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Orthopedic practices are too busy healing bone and joint issues to waste a second — and yet backend claim issues, low patient payment rates, and the complex orthopedic billing codes remain an unrelenting battle for your revenue cycle team.
High dollar services such as MRI or surgery make precollections necessary, but difficult
Prior authorization teams are too busy on serious precollection efforts
Managing locations outside of the physician office make streamlined patient communication difficult
Billing/coding for a wide array of items and services makes backend claim issues inevitable and hard to recover
Payer contracts have many intricacies (e.g., carveouts) that are often missed
Rivet levels the "paying field" for orthopedic practices looking to collect more – faster — and more accurately from patients and payers. With Rivet as your orthopedic revenue cycle sidekick, you can:
Automate accurate patient cost estimates
Improve your pre-collection processes for high-dollar services
Streamline communication for patients to understand expectations & costs.
Audit claims in seconds to reveal systemic payer issues & provide underpayment proof
Evaluate payer contract change needs through modeling & comparison
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Resurgens has recovered $1.2M from denied claims in 10 months with Rivet
Concord has created 282K estimates, with a 5% increase in self-pay payments
Take an in-depth look at the most common underpayment projects within your revenue cycle.
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Use new payer data to boost your negotiations.
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Get more out of your commercial payer contracts.
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Your revenue backbone for accurate reimbursement — fast.
- Establish an easy to maintain payer contract management platform
- Benchmark rates & model scenarios for negotiations
- Auto-detect & solve for underpayments
Explore practical methods for predicting revenue.
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Financial experts break down net revenue forecasting.
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Take advantage of growth opportunities.
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Take your claims insights to a whole new level.
- Claims insights is just the start of what you can do with Rivet. Add Rivet Understand to dive into data for ALL of your payers
- Get Rivet Forecast & build the business you want
What is the secret to collecting more patient responsibility from your patients?
Collect at the right time.
Address critical workflow considerations to align cash targets based on seasonality.
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Shift the patient financial experience to maximize revenue.
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Automated, accurate patient Good Faith Estimates in seconds.
- Deliver real-time eligibility, in-network and out-of-network benefits
- Provide accurate deductible & OOP balances remaining
- Secure payment through email & SMS options
Shine a light on how to decrease denials and rescue revenue.
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Increase productivity to capture missed revenue.
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You’re leaving money on the table.
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Recover every denial in
record time.
- Gain denied and non-response claim dashboards, worklists, and team assignments
- Store instruction and best practice documentation
- Breakdown denial reasons by group and individual claims
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