ArcOne can help you overcome enterprise-level revenue cycle management within healthcare. With a modern billing infrastructure and adaptable pricing capabilities, we can help healthcare payers to enhance billing efficiency and optimize pricing strategies.
Enhance billing and revenue cycle management for government healthcare programs, including Medicare and Medicaid. Designed to handle the complexities of high-volume billing and diverse coverage requirements, our solution integrates payments and accounts receivable across various coverage lines, providing a unified billing experience and supporting intricate billing configurations specific to government schemes.
Key Benefits
Customizable Pricing: Manage and configure premium pricing in line with government guidelines and policies.
Accurate Billing: Ensure precise billing for Medicare and Medicaid with adaptable charge applications and compliance with regulatory requirements.
Automated Invoicing: Streamline billing processes to reduce administrative costs and improve efficiency for government programs, providers, and beneficiaries.
Optimized Revenue Management: Improve revenue recognition and cash flow through effective consolidation of accounts receivable.
Cost Efficiency: Utilize level funding and other pricing strategies to manage costs and mitigate financial risks.
Analytics: Advanced analytics feature that provides insights on costs, and trends, enabling data-driven decisions for improved business performance
Key Features
Consolidated Billing: Generate comprehensive bills that include all coverage details for Medicare and Medicaid beneficiaries.
Beneficiary Reconciliation: Facilitate accurate reconciliation processes for government-funded programs.
Flexible Configuration: Configure billing structures, hierarchies, and invoicing accounts to meet government program specifications.
Event-Based Calculations: Adjust premiums and billing based on life events and policy changes, in compliance with regulatory standards.
Analytics: Get detailed billing insights for government healthcare on invoices, compliance, and costs, ensuring efficiency and regulatory adherence.
Collections and Dunning: Automated collections and dunning feature for overdue payments with customizable reminders, reducing manual effort and improving cash flow.