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A New Standard in Healthcare
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Payment Accountability A New Standard in Healthcare 1 Payment - - PowerPoint PPT Presentation
Payment Accountability A New Standard in Healthcare 1 Payment - - PowerPoint PPT Presentation
Payment Accountability A New Standard in Healthcare 1 Payment operations havent caught up with the needs of dynamic enterprises 2 We know The healthcare system is vital and technology is continually advancing whats possible, and
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The healthcare system is vital and technology is continually advancing what’s possible, and yet, we are stuck.
We know…
Savings if every claim was paid correctly the first time AMA, 2013
$14B
Savings if administrative complexity was reduced to same levels as other service industries Harvard Business Review, 2015
$130B
Broken promises. Missed opportunities.
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From this…
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To this…
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Lets you…
Plug in: Streamlined integration One single place to connect your core claim systems to our cloud- based reimbursement platform for editing, pricing, analytics and network payment configuration. We learn your environments and scale as your business needs change. Take control: Payment management Manages all your critical data workflows by integrating core functionality with the most comprehensive and up-to-date pricing data in the industry, all customizable to your specific payment terms. Plan ahead: Business intelligence Analysis tools provide real-time data on production level claims and historical claims so that you can model ‘what if’ scenarios to better navigate policy and pricing changes.
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Traditional Approach Burgess’ Approach
Obstacles Resolved
Disconnected Systems Rigid Software Updates in Production Late Massive Implementations Unified Platform Designed for Payment Flexibility Continuous CMS and Medicaid Updates Start Quick, Scale Easily
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Unified Approach. Better Outcomes.
IT Finance Operations
Single integration point for all claims Automated processing in the cloud Editing, pricing, auditing and modeling in one transaction Utilizes your core system’s routing language Implement rules targeting leakage Analyze harmful payment trends “What If” contract modeling and analysis Forecast the financial impact of new CMS and medical policies CMS and contract compliance Reduce administrative expenses Auditing and provider relations portals Extensible service to add-on payment integrity rules and payment models
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The Payment Accountability platform
You need a better way to manage provider reimbursement. So, we developed Burgess Source: the Payment Accountability platform
Schedule a demo
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