Overview
athenaCollector: Increased revenue. Greater efficiency. A clearer perspective.
You have a job to do, but instead you’re submitting claims and chasing down payments. Maybe you’ve come to expect these diversions as a necessary part of doing business, but they don’t have to be.
athenaCollectorSM is a web-based physician billing and practice management solution that reduces administrative red tape. It allows you to efficiently assess, plan, and improve practice performance while increasing revenue. There are no start-up costs for software licensing, no investments in hardware and servers, and no hidden ongoing expenses for maintenance, upgrades and data back-up. athenaCollector is easy to use, saves time, and dramatically improves your bottom line.
How you benefit:
Get paid, more and faster.
We help flag medical billing errors so you can correct them before they become problems. You’re getting paid more, because we let you know when there’s an inaccuracy on a claim – before it gets denied. And because so many claims are paid on initial submission, you get paid faster.
Benefit from the most up-to-date payer intelligence.
Our Payer Performance Management team continuously researches and seeks out new insurance rules, builds them into our rules database, and makes them available to all clients, resulting in fewer claim denials. The payer team also tracks new government Pay-for-Performance (P4P) rules to help make sure you receive the incentive payments you’re eligible for. And while some vendors may send you software you need to update yourself every six months, we constantly update our software and rules database for you, giving you faster access to insurer coding changes – all free of charge.
Have the most time-consuming work done for you.
We provide you with comprehensive business services, including claim submission, insurance package management, electronic eligibility verification, payment posting, claim follow-up, denial management, and more – all executed for you by athenahealth. You’ll spend less time on administrative tasks and more time doing what you want to do – focusing on your patients and the long-term vision for your practice.
Have full visibility to make better decisions.
Our powerful web-based software empowers your current decisions and future planning with an intuitive Workflow Dashboard and comprehensive reporting functions.
How we do it:
Our software makes patient processing and practice workflow more efficient, giving you complete visibility into your practice. Track and access information on any claim, from its starting point to its payment date. Create robust reports that are simple to run. Get instant data – from staff productivity to payer revenue – for every business decision you need to make.
One of the biggest issues we face in health care is that, although we share very common challenges, we tackle them alone. We’re isolated, and that makes us more likely to be frustrated or angry, held back by inefficiencies, and more likely to ultimately lose sight of our goals and our purpose.
But it doesn’t have to be this way. athenahealth’s proprietary rules database houses a vast warehouse of crucial information about payers, procedures, diagnoses, and more. This real-time rules database brings together over 19,500 medical providers, creating a network that harnesses the power of their collective knowledge and makes the system better for everyone. When you submit a claim, payer requirements appear right on your screen, so that your claim can be fixed immediately. When we identify a denial pattern, we build a fix for that denial. Then the database delivers the fix to all our clients through athenaNet at no extra cost, and no one else has to experience that denial.
Our people are committed to service. You’ll have a designated support team to get you through implementation, answer your questions, and lead regular status meetings with your team. After you go live, your Account Management team will monitor your practice’s overall performance and offer valuable perspective and insight. We will periodically contact you to review your performance and to discuss opportunities for improvement, such as revenue optimization or cost reducing strategies.
To learn more, contact athenahealth
Web-Based Software
athenaCollector starts with intuitive, web-based billing and practice management software.
Benefit from no-hassle software, easy implementation, and automatic updates.
athenaNet
®, our web-based client interface software, is centrally hosted by athenahealth. You won’t have hardware to buy and licensing fees to pay. It’s easy to get up and running; all you need is a PC and an Internet connection. And because we have a unique revenue sharing model, you pay a simple monthly fee that depends on the individual results and dynamics of your practice.
We’ve eliminated those “hidden fees” for software maintenance and upgrades, because we perform them seamlessly for you through the Web. Changes in payer rules don’t have to wait the typical six-month update cycle of our competitors. You have access to critical information much sooner.
Access to real-time, in-depth visibility and reporting.
You get clearer visibility into practice operations – claims’ status, patient eligibility and scheduling to-dos are updated in real time. For a more holistic view, athenaNet can show you your accounts receivable in the aggregate, by category, and by individual claim through the Workflow Dashboard.
Reporting capabilities are focused on increasing your bottom line and giving revenue control back to your practice. Qualitative assessment becomes easier, because you can review which business lines are most successful, which payers need monitoring and for what reason, and you’ll be made aware of anomalies that can be fixed, like payers who reimburse at lower than contracted rates.
To learn more, contact athenahealth
Rules Database
athenaNet® is backed by a real-time database of payer rules and regulations.
Submit cleaner claims and get faster payments.
You have automatic access to a real-time collection of health insurance rules and regulations – for payers, procedures, diagnoses, and more. Plus, the database is tied to your web-based medical billing system through athenaNet, so you can monitor claims and make sure you’re getting paid for the care you provide.
Save time and money.
Know immediately if an insurance ID number is wrong or a coding rule has changed. Correct errors at a fraction of the cost of resolving them later. Our rules database monitors your workflow and flags mistakes as they happen.
Follow the rules without having to know them.
Because our team of experts updates the rules database based on the experiences of over 19,500 medical providers, you’ll find it grows bigger and smarter every day. When new claim denial trends are encountered, we add that information into our database as rules, and share the information throughout our national client base.
Stay current on the latest industry initiatives.
We constantly monitor the industry and add new initiatives into our system. Our clients are more able to seamlessly leverage pay-for-reporting (P4R) and pay-for-performance (P4P) initiatives to improve cash flow, including Physician Quality Reporting Initiative (PQRI). In addition, our web-based software allows us to easily incorporate government and payer regulations such as national provider identifiers (NPIs), International Classification of Diseases – 10th Revision (ICD-10), National Control Directory (NCD) changes, and HITECH Act mandates.
To learn more, contact athenahealth
Service
athenahealth’s billing and workflow specialists relieve your staff of time-consuming tasks.
Our software and rules database wouldn’t have the same impact if we didn’t back it all up with a commitment to service. Customized start-up services and ongoing support are critical pieces of your success. athenahealth professionals do your most time-consuming work for you and make it a priority to ensure your practice is running at its full potential. Staff that were once bogged down with claim follow-up and patient eligibility checking are now able to refocus on more revenue generating opportunities for the practice.
We help get you up and running.
To get started with athenaCollector, small practices receive flexible, cost-effective training and implementation online. Our larger practices get up and running with full onsite support from an athenahealth team of specialists.
But regardless of practice size, once you’re live on athenaCollector, you can immediately connect to our infrastructure and call on our specialists to help. We provide support for insurance management, eligibility verification, claims submission and tracking, denial management, and more.
We keep you going strong.
Our proven, intelligent back-office billing and practice management services include:
- Maintaining a global dictionary of insurance package information for you, checking patient eligibility electronically, making sure providers are properly enrolled in payer processing systems, and submitting all paper and electronic claims
- Tracking claims and following up on denials, working to get them paid for you
- Posting remittance advice received from payers, including scanning in Explanation of Benefits and entering every line of those EOBs into athenaNet®
- Providing automated patient appointment reminders to reduce no-shows
- Developing new rules on an ongoing basis that make your claims even cleaner, payments faster and easier
- Offering robust reporting tools that show how to increase efficiency and revenue
- Periodic practice reviews on how to improve efficiency. This includes reviews of billing and workflow and account reviews where we examine successes and opportunities for improvement
To learn more, contact athenahealth