Cirius Group, Inc. has designed and implemented these powerful revenue cycle solutions for the business and finance offices of hospitals and physician groups across the country.
Our software developers understand your financial needs and continue to create results-driven tools for the healthcare market. Each of these tools is supported by a knowledgeable team that is ready to listen and respond to any and all of your needs.
Claims/Denial Management Solutions
PreBill
Experienced revenue cycle professionals will appreciate the level of detail found in this claims editor. By identifying all claim "errors" and claim "corrections" before the claim is sent to payers, your teams can be freed up for other strategic tasks. In fact, our customers have seen as much as a 50% reduction in labor hours and a 15% average reduction in collection days for accounts receivable. This system completes the Medicare overlap compliance check AND combines bills to save you time and reduce error and rejection rates.
Key features:
Productivity Manager that provides daily workflow reports on claim and staff production
Accurate and timely delivered updates and compliant bill coding requirements
National Uniform Billing Committee (NUBC) editing
Medicare Comprehensive Coding Initiative (CCI)
Robust Outpatient Code Editor (OCE)
Local Coverage Determinations (LCDs)
National Coverage Determinations (NCDs)
Ability to instantly implement standard or custom edits
Ability to edit and print approved UB92 or UB04 claim formats
On your desktop-everyone can view with user-specific security & privacy
Ability to resubmit a user-designated group of claims for rebilling directly to payer
AccuBill automates the claim transmission process through point-to-point Electronic Data Interchange (EDI) transmission in a HIPAA compliant ANSI format from your office. Send claims direct to ANY and ALL payers, or through a clearinghouse of your choice.
Key features:
Direct payer transmission to Medicare, Medicaid, Champus, Blue Cross, Blue Shield and others
HIPAA compliant 837I ANSI 4010AI standard edits
Clearinghouse claim transmission
Payer confirmation or acknowledgement reports
Post data back to your Hospital Information Systems (HIS)
Get your payment responses with our Electronic Remittance Advice (ERA) tool. AccuRemit will seamlessly interact with the payer and your host system. Posting payment information automatically, so you don't have too.
Key features:
Seamless Electronic Remittance Advice (ERA) integration with practice management and health information systems
Integrate claims to payment (line item level of detail) data
Streamline and increase the speed of your secondary claims processing. Submitting to a secondary payer, ASB provides a clean claim with original payment noted.
Key features:
Generates a collated claim form with an Explanation of Medicare Benefits (EOMB)
Streamline and increase the speed of your secondary claims processing. Submitting to a secondary payer, ASB+ provides a clean claim with original payment noted.
Key features:
Prior to receipt of Medicare payment, generates a collated claim form with an Explanation of Medicare Benefits (EOMB)
Complete the eligibility check with AccuVerify, which handles the Medicare eligibility validation on claims prior to billing.
Key Features:
Validate patient demographic information and reconcile eligibility data on billed claim accessing the Common Working File (CWF) prior to the claim submission
Our AccuABN system is simple and quick when you need an efficient, automated system to validate Healthcare Common Procedure Codes (HCPC) against diagnosis codes during registration. You can easily identify physician compliance and more.
Key Features:
Patient access front-end registration
Simple data entry combined with powerful editing and reporting capabilities is a stand alone “front-end” Medicare Local Coverage Determination (LCD) automated software review and instant reporting mechanism
Supplies an automatic online current Centers for Medicaid and Medicare Services (CMS) approved Advanced Beneficiary Notification (ABN) form for provider presentation to patient at time of registration
In combination with the Prebill claim editor, this product becomes a powerful claim management tool that can produce significant savings in staff time and accuracy in reporting possible non-covered services and lost reimbursement.
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