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Predictive Analytics

Identify and collect millions of dollars in missed revenue opportunities hiding in your own data.

Predictive Analytics in Healthcare

Your hospital or health system is leaving money on the table that you don’t even know about.

You aren’t receiving all the reimbursements you’re entitled to under your payer contracts. You aren’t collecting as much of your patients’ share of financial responsibility as you could be. And you’re spending too much time and money trying to do both.

ZirMed’s powerful Predictive Analytics technology is the answer.

Our cloud-based solutions integrate the data from all your patient accounting and clinical systems—and extract the actionable insights you need to optimize your revenue cycle and manage population health for better clinical outcomes, lower costs, and higher net revenue. And our exception-based workflows keep your staff focused on the specific issues your organization needs to focus on for substantial and sustainable bottom-line results.

How substantial? Hospitals and health systems typically see a 4 to 1 return on their investment and a 1–3% net revenue improvement by implementing ZirMed Predictive Analytics.

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Charge Integrity Solutions

Predictive Analytics

Automate the discovery of every missing charge, coding variance, and overcharging risk.

ZirMed’s Charge Integrity solutions proactively prevent charge capture leakage, resolve process inefficiencies, improve coding compliance, and ensure the complete integrity of all inpatient and outpatient accounts.

Our data mining algorithms scrutinize every element on an account and provide the insights and advanced workflow your staff needs to pinpoint and correct breakdowns that reduce reimbursement—whether they come from an overlooked charge, a bundling issue, a missed diagnosis, or a misinterpretation of an operative report.

Reimbursement Solutions

Identify revenue and cost-savings opportunities—and focus staff on the right accounts at the right time.

Our Reimbursement solutions make it easy for your hospital staff to proactively identify—and act on—overlooked revenue and cost-saving opportunities. And our algorithms are customized to fit your specific needs and seamlessly integrate with your existing IT systems.

ZirMed’s proprietary big data analytics centralize disparate hospital data sources and extract actionable insight to help you proactively curb revenue leakage and optimize workflow throughout the revenue cycle. Powerful algorithms parse payer claim remittance data to accurately identify each denial, which then gets automatically routed to the right staff at the right time for appeal.

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