Roi Eligibility Service

At the heart of every successful healthcare organization are efficient and effective business operations. That's where we come in. Cognizant's Health Systems and Hospitals practice offers a wide range of revenue cycle management (RCM) solutions designed to help healthcare organizations improve financial performance, streamline processes, and enhance patient care.

Our RCM solutions are powered by intelligent automation, proven methods, and experienced professionals, and are tailored to meet the unique needs of hospitals and health systems. From self-pay and bad debt accounts receivable management to eligibility solutions, coding, and charge capture, we provide the tools and expertise necessary to optimize revenue cycle performance.

One of the biggest challenges facing healthcare organizations today is the growing burden of patient financial responsibility. Our self-pay and bad debt solutions help healthcare organizations effectively manage and collect patient payments, reducing the amount of uncompensated care and improving financial results.

In addition to our self-pay and bad debt solutions, we also offer a suite of eligibility solutions designed to help healthcare organizations quickly and accurately determine patient eligibility for insurance coverage. Our eligibility enrollment, eligibility seconds, third party coverage, and third party liability solutions provide real-time eligibility verification, reducing the risk of denied claims and improving revenue cycle efficiency.

Accurate coding and charge capture are critical to revenue cycle performance. Our coding solutions, including chargemaster management and complex denials management, help healthcare organizations ensure accurate coding and charge capture, reducing the risk of denied claims and improving revenue cycle efficiency.

Patient access is another key area of focus for our RCM solutions. Our patient access solutions help healthcare organizations effectively manage patient registration, insurance verification, and authorization processes, improving patient satisfaction and reducing the risk of denied claims.

In addition to our RCM solutions, we also offer a range of Social Security Disability Income (SSDI) services designed to help healthcare organizations improve revenue cycle performance by identifying and pursuing potential SSDI benefits for patients.

Physician Group Solutions

In addition to our Health Systems and Hospitals practice, we also offer a range of RCM solutions specifically designed for physician groups. Our physician RCM solutions are tailored to meet the unique needs of physician groups and help improve financial performance, streamline processes, and enhance patient care.

Our physician RCM solutions include credentialing, charge entry, AR follow-up, complex claims, cash posting, anesthesia billing software, underpayments recovery, and resources to help physician groups optimize revenue cycle performance and improve financial results.

At Cognizant, we are committed to helping healthcare organizations of all sizes and types reimagine their revenue cycles and achieve optimal operations and financial success. With a strong business office and trusted partner, healthcare organizations can focus on delivering amazing care and shaping the future of healthcare.