EDIMINER

Class [042]
Computer & Software Services & Scientific Services

Hayes has developed innovative solutions to monitor and manage an organization's revenue cycle, including eligibility verification, authorization/referral requests, coordination of benefits, coding, credentialing, billing and timely filing. One of these solutions is EDIminer(TM). EDIminer diagnoses root causes of revenue cycle problems. EDI claims and remit data is extracted, then parsed through our proprietary EDI parsing engine. The resulting analytics are then displayed and analyzed by Hayes' revenue cycle experts, resulting in actionable recommendations on how to maximize the flow of monies through the revenue cycle. The standard EDIminer report set includes: · Management reports - Total Charges - Total Payments · Monitoring reports - EDI files - Claims/Remittances · Lag Days - internal and external · Payment Analyses · Patient Demographics · Denials - Denials by Category - Denials by Payor - Denials by Department/Group · Denial Trends - By Category - By Payor - By Department/Group To learn more about EDIminer and how it can be used to diagnose root causes of problems in your organization's revenue cycle, contact Hayes at info@hayesmanagement.com