Patient accounting

Patient accounting

Efficiently manage your revenue cycle with Oracle Health RevElate Patient Accounting^*. Our cloud-native solution provides scalability, advanced automation, and an open, extensible environment that aims to help improve care, compliance, and maximum reimbursements for your organization. The solution also updates reimbursement calculations as demographic and charge activity change for your patients. Our solutions advanced automation and open, extensible environment empower you to: 

• Tackle workflow redundancy
• Dedicate your most valuable people to the highest-value work
• Dynamically connect workflows
• Innovate to help drive growth and enable future-proofing

RevElate Patient Accounting workflows enable you to

• Implement upstream scrubbing as early as the point of charge generation
• Align coding through the encounter linking rules
• Automate diagnosis-related grouping
• Use workflow functions from both Oracle Health and third parties

While we’ve made many new enhancements to our Cerner Patient Accounting offering, we remain committed to the clinically driven revenue cycle. The advanced automation of RevElate Patient Accounting offers an intentional way of connecting clinical and financial information, ultimately helping to facilitate positive outcomes for your patients.

Contract management

Help manage your payer contracts with Oracle Health Contract Management capabilities. Cerner Patient Accounting facilitates a streamlined user experience across billing and contract management. The solution’s modeling also supports the simulation and analysis of third-party payer reimbursements.

Oracle Health Contract Management workflows enable you to

• Monitor patient services, calculate the expected reimbursement as charges are posted to the patient encounter, and identify payment variances
• Manage the lifecycle of a reimbursement contract
• Leverage a variety of reimbursement calculations and claim qualifying types
• Reprice historical claims in near real time and post them back to a patient account
• Apply payer requirements for the aggregation and segregation of services without user intervention
• Support bundled and global payments and value-based purchasing, as well as other healthcare payment reform initiatives

Modeling in Oracle Health Contract Management enables you to

• Define varying populations from production encounters to use in scenario calculations
• Apply a variety of payer contract models to various populations
• Apply a variety of health plans to various populations for encounter linking, noncovered charges, and benefits
• Use a variety of delivered groupers/pricers to standardize reimbursement calculations
• Store modeling results for future retrieval
• Copy contract modeling details into your live contracts
• Manage modeling scenarios within analytics

Ambulatory practice management

Oracle Health Speciality Practice Management solution is designed to connect with our EHR so users can navigate between the various aspects of practice management—including scheduling, registration, patient tracking, patient accounting, patient engagement, and reporting—all within a single application.