1. Automates work assignment:
eobONE is designed to maximize your office efficiency. You can automatically distribute your work load based on the specific criteria you select.




Work may be auto-assigned using the any of the following criteria:
■By payer(s)
■By patient name range
■By dollar value
■By procedure code(s)
■By reason code(s)
■By denial category (ies)
■By claim number prefix
As your needs change, the work assignment rules can be changed on-the-fly, and the new rules will be reflected immediately!

2. Presorts work queue:
Information appears in your eobONE inbox auto-placed in the appropriate “bucket” – by type of work.
■Reminders
■Assigned (work sent by another team member for review/assistance)
■Work in process
You can further refine your work to suit requirements necessary to meet, and dispense with, issues rapidly.
3. Consolidates Information – Faster Issue Resolution:
All information related to the claim under review is available to you in one place – much like a cockpit. With one mouse-click, you can expand your workspace.

■All payments/denials related to the one under review
■All payments/denials for the particular date of service for the patient under review
■Relevant financial history of the patient under review
■Adjudication history of the procedure under review
■Pertinent information from the outbound claim which generated this review
■Help with procedures, diagnosis, reasons and remarks appearing on the EOB
■Create any adjudication/clarifying letters in seconds (not minutes!)
■Save electronic copies of all correspondence
■Insert documenting notes as needed for yourself and your team
■Set reminders for future actions
■Produce a set of Medicare EOBs for Secondary filing
1. Gain Critical Business Visibility with real-time dashboards:
Graphically see your practice’s money flow and assess business critical trends. Rapidly uncover root causes of your issues at the payer and procedure level. Drill down from any graphic to the underlying data in seconds. Export any dashboard, or the entire screen, along with underlying data.
■Payer mix – by reimbursement and denial
■The time to payment for each procedure – by payer
■Fee table as applied by the payer – what are you being paid, and what needs further attention
■Patient Responsibility profile
■Fee table stacked by payer – what is the fee table relative to each payer
■Emerging denial trends – what’s needed to stem problems
■Understand each payer’s denial profile – is there a trend of excessive denials
■Determine the competitiveness of your payer contracts

2. Manage Staff Productivity – Graphically Monitor the Claim Flow:
eobONE enables each person to monitor statistics surrounding their work load. The department supervisor can monitor and review the department’s activity along with each user's productivity in a very granular fashion. Users are stack-ranked based on quantitative metrics.

■Age of my workload – measured from date of service
■Age of my workload – measured since it arrived my work basket
■Breakdown of my workload – open, in process, complete
■Type of workload – quality of my denials
■Work adjudication – measured by action taken to deal with the issue
eobONE clients have used these metrics to create performance incentive programs for their teams.

3. Meaningful, auto-generated reports:
A plethora of customized, preformatted reports to inform you of trends most important to you – delivered to you weekly and monthly. The reports provide a retrospective insight into your practice.
■Present a detailed analysis of denial reasons for procedures by:
▪ Payer and/or
▪ Provider and/or
▪ Patient
■Provide a grid of payer performance

4. Access all your information:
When the need arises, a rich reporting foundation is available to you so that you may query, export, and analyze your data – simply – via Microsoft Excel™. You get reports that are clean, clear, rich, and precise.




  Inspired by Emily.
   

 
   
       
       
       
       

 
Request a Demo