athenaCollectorSM
athenaCollector is athenahealth’s physician billing and practice management services offering. A unique combination of award-winning software, proprietary claims knowledge, and business services, athenaCollector provides the most comprehensive medical office automation and billing capabilities in the industry. With athenaCollector, your claims and billing processes are tracked, controlled, and executed with utmost precision and effectiveness, while your practice workflow gains new efficiencies. As a result, your practice is able to focus on what matters most: patient care.
The athenaCollector solution encompasses:
- Software: Highly intuitive, Web-based practice management software, including a full set of tools to streamline patient processing and practice workflow
- Knowledge: Unrivaled proprietary payer knowledge, including the largest real-time database of payer rules and regulations in the industry (for payers, procedures, diagnosis, appointment types, and more), updated constantly and shared by all clients
- Work: Comprehensive business services that include claim submission, insurance package management, electronic eligibility verification, payment posting, claim follow-up, denial management, and more – all executed on your behalf by athenahealth®
Increase Cash Flow
Working in close partnership with you, the athenaCollector service can improve cash flow and reduce Days in Accounts Receivables, driven by the following:
- Decrease denials and increase collection rates with the athenahealth rules engine, which monitors your front-desk workflow in real time, identifies billing errors, and allows you to make corrections before claim submission
- Increase charges by tracking practice activity in real time, ensuring that every claim that should be created is created
- Maximize realized revenue and minimize Days in Accounts Receivable through athenahealth’s denial management, in which highly effective specialists perform claim-by-claim denial review, pursue payment, and execute appeals on your behalf
- Recover lost revenue through athenahealth’s proactive identification and appeal of “zero-pay” charges misadjudicated by payers
- Prevent denials from recurring through the work of athenahealth experts who reverse engineer national and regional payer rules each day to ensure you are paid accurately by health insurers
- Address noncompliant payer behavior, such as violation of prompt payment statutes, through the efforts of our payer intervention specialists
Increase Control
- Streamline patient processing, practice workflow, and report generation using our industry-leading practice management software
- Track practice activity and claims in real time through our Workflow Dashboard, which allows you to see, understand, and manage your operations–up to the minute, from anywhere you have access to the Web
- Bring control, consistency, and clarity to daily activities by relying on athenahealth to execute eligibility verification, insurance package management, claims submission, and remittance posting
- Benefit from having the expert eyes of athenahealth’s Client Service Managers on your operations–identifying potential issues on your behalf
- Benefit from full HIPAA compliance–privacy, security, and transactions
- Eliminate all payer-facing work and its headaches through athena-executed claim tracking, denial management, payment pursuit, and appeals, with every action rigorously tracked in athenaNet®. The result: greater predictability, transparency, and peace of mind
- Call on athenahealth for advice on individual claims that require patient-facing or chart-facing work
- Incorporate your practice-specific rules into our rules engine, with programming provided by athenahealth
Enhance Strategic Decision Making
- Gain a strategic view of your practice by accessing operational and financial performance data via powerful, real-time reporting wizards
- Compare and optimize the financial performance of individual areas of your practice and benchmark your performance against that of similar practices
- Run aggregate reports on billing performance to determine which payers need monitoring, which lines of business are most successful, and more
- Receive athena-generated Practice Performance Reviews and Clinician Performance Reviews to better evaluate your practice and its individual contributors
- Free your practice from the vast majority of routine billing and collection tasks to focus on higher-value contributions, such as caring for patients, managing the office more efficiently, and making smarter decisions based upon greater insight
- Significantly reduce business burdens and enable practice leaders to optimize today’s opportunities while planning strategically for tomorrow’s
