PrecisionGx helps provider networks and systems improve revenue management efforts by ensuring payment accuracy, identifying gaps in claims information, and simplifying the complex claims administration process to reduce high overhead costs and optimize payment integrity.
Our engine deep dives medical claims for provider networks and systems to ensure that each claim is correct prior to submission. By simultaneously mapping millions of relationships across thousands of dimensions our engine can better detect, validate and eliminate errors in billing codes, significantly reducing the rate of denied claims and ensuring invoices are reimbursed properly.
Our engine tracks and learns from inappropriate payment patterns and billing behaviors identified during claims scrubbing and analysis and delivers actionable insights for both post-submission process improvement and prevention strategies. Provider networks employ many administrators, billers and medical coders for tracking and managing revenue cycle processes. By optimizing these processes our clients are realizing millions of dollars in administrative time and overhead savings while significantly improving cash flow.