Prior to the delivery of healthcare services, RedEngine aids in the collection
of all patient demographic and registration information, which is vital for timely
claims submission and payment. RedEngine's solutions facilitate the accurate authorization
of services, validation of coverage, assessment of payment risk, and resource scheduling
by improving workflow processes.
To eliminate revenue cycle re-work inpatient financial services, the RedEngine
Registration Quality Assurance solution does the following.
RedEngine provides a unique service that identifies registration data errors
that may cause claims payment delays and/or rejections. This improves the accuracy
of information entered via registration areas and promotes data corrections before
errors impact your cash flow and other revenue cycle processes.
RedEngine can examine the current patient registration records for accuracy. RedEngine
can also help in creating and maintain the patient records which contains highly
personal information: the nature of illness, examination details, medication lists,
diagnoses, and suggested treatment.
Based on the complexity of the Doctor’s medical decision and the historical
information of the patient, RedEngine evaluates the data to determine the correct
level of service that will be used to bill the insurance.