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Key Benefits

How it works

  • Perform self-audits on claims independent of an official payer audit.
  • Identify at risk claims and payments before a payer finds them.
  • Receive alerts when a claim is already under review.
  • Add new fields and change data entry pages to reflect your organization's requirements.
  • Design dashboards based on individual roles and responsibilities.
  • Use embedded advanced report writer to design report layouts.
  • Import claims and remits under audit.
  • Import denied claims or those at high risk for denial.
  • Define scope criteria or select sample to bring into system and analyze.
  • Automate workflow functions as a virtual coordinator to rout claims through entire audit and appeal process, including email notification and task reminders.
  • esMD (Electronic Shipment of Medical Documentation) integration eliminates need for manual shipping and faxing of: medical records, RAC discussions, Medicare pre-authorizations, appeals.
  • Take advantage of the platinum-level integration with Optum's Executive Health Resources (EHR) to manage your appeals process.

  • View data in various formats: robust visualization tools, standard reports with a built-in wizard, home page dashboards.
  • Identify at-risk billing and payments via one-time or scheduled searches on claim and remit data.
  • View financial information in real-time graphical dashboards.

Why SAI Global

Revenue Risk Manager is part of our Compliance Risk Solution


Additional Information

A 360 Approach

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