Software

Assurance Reimbursement Management

Assurance Reimbursement Management™ gives you the visibility needed to efficiently manage all types of payer claims in one integrated system. Our solution helps accelerate cash flow, decrease A/R, reduce denials, improve staff productivity and reduce costs.

Our analytics-driven claims and remittance management tool helps healthcare financial managers efficiently manage all types of payer claims, including commercial, Medicare, Medicaid, and Worker’s Compensation. It provides ongoing claim visibility and supports proactive just-in-time follow-up until payment is received. Assurance Reimbursement Management™ gives hospitals, physician practices and other ancillary providers the capabilities to accelerate claim payment, reduce denials, improve resource utilization and reduce costs.

Improves acceptance

The Edit package includes 837 (institutional and professional), Medicare CCI, 72-hour Medicare compliance, Medicare Medical Necessity and Eligibility Claim edits. Custom edits and bridge routines can be built as needed. 

Powerful

Automation drives efficiency through just-in-time workflow, so staff can focus only on claims needing attention. Gain visibility into claim status within the lifecycle and get guidance for proactive claim follow-up.

Integration

Enhanced payer status rules and claim assignment management ensures staff are working claims within their skill set and workloads remain balanced.

Included modules

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    Assurance Paper Claims™

    Printing and delivery of primary paper claims is available for your organization. You also have the option of adding collated claims and EOBs for secondary claims.

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    Assurance Hard Copy Direct™

    Manage secondary volume by automatically generating the secondary claim and explanation of benefits (EOB) from the primary remittance advice. You can also print and mail claims.

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    Assurance Remittance Management™

    Remittance Management helps increase automation of secondary billing and enhance reconciliation capabilities. Remittances from our Optum connected payers and other sources can be formatted and delivered for easy posting into a host system. 

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    Assurance Medicare Direct Entry™

    Integrate Medicare claim processing and speed payment up to one day. Reduce follow-up time and accelerate claim payment with automatically generated secondary claims.

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    Assurance Edits as a Service™

    Assurance Edits as a Service enables billing staff to identify missing or incorrect information for correction prior to submission. The integration between these 2 systems facilitates streamlined workflows and increased accuracy.

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    Claims Status Enhanced Response

    Generate on-demand claims status requests (276) to receive the current status of your claims. 

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    Assurance Host Integration™

    Post transmitted claim status information into the notes section of your patient accounting system to help reduce the need to manually post information while providing easy access to pertinent data.

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    Assurance Attachments™

    Assurance Attachments allows you to submit Workers’ Comp and Property and Casualty claims with their associated attachments, bypassing the effort and expense of paper processing. 

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    Assurance Attach Assist™

    Attach Assist allows you to send attachments electronically to meet the increasing number of requests for additional documentation from government payers, Medicare, Medicaid, Veterans Affairs (VA) and several other commercial payers.

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    Assurance Payment Clarity™

    To streamline payer contract negotiations for underpaid or overpaid claims, automated variance reporting on anticipated and actual payment is available. Configure which payers to track, define acceptable variance terms, and run comparisons to easily identify areas for follow-up.

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    Acuity Revenue Cycle Analytics™

    This analytics-driven revenue cycle management solution for providers provides a cross-functional view for making timely decisions impacting financial outcomes, staff productivity and the patient experience.

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    Pulse Revenue Cycle Benchmarking™

    An analytics-driven competitive analysis solution gives providers increased visibility into their claims cycle performance, benchmark performance with peers, and helps quickly address obstacles.

Related resources
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Sell sheet

Accelerate claim payment with analytics-driven claims management

Assurance Reimbursement Management™ enhances claims efficiency and reduces costs through automation and optimization. Download the sell sheet to discover how it can help you streamline your reimbursement processes.

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Frequently Asked Questions

Q: We have some unique edits. How will you handle them?

A: You have access to unlimited customized edits. These are called Bridge Routines and are set up during implementation. We also provide classes and training from our Advisory Services group to teach you how to build your own custom edits. Historically, experience has shown that many customizations needed in legacy claim systems are no longer needed in Assurance. 

Q: Will Assurance integrate with Cerner and Epic?

A: Assurance can be installed with any health information system. You can submit an 837 or proprietary files to process through Assurance to scrub or clean and release to our clearinghouse. Information can be passed back to the HIS. It is up to your organization to determine which information is posted back to the host or any other downstream systems.

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