Collect partial or full payment via HIPAA compliant text, email, or in person.
Real-time eligibility checks verify benefits in the moment.
Gain visibility into coinsurance, deductible, and OOP remaining so you can have more transparent financial conversations with patients.
Verify billing accuracy with suggested edits to ensure modifiers, bundled codes, etc. are added.
Estimates are saved directly to the patient record for easy, anytime access.
Patient benefit verification in person or schedule before appointment
Check deductible or out-of-pocket remaining anytime
Contract management tools
Patient demographics integration with EHR
Easy-send patient notification via HIPAA-compliant text and/or email
In-network or out-of-network expectation listed
Complex capabilities for multiple treatments, multiple providers, DME, etc.
Discounts, carve outs and modifiers accounted for in cost
Automatic patient eligibility verification days before appointments
Automatic creation of simple & complex estimates
Bulk patient notification via HIPAA-compliant text and/or email
Easy pay directly from HIPAA-compliant text or email
Simple patient cost breakdown
Downpayment percentage or dollar amount set up
Payment EHR integration
Payment terms, escalators, lag time management
Responsive, U.S. based support
“ With Rivet we were able to collect $1.7M in surgery pre-collection — 3.5x what we did before Rivet. According to athenahealth reports, we collect 90% of patient responsibility prior to scheduled appointments.” said Sherri Lewis, Director of Revenue Cycle at Boulder Centre for Orthopedics & Spine.
Boulder Centre for Orthopedics & Spine did as much pre-collection they could manually.
“While we lacked an effective process, we did have a full-time employee who was solely responsible for pre-collections,” said Sherri Lewis, director of revenue cycle management at the BoulderCentre for Orthopedics & Spine.
“The job required many manual steps and the navigation of multiple portals and software. Because of the operational inefficiencies inherent in our technology, this employee averaged five orders per day, according to our reports in athenahealth.
“To compound the challenge, the pre-collections our office did garner were never based on a contractual rate,” she explained.“The CPT codes were not matched up with our payer contracted rates and subtracted from the deductible and coinsurance to come up with an accurate estimate. Ultimately, this meant our process was very unstructured and tended to be inaccurate.”
"But," Lewis said, "generating estimates for complex insurance plans is streamlined with Rivet. Select the appropriate carrier, input billing codes or use a Rivet template, and deliver precise patient estimates effortlessly."
The results found by Lewis' strong team were game changing.
“Rivet has significantly increased our revenue, offering ROI in less than a month. We’ve ensured accurate payments by utilizing Rivet’s robust platform."
"Because of Rivet estimates we've been able to collect over 92.5% of patient responsibility in the same calendar year, amounting to over $1M in pre-collections," Shannon Young, Bluegrass Orthopaedics (BGO) Senior Director of Reimbursement, said.
BGO collects 80% of patient responsibility within 90 days and collects 35% of all expected money in the same month.
"Without Rivet we wouldn’t be as successful with up front collections," Young said.
Young continued: "Rivet is now the easiest part of the job. We can create an estimate in under a minute. It’s really no time at all. Especially since my team has the procedure codes beforehand."
Kayla Ray, a member of Young's BGO pre-certification team said: "Rivet is so easy and accurate, we had an attorney call wanting a cost estimate for a client, and we weren't nervous: we could simply send them the estimate (complete with a disclaimer that it is just an estimate). I'm confident that the estimate was accurate, so it really wasn't an issue at all and before we'd be concerned."
"Rivet pulls our claims data so our estimates are accurate dollar for dollar," said Jennifer Davison, CEO of Vero Orthopaedics.
"Rivet pulls our claims data so our estimates are accurate dollar for dollar," said Davison. "It's spot-on because they're using historic claims data." From checking eligibility and benefits to "spot-on" estimates, Rivet made it easy for Davison and her team to collect the right amount upfront.
"We do about 50–100 estimates per week using Rivet," said Davison. "Patients don't have surgery without prior collection and Rivet helps us know exactly what to collect. We had one employee whose sole job was refunds but Rivet has lessened that burden. Now we can move her to focus on another part of the business."
Rivet Patient Pricing automatically verifies eligibility and provides accurate patient cost estimates before upcoming appointments. Quickly notify patients digitally or in office, keep a patient estimate audit trail, and integrate with your EHR to save estimates to patient records.
Where other software stops, we begin. Optimize your patient transparency & payment now.
It’s time to have clearer cost conversations with patients. It’s time for Rivet.
