Revenue Cycle Management

Cantata Health Solutions offers providers of all specialties a single and robust Revenue Cycle Management (RCM) solution to help reduce operational expenses while increasing revenue. Unlike traditional “end-to-end” RCM systems, Cantata’s provides you with a rich set of capabilities designed to inform, enable, and empower your organization across the revenue cycle.

Enterprise Health Management Solution

Simplify the business of healthcare with a platform that:

  • Includes Revenue Cycle Management, Financial Management, and Operational Software and services.
  • Incorporates Cost Accounting, Materials Management, General Ledger, Predictive Analytics, Claims Processing, and more!
  • Seamlessly Integrates and Exchanges EHR Data

Cantata has the tools for every step of the revenue cycle

Health Record Evolution

Key Functionality

Patient Access

Our RCM software is easily configurable to meet the needs of any healthcare facility or specialty. With RCM, your organization can:

  • Accurately collect out-of-pocket and outstanding balances during registration and pre-registration
  • Avoid data duplication by giving you ample access to patient index information, healthcare eligibility statuses, and a variety of charge captures
  • Complete HIPAA audit by field, function, and user
  • Integrate with Medicare Secondary Payer (MSP) forms
  • And much more!

The solution is extremely flexible, containing nearly 1,000 user-defined fields and can embed 270/271 eligibility transaction sets.

Reporting and Analytics

With complete visibility on your billing operations, RCM Reporting helps your staff comply with changing regulations while preparing new ways to improve your bottom line. This oversight provides real-time access to quality measures, demographics, and funding on a corporate, facility, and patient level. Cantata is fully-compatible with other vendors to extract data, and the relational database is easily accessible with various report writers.

Connected Patient Data

Increase the interoperability between your RCM and other revenue streams with simple connection tools to achieve a centralized business office (CBO). With RCM Exchange, third party billing data is seamlessly transferred from hospitals, private health centers, and clinics to your RCM, ensuring you are always working with the most up-to-date information to stabilize your finances.

Automated Systems

Help your back-office staff stay efficient with the ability to automate claims, contract management, reimbursement, and account status-based letters, and action rules. Action rules include outsourcing, billing, secondary payer, COBs, late charge processing, etc. Claims are configurable by loop and segment for payer billing and state reporting. We designed our proprietary rules engine with a systematic, yet flexible, method for producing clean claims and timely reimbursements.

Predictive Denials Prevention

When it comes to the details of filing claims, the appeals and recovery process can be the most challenging and costly section. That’s why we take a proactive approach to tracking claim payments with real-time alerts at mid-revenue cycle, triggered follow-ups, and enhanced reporting to prevent denials. Action Rule alerts are configurable and can be automated. These include bad debt rules, small balance write-offs, purging zero balance accounts, etc.

General Ledger Routing

General Ledger Routing provides the ability to track and manage financial data, including income and expenses, across an organization’s entire financial cycle. This feature helps businesses process payments more efficiently, improve employee productivity and streamline operations. Payments, Adjustments, charges, refunds are all integrated into the General Ledger, eliminating the need for manual entry into each and ensuring accuracy across all financial records

Revenue Cycle Advisory Services

Our Revenue Cycle advisors help through the revenue cycle continuum by optimizing processes and workflows, accelerating reimbursement time, and providing strategic avenues for revenue growth. With a dedicated Implementation Project Manager and 24/7 access to your personal Support Team, you can rest assured that we are available to lend a hand, day, or night. Learn more by heading to our Managed IT Services page.

The Result?

Cleaner claims, lower A/R days, full visibility, and the analytical foresight to drive future success – all from one vendor with decades of success supporting facilities and systems like yours.

But don’t take our word for it. Black Book Research, a leader in healthcare technology and services research, awarded us Highest Client Satisfaction for Revenue Cycle Management, Patient Accounting, and Enterprise Resource Planning Software.

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