Avisena Reimbursement Management System

 Reimbursement Management System


Avisena’s proprietary collections technology is called the Reimbursement Management System. The Reimbursement Management System is designed to organize collection items into the most efficient configuration from a work perspective. Health care collections are a particularly labor intensive process because of the level of inefficiency introduced by the third-party payers. For instance, a typical collections or eligibility telephone call may take 15 to 45 minutes due to a prolonged hold time. Given this, Avisena’s mission is to minimize the number of calls needed and to resolve every collection item.

Third-party payers deny claims for many different reasons. At present, there are approximately 500 different reasons in use. Working these, one-by-one is difficult, intrusive and inefficient. The Reimbursement Management System organizes these incidents in the most efficient manner so that they may be worked together.

    The Reimbursement Management System provides the following benefits:

  • Organizes inefficient collection tasks in the most efficient manner.
  • Allows collectors to utilize the system on multiple incidents at once.
  • Provides a mechanism for quantifying outstanding collection issues.
  • Provides a mechanism for all parties involved in the collections process to interact.

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