Post-Acute & Long Term Care Revenue Cycle Management

Post-acute care providers play an integral role in new care delivery and payment models, yet without a clear strategy for skilled care and long-term care revenue cycle management, these providers run the risk of missing out on valuable post-acute care reimbursement. Limited staff continues to pose challenges for post-acute care providers, making automation a critical component of financial success.

The good news is that the right technology can make a difference. ZirMed’s powerful data-driven technology helps you capture post-acute care reimbursement with ease, ensuring accurate long-term Medicare reimbursement as well as precise skilled nursing Medicare reimbursement. Take your post-acute care reimbursement to the next level to gain the revenue you deserve.

Want to learn more? Take a tour of ZirMed’s post-acute care reimbursement solutions to help optimize revenue:

Verify eligibility and reveal hidden coverage.

Post-acute care coverage is anything but straightforward—especially for Medicare that has different coverage criteria and facility requirements for each post-acute care setting. You don’t always receive accurate insurance information from referring hospitals, nor do you always have sufficient staff to do a deep-dive into each patient’s coverage. You need post-acute care reimbursement solutions that help you verify coverage preceding inpatient stay as well as a solution that detects healthcare coverage that the patient had not provided or was not aware of.

Here’s how ZirMed can help:

Capture revenue with point-of-service and self-pay patient collections solutions.

In the world of post-acute care, patients are often responsible for different cost-sharing amounts depending on the setting in which care is provided. You need post-acute care reimbursement solutions that help you educate patients about their financial responsibilities. Automated post-acute care reimbursement solutions help you collect all long-term care Medicare reimbursement and skilled nursing Medicare reimbursement you deserve.

Here’s how ZirMed can help:

Accelerate cash flow with claims management.

Identifying potential claim errors prior to submission cuts down on the amount of time and resources necessary for appeals. To enable this type of efficiency, however, you need post-acute care reimbursement solutions that monitor coding accuracy in real-time, alerting you to potential errors and omissions. You also need the ability to post payments electronically, track denials as they occur, and expedite denial and appeal management. These insights not only improve post-acute care reimbursement but also drive immediate process improvement. The result? Dollars driven to your bottom line with minimal staff required.

Here’s how ZirMed can help:

Integration Capabilities

By design, ZirMed’s revenue cycle management platform enables creators of healthcare technology solutions to seamlessly and easily incorporate our HIPAA and PCI-compliant applications and transactions into your software solutions. Using ZirMed’s integration capabilities, organizations seeking a traditional approach of exchanging EDI transactions may transmit and receive a variety of claims, payments, eligibility inquiries, and other healthcare transactions using established technologies and methods such as X12 files, APIs, Flat Files, FTP, Encryption (i.e. PGP), and more. You’ll have confidence knowing that your exchanges are occurring securely, in compliance with all regulatory guidelines, and utilizing existing technological capabilities.