Revenue Cycle Management Solutions

Optimize your revenue cycle with the power of ZirMed’s cloud-based, interoperable platform.

From changing reimbursement models, increasing patient financial responsibility, and regulatory mandates to falling income and rising costs, healthcare organizations from the largest hospital systems to the smallest practices face unprecedented challenges.

ZirMed is ready to help you meet them. Today, ZirMed is the only company in the nation delivering a comprehensive end-to-end platform of cloud-based financial performance management solutions to help you manage your revenue cycle and patient health outcomes more effectively than ever before.

ZirMed’s revenue cycle management tools are ideal when you’re facing:

  • Declining reimbursements and excessive A/R days
  • Increasing patient responsibility
  • Changing reimbursement models
  • Rising operating costs and budget constraints
  • The need for interoperability across systems
  • Staffing issues
  • Regulatory mandates
  • The need to continuously benchmark performance and improve results
  • The need for faster workflows, and quicker access to information

Dynamic RCM Solutions

Charge Integrity

Intelligent coding and charge capture

  • Uncover missing charges and under-coded DRGs
  • Link institutional and professional charges to resolve issues
  • Deploy predictive analytics, and rules to audit every claim
  • Eliminate time lost on false positives with an auditing team
  • Improve management with centralized reporting and alerts
  • Prompt resolution with custom reporting and dashboards

Patient Engagement

Comprehensive patient payments solution

  • Easy-to-use Community Patient Portal
  • Two-way provider/patient messaging
  • Retail-like patient payment experience
  • Offer consumer-friendly payment experience
  • Electronically deliver patient statements for a simplified patient experience
  • Allow patients to pay their bill online and initiate their own payment plans
  • Easy to use mobile payment experience

Managing Claims & AR

Hyper-efficient claims and AR workflows

  • Advanced proprietary rules/edit engine
  • Enterprise-wide payer payment management
  • Innovative denial management capabilities
  • Actionable revenue cycle analytics
  • Uncover hidden patient coverage
  • Manage claims with maximum efficiency
  • Reduce preventable denials with ZirMed’s 98%+ first-pass clean claims rate
  • Gain insight into your financial performance and make better-informed decisions

Managing & Modeling Contracts

Inform negotiations and manage reimbursement

  • Easily load contracts in real-time with wizard technology
  • Manage 100% of contracts in a centralized repository
  • Improve revenue with real-time modeling and what-if scenarios
  • Gain enterprise visibility into payer performance
  • Identify term utilization and underperforming contract areas
  • Simplify change management with scorecards and alerts

Patient Access

Eligibility verification, patient estimation & coverage detection 

  • Accurate eligibility verification
  • Secure patient payment processing
  • Actionable patient estimation
  • Streamline pre-registration
  • Easily collect co-pays, co-insurance and set up payment plans
  • Streamlined workflow from a single, intuitive view of each patient’s insurance information
  • Uncover hidden coverage in self-pay

Denial Management & Avoidance

Avoid revenue leakage from denials 

  • Automatically surface and route workable denials
  • Analyze root causes to reduce the risk of future denials
  • Expedite reimbursement with 100% paperless appeals
  • Save significant time with batch appeal processing
  • Execute prevention strategies to reduce write-offs
  • Make 1,000s of attributes actionable in one platform

Comprehensive End-to-End Solutions for Revenue Cycle Management, and more.

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From the moment your organization begins to interact with a patient to the day they leave your accounts receivable, there’s always a ZirMed solution available to help you get paid more fully, find overlooked revenue, accelerate patient and payer payments, and identify where and how to focus your collection efforts and expenditures—while reducing your costs, streamlining your workflows, and making life easier for you and your staff.

Let ZirMed help you drive your bottom-line performance, with technologically advanced solutions designed to help you meet the challenges of today—and tomorrow. Request a custom demo and see for yourself.

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