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Rivet Health is a comprehensive healthcare revenue cycle management (RCM) platform designed to streamline financial processes for healthcare providers. The platform focuses on three key areas: patient pricing, payer performance, and claim resolution. It offers tools for generating automated and compliant patient cost estimates, managing payer contracts, detecting underpayments, and streamlining denials management.

Key features of Rivet Health include Revenue Diagnostics, which provides real-time insights into financial health through dashboards, enabling healthcare organizations to make data-driven decisions. Patient Pricing generates accurate, NSA-compliant patient cost estimates by automatically verifying benefits and calculating contracted rates, improving the financial clearance process and enhancing patient experience. Payer Performance offers a suite for managing payer contracts, including payment variance detection and contract optimization. Claim Resolution simplifies the claims resolution process with customizable workflows and denial processing documentation.

By leveraging these capabilities, Rivet Health helps healthcare organizations optimize their financial performance, reduce administrative burdens, and improve operational efficiency. The platform integrates with existing healthcare IT systems, such as electronic health records (EHRs) and practice management systems, to provide seamless support for healthcare providers and medical practices.

Rivet makes managing insurance reimbursement easier and more productive while helping to drive revenue acceleration for an organization. As the leading financial diagnostic and operations RCM platform, Rivet offers a suite of differentiated solutions unlike legacy healthcare IT to empower practices to level the “paying” field. With an intuitive and modern design, purposely built for healthcare, Rivet delivers what we feel member RCM professionals need: - Claims analytic dashboards to provide the RCM answers that help build a business - with no digging required - Accurate net revenue forecasting tools to drive clearer financial health and decision making - Robust payer contract management to serve as a sturdy backbone for reimbursement - Payer rate benchmarking available down to the TIN to know how your rates compare - Contract and fee schedule scenario modeling to maximize the payments that matter - Automated GFE compliant eligibility & estimate tools*for increased upfront collection - Auto-detection and AI-driven underpayment prioritization for payment variances to solve systemically and avoid them in the first place -Revenue recovery workflows for denials that maximize speed, accuracy and productivity.

Categories:

Business

Revenue Cycle Management Software

Website: rivethealth.com

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Rivet Health

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