Like any revenue cycle expert, one of our Denials customers sought a more efficient way to manage denied claims. Our Rivet customer and revenue cycle/informatics manager said the daunting list of denials he had before using Rivet has now all but disappeared.
“Before Rivet we’d work about 30 appeals a month. I essentially worked about 300 in about 4 days,” he said.
He explained how he uses Rivet each day to work so many appeals. He logs into Rivet every morning and checks his denials filters, moves new denials to “in progress” and sends a quick email to the AR rep, notifying them there are new cases to send out. The rep then submits the appeals and changes the claims’ statuses from “in progress” to “submitted.”
The time between when they receive the denial and send an appeal can be so fast, our customer said, that “sometimes it’s the same business day within Rivet.”
But every time he runs across a denial, he said, “the age-old question is how many of these do we have? It’s usually, well, we’re just gonna have to wait and see—Rivet provides that answer right away.”
In fact, our customer said, Rivet provides more than just answers. It offers a way to see your data in a manageable way without knowing SQL.
“Within an EMR,” he said, “you want the keys to the kingdom on getting in and working denials with the SQL databases.” With Rivet, he said, “You have access to the SQL data and it’ll let you program it in a SQL manner, but you don’t really have to know SQL. The GUI that you guys have is just incredible.”
In this electronic medical record and dashboard world, our customer said that sadly, most products do the same thing. But, he said, “you need to look at how much can I customize my worklist, how much can I customize my assignments, etc.? Rivet offers you the ability to absolutely do that. It just does. I’m a fan.”
To anyone considering Rivet, our anonymous customer said: “Just look at the demo and ask your people (or even call me) to say what’re your pain points?”
He explained, “One of our pain points was how many denials do we have all about CQI (continuous quality improvement)? How can we address this so it doesn’t happen again? And the assignments and the views [in Rivet] absolutely do that.”
However, denials still happen.
“Are the diagnoses still a problem? Yeah, they’re still a problem, but look at my queue. We’ve got those all submitted,” our customer said.
When he runs into any problems while using Rivet, he said: “Your software’s impressive, you guys have been great about getting things fixed. It’s a great product. I’m just thrilled that we’ve stumbled upon Rivet and got in on it on basically the ground floor because it is just fantastic.”
Our anonymous Rivet customer's organization currently has 59+ providers and 12 offices located in Indiana.