The University of Pittsburgh Medical Center has launched a coding and revenue cycle management outsource service for other hospitals and physician practices, bringing to the market capabilities it has developed in-house during the past eight years.
The service, called Ovation Revenue Cycle Solutions, is intended to streamline processes and improve the quality of revenue cycle lines, says April Langford, CEO at Ovation. Under the program, Ovation obtains discrete eligibility verification and claim status data that is available on health insurer websites that coders can use to improve claims submission/payment cycles. These include discrete eligibility data such as a patients progress toward meeting their deductibles and CPT code authorization that verifies that a service is authorized to be performed. To improve visibility into claims status, Ovation can deliver to clients proprietary codes needed to adjudicate a denied claim.
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