RISARC Consulting, LLC

RISARC is the premier supplier of high technology revenue recovery and reimbursement systems to the nation’s leading healthcare providers.

RMSe-bubble: Claims Query Reporting Service Module

Robust automated revenue cycle workflow management and reporting system. Single-view AR with feedback and resolution. Resolve cases with automated claims query and create efficiency with AR work buckets. Receive denial trending and analytics by payer. Feedback on controllable vs. non-controllable errors that impact aging for training and prevention.

  • Volume of claims in the AR
  • Looking up the claim status individually on the website is slow
  • EOBs are not filed in a reliable and organized manner
  • Providing accurate claims tracking
  • Developing customized reports
  • Data analytics on collected information
  • Reducing Claims Query reporting errors
  • Improving all aspects of Revenue Cycle Management
  • Develop Analytics and trending reports
  • Customizing Staff and Management work buckets to improve workflow
  • Create a reporting mechanism on Controllable vs. uncontrollable denial trending by payer