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Ophthalmology practices throughout the U.S. are too busy preventing or slowing vision loss to waste a second, and yet backend claim issues, low patient collection, and frequent regulation changes remain an unrelenting battle for your revenue cycle team.
Ongoing care makes precollections precollections necessary, but difficult to assess
High volume of various procedures makes backend claim issues inevitable but hard to prioritize
Payer contracts have many payment intricacies that are difficult to manage
50-60% of people 75+ see an ophthalmologist annually, so patient cost estimate tech must cater to elderly
Backend claims issues stall proper reimbursement
Rivet levels the "paying field" for ophthalmology practices looking to collect more – faster — and more accurately from patients and payers. With Rivet as your ophthalmology revenue cycle sidekick, you can:
Improve your pre-collection processes
Streamline communication for patients to understand expectations & costs
Audit claims in seconds to reveal systemic payer issues & provide proof to insurers for denials, underpayments, and delinquent claims
Evaluate payer contract change needs through modeling & comparison
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.
- Analyze data for your payers, adjudication cycles, denials, and so much more
- Prevent and rework denials with easy-to-use billing edit suggestions
- Model revenue predictions in seconds
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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