All-Payer Revenue Cycle Management
HEALTHCAREfirst partners with ABILITY Network to bring you firstREV, home health and hospice payer connectivity that links directly to source data, delivering faster transaction processing, higher first-pass acceptance, and superior management of denials. Available fully integrated with firstHOMECARE and firstHOSPICE or as a standalone billing platform, you’ll have everything that you need to easily manage your claims!
From checking eligibility and electronically submitting claims, to managing the remittance process and appeals, you will have total visibility into the entire claim life cycle with 100% acknowledgement on transactions, making it easier than ever to pinpoint billing issues and quickly resolve problems. With superior functionality and validation, firstREV eliminates administrative burdens and improves your bottom line.
Managing your revenue cycle just got easier! Our firstREV all-payer revenue cycle management platform accelerates claims processing while ensuring that you’re not leaving reimbursement dollars behind.
Accelerate Payments & Decrease Payer Rejections
- Experience the highest first-pass payer acceptance rates with the most robust claims validation engine for CMS and commercial payers.
- Avoid adjudication issues by verifying eligibility when a claim is uploaded to uncover and correct issues prior to submission.
- Receive fast, clear guidance for corrections. Rejected claims are instantly placed back in the work queue with a clear message about the needed correction.
- Easily track claims, manage denials, and work appeals without ever leaving firstHOMCARE or firstHOSPICE software.
Work More Efficiently & Effectively
- Better manage claims by receiving all messages from payers regarding statuses. Messages are conveniently tied to the original claim for the entire claim life cycle for greater visibility.
- Eliminate the need to hunt down rejection causes, contact payers, submit appeals, and monitor “unique” payer rules with fast, up-to-date correction messages.
- Quickly pinpoint issues with extensive audit trails that show all of the changes made to a claim, enabling you to identify any breakdowns in the process and prevent future occurrences.
- Work with individual transactions or in batches based on user preference.
- Easily edit UB04 forms directly for resubmission.
- Easily manage primary, secondary, and tertiary payers.
Monitor Performance & Identity Improvement Opportunities
- Gain access to robust reporting that paints a complete picture of your financial performance with details for addressing common issues.
Payer Connectivity Features
- Web-based DDE connectivity for a faster, more reliable claims processing
- Ability to easily modify data for previously submitted claims
- Medicare eligibility checking that is compliant with CMS regulations regarding HETS submission queries
- Real-time 270/271 HETS file responses indicating patient eligibility in a downloadable report
- Batch file transfer of HIPAA-compliant 837 claim files to your MAC
- Retrieval of 835, 999, and 277CA response files
- All payer eligibility verification that provides benefit and eligibility data for Medicaid and most commercial payers
- Real-time copay, coinsurance, deductible, limitations, prescription, and physician information for commercial payers