ClaimHealth | Legion Healthcare Partners

ClaimHealth®
AI Claims Diagnostic Software

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CLAIMHEALTH

What is ClaimHealth®?

CLAIMHEALTH

With ClaimHealth® your Radiation Oncology Department will be able to know the following key information about their revenue cycle and operations

  • Billing and coding errors based on all of Medicare and Commercial Payor authoritative guidelines
  • Missed billing opportunities (i.e. lost revenue from codes not billed)
  • Inconsistent payment trends or partial payments by payor
  • Potential institutional risk 
  • How to reduce backend denials
  • Technology utilization trends by cancer type
  • Fractionation patterns by cancer type
  • Estimate the potential impact of the RO-APM
  • Operational statistics displayed on a customizable dashboard

CLAIMHEALTH

ClaimHealth® R.O.I. Audit Report

Executive Summary

Executive Summary

Provides a granular view that can serve as a guide for revenue integrity process improvement

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Overall Error Rate

Based on the performance of the data you submitted. It can serve as a baseline and be reference in subsequent reviews to monitor improvement

Overall Results

Overall Results

This section gives you an at-a-glance summary of all errors and missed opportunities

Codes Billed in Error

Codes Billed in Error

This section gives you a summary of billing errors by payer type and the financial impact

Missed Opportunities

Missed Opportunities

This section gives you a summary of missed opportunities by payer type and the financial impact

Total Financial Impact

Total Financial Impact

Graphs provides concise visualizations for reference

CLAIMHEALTH

ClaimHealth® RO-APM Audit Report

Cancer Type Analysis

Cancer Type Analysis

Automatically assigns a cancer type based on CMS guidelines and summarizes impact

APM Adjustments

APM Adjustments

Adjustments based on statistical formulas on the RO-APM

Detailed Professional & Technical Analysis

Detailed Professional & Technical Analysis

Shows the details of your practice patterns and the impact of the RO-APM on professional  and technical revenue

CLAIMHEALTH

What you get with ClaimHealth®?

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Contact us for more information about our proton therapy solutionsbusiness intelligence, education, data analytics and healthcare consulting services.

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ABOUT US

By definition, the word Legion means an immeasurable crowd, vast host, multitude or number of people. Our Legion takes the fight against cancer to heart.

CONTACT US
  • 2001 Kirby Drive
    Suite 1100
    Houston, Texas

  • info@legionhp.com

  • 650-600-0001

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