| Chimiro | Intake.Dental | Pearl RCM |
|---|---|---|
| Chinangwa chikuru | Denderedzwa rakazara remari: shandura, bvumidza pasati pashanyirwa, tumira, tevera, isa, kakavara, dzidza | Kugadzirira claim pasati pashanyirwa: kukodzera, mabhenefiti, magwaro uye kuongorora mhando yeX-ray |
| Kwainogara | Dashboard yayo chaiyo, ichiverenga kubva uye kunyora kune PMS | Yakabatanidzwa mupurogiramu yePMS nekadhi yekushanyirwa |
| Kukodzera | Kukodzera kwemagetsi maawa 48 usati washanyira, kusimudza kuenda kufoni yeAI voice kana mhinduro yemagetsi isina kukwana | Precheck: kukodzera kubva kumaclearinghouse mana uye 300+ maportals emutakuri, kubudiswa mukadhi yekushanyirwa (maererano naPearl) |
| Mabhenefiti epakodhi | Chitoro chepakodhi-CDT-chimwe nechimwe: kuvharwa %, miganhu yekuramba kuchiita, nguva yekumirira, mireza yekubvumidza pasati paitwa — yakanyorwa kune PMS | Mabhenefiti epakodhi anoratidzwa mupurogiramu (maererano naPearl) |
| Kushandura kwenzwi | AI voice agent inofonera mubhadharo kana kukodzera kwemagetsi kwakundikana | Haina kutsanangurwa papeji yeruzhinji yePearl RCM |
| Mabvumiro pasati paitwa | Runyorwa rwakarongwa, mitemo yemubhadhiri mumwe nemumwe yakadzidzwa kubva mukuramba, rondedzero yakagadzirwa kubva parekodhi, pre-determination yemagetsi ine mamiriro otomatiki, marwadzo ekupera kwenguva | Hazvipiwi |
| Yambiro yemapepa asati asvika murwere | Chiyero chenjodzi yekurambwa asati atumirwa pamwe nekugadziriswa chaiko kunotaurwa; mitemo yekubatanidza pamwe pane imwe neimwe kodhi | Claim Actions: yambiro yemukati mepurogiramu yemapepa asingawanikwe kana akave ekare eX-ray, nyaya dzemhando, uye mapundu ekuvharwa asati asvika murwere |
| Mhando yeX-ray pakutora | Hazvipiwi | Imagecheck inoratidza matambudziko emhando yeX-ray pakutora |
| Kutumira chikumbiro | Inovaka chikumbiro kubva pamabasa akapedzwa uye inozvitumira pachayo pamubatanidzwa wayo wekuchenesa, zvibatanidzwa uye rondedzero zvakabatanidzwa | PMS inotumira chikumbiro |
| Kutevera chikumbiro | Mabvumirano e277CA uye mari inodzorerwa ye835 yakabatanidzwa kune chikumbiro chega chega; mibvunzo yemamiriro e276/277 pazvikumbiro zvakasakara | Hazvinyorwi papeji reruzhinji reRCM rePearl |
| Kunyora kubhadhara | 835 yakaiswa pabhuku rekodzero, kubviswa kwechibvumirano kubva pamari yeCAS yemubhadhari pachake, mapepa eEOB akacherwa | Hazvinyorwi papeji reruzhinji reRCM rePearl |
| Kurambwa | Danho rekuita rakakamurwa neCARC/RARC, kupikisa kweAI kubva muchati, kutumidzwa zvakare sechikumbiro chakagadziridzwa (kuwanda 7) | Yakatarisa pakudzivirira: kurambwa kushoma kubva pamapepa asati asvika murwere |
| Kuzvitonga | Danho rega rega Off / Recommend / Simulate / Auto, pamwe nemabasa | Yambiro nedata yakavezwa; vashandi vanoita muPMS |
| Kuvharwa kwePMS | Mubatanidzwa wakananga nemasystem makuru emakore pamwe nebhiriji rakabvumidzwa rinovhara 60+ mamwe | Open Dental, Dentrix, Eaglesoft, CareStack, Oryx, Curve, Denticon (maererano nePearl) |
| Mitengo | Claims Intelligence $299.99/mo; Insurance Suite $399.99/mo; Verification yega $199.99/mo — zvese zvakanyorwa pachena | Haina kuburitswa papeji reRCM rePearl sezvatakawana; batana nePearl |
Kufanira kwemagetsi kunomhanya maawa 48 asati asvika pane yega yega nguva yekuonana. Kana mhinduro yemagetsi yemubhadhari isingawanikwe kana isina kukwana, mumiriri wenzwi weAI anofona mubhadhari uye anobvunza mibvunzo iyo mubhadhiri aizobvunza; zvimwe zvinoenda kumutsara wekugadzirisa matambudziko. Mabhenefiti anochengetwa pamwe neimwe neimwe kodhi yeCDT — chikamu chekuvharwa, miganho yekuwanda, nguva yekumirira, mireza yemvumo yekutanga — uye anonyorerwa kumashure kuPMS.
