Maximize Your Revenue

Revenue and Reimbursement Intelligence

Hospitals, physician groups and other providers routinely miss out on a portion of third-party payments from commercial insurance carriers and government aid.

Medlytix® helps healthcare providers identify and capture these funds, potentially netting millions of dollars.

Advanced Revenue Cycle Solutions

Patient PopulationInsurance Identification and COBDeductible MonitoringPredictive Analytics

Insurance Identification and COB

Increases account reimbursement by identifying new billable insurance coverages and moving accounts from a lower to a higher reimbursement group. These solutions are contingency fee based, meaning we only get paid when you get paid. Plus, there are no set-up fees.

  • Increase revenue
  • Reduce costs
  • Increase patient satisfaction
  • Avoid timely filings
  • Reduce time to payment

Helping you with:

Payer iQ®
Insurance identification on uninsured population

Coverage iQ®
Identify primary insurance on Medicaid/Medicare/HMO population

Denial iQ™
Determine additional insurance on your denial population

Helping you with (cont’d):

Full solution from identification to billing for Third Party Liability claims, including Motor Vehicle Accidents

Work Comp iQ™
Full solution from identification to billing for Workers Compensation claims

Revenue Cycle Solutions - Insurance Verification and COB

Get started maximizing your revenue today.

Deductible Monitoring

Leverages data analytics and business intelligence to reduce the deductible net impact on your financial bottom line.

  • Increase revenue
  • Reduce time to payment
  • Reduce patient collection efforts

Helping you with:

Deductible iQ™
A deductible monitoring solution for commercial and medicare claims

Deductible monitoring leveraging data analytics and business intelligence

Get started maximizing your revenue today.

Predictive Analytics

Utilizes advanced predictive analytics to estimate patient financial means and predict patient payment behavior. Both client and external data sources are integrated and summarized to create a healthcare score segmenting the patient population into actionable groups.

  • Maximize your patient collection efforts
  • Customize your own charity guideline policies
  • Meet your charity community benefit requirements

Helping you with:

Charity iQ®
Presumptive charity solution estimates patient financial means as a percent of Federal Poverty Level (FPL)

Payment iQ®
Healthcare payment score estimates the likelihood that the patient will pay their medical bills

Get started maximizing your revenue today.