Keep improving for lasting success
Gain knowledge and insight for measurable performance improvements. Here’s a look at how we work together after defining your program with Cloudmed’s risk-free Aged Trial Balance (ATB) assessment:
You can grant access to work queues in your system so we can begin working inventory immediately. We automate an assigned inventory file to maximize our service delivery and root cause identification capabilities.
The CloudmedAI Platform ingests the file of assigned accounts, prioritizing the highest value and most timely accounts. Our experts analyze and review payer contracts and state and federal regulations to resolve denied government and non-government claims. Credentialed experts review and begin resolving automated placements daily.
We correct issues on denied and unpaid claims, write clinical and technical appeals when appropriate, and then file them on your behalf to collect payment. We assign our staff attorneys and clinicians to participate in payer meetings to hold payers accountable for complying with contracts.
Robust reporting and root cause analysis equip you to better manage your workflow, team, and ongoing training efforts. Our healthcare attorneys and clinicians assist you in your future payer contract negotiations, and we inform you of payer behavior patterns and trends. We also hold regular business reviews with your team.