The MedAptus Cross Reconciliation Engine is a powerful tool capable of driving revenue improvements through data analysis of entered Facility and Professional charges to intuit any potential overlooked opportunities. Only MedAptus provides such an end-to-end solution capable of capturing and reconciliation both types of charges, ensuring maximum reimbursement to both physicians and the facility.

• Fully supports a split billing approach, which derives greater revenue
• Auto-populates common data elements between Facility and Professional systems, greatly reducing administrative burden
• Enhances compliance efforts, ensuring coded elements support best practices
• Dashboard view of charge status’ expedites reconciliation and review processes

One of the key challenges facing healthcare institutions is the provision of necessary outpatient services without incurring operating losses due to unrealistic reimbursement schedules for many outpatient specialties. Core to the objective of maximizing reimbursement are efficient, intelligent and adoptable charge capture and reconcilation processes.

Unfortunately, the majority of hospital-based outpatient clinics still use paper-based super bills to capture facility and technical charge data. Inherent in this approach is a high degree of process overhead associated with moving the form throughout the process until data entry personnel manually key the data. Also, super bill systems consistently have significant revenue loss related to coding errors, down coding, missed coding opportunities and physical loss of the form. These are the reasons MedAptus developed Facility Charge Capture.

Given the degree to which MedAptus’ Professional Charge Capture customers have realized substantial improvements in physician revenue capture, compliance, and process efficiencies, many progressive sites are also implementing MedAptus’ Facility Charge Capture to support their facility billing. Their goal is to derive the same types of results – at the institution level. For these groups, the Cross Reconciliation Engine provides seamless integration of captured data from both systems. Currently no other vendor has the technology to offer such streamlined, comprehensive and intelligent charge management.

MedAptus saw an opportunity to develop the Cross Reconciliation Engine based on significant overlap between facility and professional charge data, as well as data interdependencies. For institutions that deploy both MedAptus solutions, the Engine seeks out revenue opportunities while simultaneously reducing manual tasks. Such improvements can be the driving force that changes hospital-based outpatient services from cost centers to profit centers.