Our technology optimizes your performance…
We are tech-savvy problem solvers laser focused on optimizing your hospital’s reimbursement to help you drive revenue. Our technology helps smart people make better decisions by providing real-time insights and analytics to improve your operational and financial performance, improve and simplify processes, and reduce errors.
Performance Optimization & Data Protection
- Hospital Reimbursement Optimization
- Real-time Insights and Analytics
- Improve Operational & Financial Performance
- Simplify and Accelerate Processes
- Reduce Errors
- HITRUST Validated r2 Certification
- HITRUST Assurance Partner
Plugging your revenue leak is just a start.
We are gratified when we can help our clients determine where revenue is leaking — and plug that leak with them. But that’s not an endpoint for us — or you. It’s a beginning. Our goal is to empower you with knowledge and technology you can use to prevent any future revenue leaks.
Cutting-edge technology at your fingertips.
To maximize your reimbursement, we are exploring — and leveraging — cutting-edge technologies that include robotic process automation (RPA), artificial intelligence (AI), and machine learning (ML). These tools will help you eliminate redundant manual processes, decrease your error rate, and increase your revenue — and free you and your team to focus on higher-value work.
Reimbursement Technology Solutions
Our technology solutions help you tackle your hospital’s reimbursement challenges.
Easy Work Papers is Internet-based software you can access from anywhere to complete Medicare and Medicaid Cost Reports. It was created by reimbursement professionals for reimbursement professionals – helping you complete the 80% of your cost report that doesn’t change much from year-to-year – so you can focus on the 20% that can have a material impact on your organization’s revenue.
iRotations is a secure, web-based tool to manage and track interns and residents as they rotate through your locations. It accurately calculates IME and GME FTEs and schedules to ensure your hospital is accurately reimbursed. Providers who previously used other methodologies for this purpose report as much as a 20% increase in reimbursement related to interns and residents.
MCEL helps hospitals identify and document all their potential Medicaid-eligible patients and the type of eligibility of each patient. The software provides auditable and verifiable supporting information for DSH calculations based on your facility’s actual data — not just estimates.
Revenue Integrity / Cycle Technology
Our Inpatient DRG Validation service harnesses the power of our proprietary revenue cycle technology platform to rapidly determine ICD-10 CM/PCS and CPT coding accuracy and appropriateness of code selection. Our platform employs more than 1,600 rules to evaluate accuracy. Unlike manual chart audits, our software looks at every claim to identify potential issues.
How many rules do we use to confirm accuracy?1600
Our Transfer DRG revenue recovery service identifies claims underpaid due to improper application of the Medicare Post-Acute Transfer reimbursement rules, documents factors that impact claims, provides audit backup justifying increased reimbursement, and includes claim-adjustment and payment monitoring. Providers can experience recoveries as soon as 30 days after onboarding.
- Our proprietary software reviews 100% of claims impacted by the Transfer Rule.
- All impacted claims are examined by an RN prior to being approved as an underpayment opportunity.
- Our compliant process minimizes the risk of overpaid claims due to multiple validation steps and proper follow-up timing.
Without displacing or disrupting a current review vendor or internal process, we can provide a secondary validation of impacted claims to ensure you identify all potential underpayments and overpayments.
Clients rely on our IME revenue recovery service to identify missed shadow-billing opportunities and the operational or root causes of missed bills. Our proprietary technology will even identify shadow bills that were not submitted for Medicare Advantage patients who were not properly flagged at the time of registration.
- We provide beneficiary eligibility and claim information necessary for rebilling.
- Our detailed management reports track identified claims and confirm timely rebilling.
Talk to BESLER and learn firsthand how our technology tools can optimize your hospital’s reimbursement and simplify operations.
Award-winning Industry-leading Insights
BESLER’s Award-Winning Hospital Finance Podcast
Award-winning and industry-leading insights from the hospital finance and compliance professionals at BESLER as well as other healthcare leaders.
Live and on-demand webinars to learn best practices and elevate your knowledge on the latest healthcare revenue cycle topics from BESLER’s expert team members.
Insightful resources and knowledge to educate you and keep you up-to-date on all things healthcare finance.
and Peer Review Efforts
for Over 20 Years