RelayAssuranceTM PlusAccelerate Cash Flow with Superior Claims Management Solutions

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Claims management is the key to timely cash flow and efficient operations. Yet this process is often labor intensive and complex, leading to payment delays, increased collection costs and revenue leakage.

The SolutionRelayAssurance Plus tackles all of these issues with a single web-based system, allowing you to quickly monitor claims to keep your cash flowing with access to more than 1,900 health plans — including direct entry to Medicare. Use RelayAssurance Plus to reconcile claims with payer responses, check eligibility before billing, and manage secondary billing and reimbursement. It’s easy to navigate, which minimizes training needs and improves productivity. Plus, an Operational Dashboard and advanced reporting capabilities provide actionable data to refine your financial performance.

Automated WorkflowComprehensive automation drives workflow and eliminates routine tasks to improve staff productivity. RelayAssurance Plus enables you to: • Check eligibility prior to claim submission to reduce denials • Generate claims secondary to Medicare • Check Medicare outpatients for medical necessity compliance • Reconcile reimbursement against billed charges

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Features of RelayAssurance Plus:• Web-based system with intuitive

user interface

• Advanced workflow tools automatically

process routine tasks

• Claim errors clearly indicated and offer “one-click” corrections

• At-a-glance dashboard of key performance areas

• Direct, real-time submissions to Medicare

• Advanced pre-submission edits

• Automated secondary billing

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The navigation tools provided on the home page provide at-a-glance access to the most commonly used areas of the system and help drive individual workflow.

In the messages section, users can see important claims management events, activities and jobs that have recently taken place.

Quick Search provides a way to access additional queues and perform searches to quickly navigate to specific claims.

Benefits of RelayAssurance Plus:Increased cash flowReduced A/R daysOptimized claim and remittance processingFewer returned claims and denialsHigher staff productivity

The My Claims area focuses the user only on those claim exceptions that need attention. Users automatically receive claim assignments in three standard queues and have the flexibility to create up to five personal priority queues.

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Intuitive User Interface Web-based and easy to navigate, RelayAssurance Plus improves productivity by minimizing training. Claim errors are clearly indicated in red and in many cases, the error can be fixed with one click.

Advanced Editing Shorten your payment cycle with improved editing for increased first pass acceptance, reduced rejections and minimal rebilling. RelayAssurance Plus features advanced editing capabilities, including 837 institutional and professional edits, CCI edits for all lines of business based on Medicare standards, Medicare Medical Necessity and 72-Hour Medicare compliance edits. You can even create and manage your own edits.

Remittance Management Electronic remittance files from all payers are delivered in one HIPAA 835 standard format. Efficiently upload remittances to your patient accounting system while updating the claims management database.

State-of-the-Art Technology RelayAssurance Plus employs the Software-as-a-Service (SaaS) model that reduces support needs and enhances flexibility. The Software-as-a-Service (SaaS) model reduces hardware and support requirements and permits access by users from any personal computer through the use of digital certificate technology. And RelayAssurance Plus is fully HIPAA compliant.

The operational dashboard provides actionable data and visual trending tools designed to measure key performance issues. The tools focus on cash flow throughput and identification of obstacles within the system. Based on definable criteria, the dashboard allows you to define operational alerts, notify users of specified events and monitor user productivity.

Four configurable color gauges quickly identify the status of your claims: unreleased claim count; unreleased dollars; held claim count; and held dollars.

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Modules Included with RelayAssurance Plus Print and Mail Options Printing and delivery of primary paper claims for your organization, with the option of adding collated claims and EOBs for secondary claims

Remittance Management Remittance Management enables you to customize the format and delivery of remittance files from RelayHealth connected payers and other sources for easy posting into your host system. Remittance Management helps increase automation of secondary billing and enhances reconciliation capabilities.

Automated Secondary Claim Manage your secondary volume by automatically generating the secondary claim and explanation of benefits (EOB) from the primary remittance advice, including the ability to print and mail your claims in house

Claims Status Management To help identify claim issues and speed adjudication, RelayHealth will continue to send solicited claims status requests (276) on your behalf to the payer until final resolution of your claim is achieved

Additional Modules for RelayAssurance Plus To achieve even greater functionality, RelayHealth offers the following modules:

Medicare Direct Entry Easily process Medicare claims and reduce denials by more than 90%. Reduce follow up time and improve cash flow with automatically generated secondary claims.

Host Integration By providing a method to post transmitted claim status information into the notes section of your patient accountingsystem, this service reduces the need to manually post information while ensuring easy access to pertinent information.

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Eligibility Claim Edits Insurance eligibility changes more frequently than ever before, so you should monitor for changes including plan enrollment, data collection, coverage limits, and dependent coverage. Eligibility verification should be performed multiple times prior to claims submission to ensure prompt payment and to prevent claim denials for coverage-related issues.

To learn more, contact a RelayHealth Solutions Advisor at 888.743.8735.

Health Connections Brought to Life.TM

Additional Modules for RelayAssurance Plus Comparative Analytics and Reporting Getting the best results from your revenue cycle requires actionable information to monitor and evaluate your organization’s financial and operational performance. With RelayAnalytics, you can analyze claim and remittance data, assess operational performance, isolate areas for improvement, and benchmark your performance with your peers. With enterprisewide reporting and dashboard access to key performance indicators, RelayAnalytics enables you to identify trends, refine your operations, and locate new sources of revenue.

For more information about RelayAssurance Plus or any of the solutions in the RelayAssurance solution family, please call a RelayHealth Solutions Advisor at 888.743.8735.