Managing the endless complexities of the healthcare revenue cycle is a monumental task. Doing so efficiently requires accurate data-driven insights, claims adjudication, net collection ratios, and denials management to mention but a few.
Why settle for a glimpse when you can have the full picture?Viewgol: Your RCM Team’s Missing Half.
Going Beyond Your PM System’s
Built-In Analytics and Reporting
Many practices rely on practice management (PM) systems to handle core revenue cycle management reporting and analytics. These platforms provide a starting point for revenue cycle analytics through features like:
Reporting across financial, clinical and administrative data
Key revenue cycle performance indicators and metrics tracking
Practice data visualization through graphs and charts
Automation enabling scheduled and on-demand report delivery
Viewgol builds on the foundation from your existing PM system to fill all manner of gaps in data and analytics, enabling you to maximize the value of your PM systems.
Enhancing Capabilities of Core PM Systems
Viewgol Analytics seamlessly pulls data from your existing PM systems to supercharge your data insights and enhance the reporting and analytics you use daily across:
Denial Management
While most PM systems offer denial reporting, Viewgol provides unparalleled visibility into root causes, such as, whether denials originate at registration verification vs. claim submission. For example, Viewgol Analytics’ denial reasons report dashboard tracks denial volumes by reason, payer, date range, and other variables within the last 90 days. This rich data allows practices to quickly pinpoint problematic patterns, make claim edits, and implement targeted workflow improvements.
Financial Reporting
Although legacy systems provide high-level reports, these typically lack the granular details needed for RCM optimization. Viewgol Analytics’ underpaid claims analysis uncovers missed reimbursement opportunities across CPT codes and informs contract negotiations. Highly customizable aging reports deliver complete transparency into A/R across multiple parameters, revealing trends in outstanding balances and identifying delinquent accounts needing follow-up.
Claims Management
PM systems silo claims information. Viewgol Analytics can consolidate data across multiple PM and EHR systems for unified visibility and benchmarks to improve workflow visibility with reports like Payer Velocity which measures turnaround times.
Patient Collections
Viewgol applies advanced matching algorithms to calculate patient collection success rates based on correlated charges, payments, and historical adjustments. This empowers practices to pinpoint collection shortfalls, identify front desk optimization opportunities, and improve point-of-service cash flow.
Want More Than Just Software?
Data alone isn’t enough – you need world-class expertise to analyze and strategize high-impact solutions tailored to your organization.
Viewgol’s Business Intelligence team combines that data with decades of RCM experience, equipped with the specialized knowledge to dive deep, ask the right strategic questions, and uncover optimization opportunities specifically suited to your needs.
Advanced Analytics Not Possible in Your PM Systems
Proactive Claim Risk Detection
Viewgol Analytics uses predictive algorithms to identify claims at risk of denial or aging out. Staff can proactively rescue claims in danger of timely filing.
Productivity Tracking
Granular quantification of employee workload and productivity trends enables optimized staffing plans, uncovers training needs, and provides performance benchmarks.
Contract Optimization
By comparing actual reimbursement rates to expected contract rates across CPT codes, Viewgol ensures proper payer compensation and informs negotiation strategy.
Automated Data Integrity
Purpose-built algorithms automatically detect and resolve systemic PM data issues that lead to billing errors and compliance risks. This includes duplicate records, excessive adjustments, invalid enrollment statuses, and more.
Scorecards Driving Performance
Viewgol Analytics enables customized executive scorecards that improve upon PM systems by:
- Allowing flexible KPI selection aligned to each organization's metrics of interest rather than pre-defined reports
- Consolidating data across disparate reports into integrated views
- Enabling drill-down from summaries into underlying details
- Offering scheduled, automated delivery to stakeholders
- Creating high-level executive reports tailored to leadership needs, summarizing financial outcomes, operational metrics, productivity, and overall revenue cycle performance.
Immediate Time Savings
By automating manual reporting and providing unprecedented analytics, Viewgol alleviates major time burdens for practice administrators:
- Roberta, Practice Manager - Spent 4 hours each Monday running utilization reports in her PM system. Now gets them emailed automatically every Monday through Viewgol.
- Mark, Revenue Cycle Director – Struggled to compile data from 4 different PM systems to analyze network-wide revenue cycle efficiency. Viewgol consolidates it instantly.
- Jennifer, Billing Manager – Determining the root cause behind increasing claim denials took days of digging into multiple reports. Viewgol’s denial management dashboard reveals the trends in seconds.
- Amanda, VP of RCM – No longer has to manually compile end of month financial reports. Viewgol Analytics automates consolidated executive reporting.
RCM Heroes
Have Your Back
Business Intelligence Team
Your RCM specialists and trusted advisors.
The BI Team leverages specialized healthcare RCM experience to transform raw data into actionable insights, serving as a cornerstone in your revenue cycle strategy. They delve into your organization’s unique challenges, unearth hidden revenue streams, and customize optimization opportunities. By scrutinizing workflows, denials, and underpayments, they reveal actionable insights that drive both revenue and practice efficiency.
Payer Science Team
Your payer policy translators.
Viewgol’s Payer Science team provides tailored insights to enhance first-pass approvals, accelerate appeals, and ensure accurate reimbursement. Their guidance helps clients address the complexities of payer behavior to drive revenue integrity.
Client Success Team
Your implementation accelerators.
Viewgol’s Client Success team streamlines platform implementation through administrator training, regular progress reviews, and sharing best practices that maximize user adoption. Their hands-on guidance enables customers to realize Viewgol’s full analytical potential.
Conquer Your
Revenue Cycle Challenges
Viewgol empowers your team with unprecedented visibility into the complete revenue cycle landscape – delivering insights well beyond the piecemeal data extractable through traditional PM systems.
With Viewgol, your organization gains an enterprise-grade analytics solution to:
- Prevent missed revenue opportunities through detailed contract and claims analysis
- Reduce denial rates via data-driven workflows and avoidance protocols
- Accelerate cash flow turnaround times through productivity improvements
- Ensure billing accuracy and compliance through automated data integrity
- And ultimately, drive profitability through in-depth actionable data insights.
Take the Next Step with Viewgol
Ready to transform your RCM?
Experience the power of data-driven decision-making with Viewgol. Viewgol your data today and start your journey towards a more efficient, transparent, and profitable future.
