Remit Advice Professional is a new online tool that helps you quickly analyze your remittance data and gain a transparent view into the variables that impact your revenue cycle. With Remit Advice Professional, it is easy to navigate through interactive charts and filter data to get detailed practice information that helps you track your payment turnaround times for each payer, discover the reasons behind claims denials, and compare your utilization and productivity within your practice and against state and national peers. Remit Advice Professional helps you:

• View actionable data almost immediately with quick and easy implementation
• Pre-select data insights and access via email
• Compare your practice’s payment turnaround times and denial rates with other practices in your specialty and state quickly and easily using a large database of remittance information
• Print and share easy-to-read charts and graphs
• Analyze data from a high level overview or claim level detail
• Identify trends and address problems quickly with real-time data

View Frequently Asked Questions

 

Question: "Will this help with our rejection rate?"
Response: "Remit Advice Professional focuses on the ERA data that comes after your claims have passed through the clearing house and have been adjudicated by your payers. Rejections happen before the payer even sees the claim. The costly delays and denials happen after they are adjudicated by the payer."

Question: "We just don’t have a problem with denials/reimbursement. What other areas will this help with?"
Response: "How do you find out today if your staff is more productive than your state level peers? This isn’t just about denials or reimbursement. Is your practice using specific codes for an inappropriately high percentage of office visits? Who is your most productive physician? Remit Advice Professional helps determine all this information."

Question: "Why do I care about reimbursement rates from payers? I can’t do anything about it."
Response: "Reimbursement is more than rates; it is timeliness of payment, consistency of payment, underbilling, specific payer requirements and more. Remit Advice Professional can show you how your practice compares to others on all these factors."

Question: "Will the doctors know about issues before I have a chance to address them?"
Response: "You can control access within sections of Remit Advice Professional. With Remit Advice Professional you can look daily for changes in your reimbursement patterns and get any issues fixed before they become large problems. Remit Advice Professional may also help you point out coding problems that result from actions taken by the physician and show them clear data to support suggested changes."

Question: "How is this different from other tools? Doesn’t my practice management system tell me all this?"
Response: "Remit Advice Professional compares your practice performance against your peers using the largest 835 database in the country. By using the 835, we are comparing your practice against real-time standardized data, critical to accurately comparing reimbursement, utilization and productivity measures. By focusing on these metrics and benchmarks, your staff becomes more productive, reimbursement levels more accurate and cash flow improves."

Question: "What good does ‘comparative’ do me? I really don’t care how I compare."
Response: "All the people that look at your practice, like the payers and the auditors, start with statistical comparisons between your practice and the others in your state and the country. Don't you want to see what they're going to see, before they do?'

Question: "Does this violate HIPAA, Stark, anti-trust, etc.?"
Response: "The data is aggregated and "blinded", meaning no PHI is shared outside your practice’s account. No competing practice can directly look at another practice’s data. We have worked extensively to comply with all privacy and protection laws and regulations."

Question: "Can you compare me with another practice in town?"
Response: "The current version of Remit Advice Professional compares only across State and National levels."

 

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