Claimocity Review

Streamlined coding and billing processes

Claimocity helps hospital physicians level the playing field with insurance companies. It uses advanced analytics, statistical analyses, and machine learning algorithms to analyze individual billing and coding choices. It also helps you spot patterns and assess historical data to enhance accuracy and financial productivity.

Personalized practice management

Claimocity allows you to set specific billing rules according to the practice management and revenue needs of your organization. This simplifies billing processes and, coupled with advanced pattern analyses, improves revenue streams.

Time-saving automation

Using a type 2 artificial intelligence called limited memory AI, Claimocity makes the most of automation capabilities to streamline your daily workflows. For instance, it has super-computing abilities, including statistical modeling, historical evaluation, and prediction. Its automation tools also apply to coding, scheduling, and medical billing.

Revenue-enhancing services

Partnering with PracticeSuite also allowed Claimocity to provide office-side PM and EHR tools to hospital- and office-based physicians. The software offers real-time key metrics, such as total revenue, revenue per encounter, total RVUs, and the number of total claims. It also allows you to breakdown individual earnings and practice levels.

Claim tracker

Claimocity has a four-stage, claim tracker tool that lets you in a claim’s worth before it is paid. The tracker starts from an initial historical estimate to a breakdown of insurance and patient responsibilities. It is then followed by a series of updates as the collection or claims payment processes are completed.

AI-based coding

Claimocity’s AI enhancements for medical coding enables you to process large volumes of contextual and historical patient data. This helps you overcome gray areas and inefficiencies in your coding processes, allowing you to maximize revenue and reduce audit risks.

A built-in code optimizer also allows you to increase code efficiency and prevent undercoding, which could lead to revenue loss. At the same time, it eliminates financial and legal audit risks that could result from overcoding.

Moreover, Claimocity gives you access to billing and coding professionals who can help you in claim coding. All you need to do is take pictures or send general diagnosis/updates, and experts will come to your and code the claims. This saves you coding time and ensures the efficiency of your organization.

Healthcare performance metrics

Another key feature of Claimocity is its KPI measurement. It lets you measure important metrics, such as clean claim rates and revenue cycle performance. It also allows you to compare your revenue and financial statistics against your peers or other state or national healthcare providers.

Secure platform

Claimocity uses secure HIPAA communications in its mobile app and online portal. It lets you communicate with other practitioners in a safe and easy-to-use platform, keeping all confidential data in a secure environment.

Smart census

Another premium feature is the smart census tool, which allows billing support staff to enter patient information into the census. By simply taking a picture of your daily or weekly physical hospital census, the billing team can update any associated dates, billing, demographics, coding, or other relevant information.

Barcode scanning

With Claimocity’s barcode scanner, you can allow new patient entry in just a few seconds. Instead of manually entering patient data into the system, you can simply open the app and scan the barcode on the patient’s chart or wristband, and all relevant information will be added or updated in your database.