with the appropriate document ID before it is submitted to the archive, eliminating manual intervention by the registrar.
  • An additional benefit is the "Preview Mode" feature, which displays previously captured images, eliminating the need to scan duplicate documentation.
  • Images are then immediately available for viewing by authorized users in the Business Office and throughout the organization.

Image-In Direct Capture

Digital image capture system scans images of typically non-clinical documents such as insurance cards, driver's licenses, referral forms HIPAA notices and displays them on a desktop paneled win

Image-In Business

Healthcare business document and form capture system converts paper-based business documents to electronic records