Precheck inokwevera kodzero uye mabhenefiti emacode kubva kumaclearinghouses mana uye anopfuura 300 carrier portals uye anoaratidza muappointment card, maererano naPearl. Upamhi hwemaportal ndihwo musoro chaihwo kune vapaburi vanopindura zvirinani neportal pane kuburikidza nechitransaction cheelectronic. Peji yeruzhinji yaPearl haiparidzi voice fallback.
Worklist yepre-authorization yakarongwa nezuva rinouya rechigaro chemurwere, ine mitemo yemupaburi yakadzidza kubva mukurambidzwa kwemupaburi iyeye, rondedzero yekukosha-kwekurapa yakagadzirwa kubva muchati, uye predetermination yeelectronic ine mamiriro anodzoka otomatiki. Claim yega yega inowana denial-risk score ine chigadziriso chakanyatsotaurwa.
Claim Actions inomutsa maalert mukati mejimbo remafoto asingapo kana ekare, nyaya dzemhando, uye mapundu ekuvharwa kusati kwaitwa kushanyira, uye Imagecheck inoratidza matambudziko emhando yeX-ray pakutora. Pearl inoti izvi zvinotungamira kune kusvika 80% kushomeka kwedowncodes nedenials dzakabatana nemagwaro — nhamba yaPearl pachayo. Pre-authorizations haisi chikamu chechigadzirwa.
Claim inovakwa kubva kumaitiro akapedzwa muPMS uye inoenderwa pamubatanidzwa weplatform yega yeclearinghouse ine zvibatanidzo nerondedzero. 277CA acknowledgments ne835 remittances dzinofananidza kudzoka kune claim yega yega; claims dzakanyarara dzinowana 276 status inquiry. Mabhadharo anoisa kuledger necontractual write-off yakaverengerwa kubva kuCAS adjustments yemupaburi iyeye, uye EOB dzemapepa dzinochimbwa muflow imwe cheteyo.
Basa raPearl RCM rinoguma kana claim yakachena ichibva muPMS. Kuendesa, kutevera, uye kunyora zvinoramba zviri muPMS uye clearinghouse iyo practice yatoshandisa.
Kurambwa kwega kwega kunopatsanurwa nemaCARC nemaRARC codes kuita ladder yechiito — vhara otomatiki zvakapetwa, bhadharisa murwere, nyora pasi, endesa zvakagadziridzwa, shinhira, kukwidzisa. AI inonyora kupikisa kubva muchati uye inozviendesa zvakare seclaim yakagadziridzwa (frequency 7) nenumber yeclaim yemupaburi. Kuedza kumwe chete kwotomatiki, ipapo hofisi inotumidzwa email.
Nzira yaPearl ndeye kudzivirira: batisisa dambudziko remagwaro kusati kwaitwa kushanyira kuitira kuti kurambwa kusaitiki. Kushanda nedzimwe denials dzinouya hadzitsanangurwe mupeji yeruzhinji yeRCM yaPearl.
Chikamu chega chega chiri Off, Recommend, Simulate, kana Auto maererano nepractice. Kuendesa kweclaim uye pre-authorizations dzeelectronic dzinotanga dziri Off kuitira kuti hapana chinobhadhariswa kaviri PMS ichiri kuendesa. Simulate inorekodha zvaizoita kuitira kuti uzvifananidze nechikwata chako usati washandurira kuAuto.
Pearl inoratidza data nemaalert mukati mePMS; vashandi vanoita pamusoro pazvo ikoko. Haisi kuita zviito paclaim pachayo.
Intake.Dental inonyora mitengo yayo: Claims Intelligence (kuendesa, kutevera, kunyora, kushinhira, uye payer analytics) ndi$299.99/mwedzi; Insurance Verification ndi$199.99/mwedzi; Insurance Suite inosanganisa zvose pa$399.99/mwedzi. Pearl haisi kuburitsa mitengo yeRCM mupeji yayo yeruzhinji sezvatingaona, saka nhamba yekufananidza haibviri pano — bvunza Pearl quote uyifananidze neSuite. Mhedzisiro yaPearl yakataura — kusvika 80% kushomeka kwedowncodes nedenials dzakabatana nemagwaro, kusvika 35 maawa evashandi akachengetwa pavhiki — ndidzo claims dzaPearl pachayo; hatisi kuita claim yepercentage yakafanana papeji rino.
Hapana chigadzirwa chinotsiva PMS, saka hapana migration yedata kunzvimbo mbiri. Kutamira kubva kuPearl RCM kuenda kuIntake.Dental kunoreva kubatanidza PMS, kusiya chikamu chega chega muSimulate kwevhiki kufananidza log yayo nezvakaita chikwata chako, wobva washandurira kuendesa uye kudzima kuendesa kwePMS panguva imwe chete kuitira kuti pave nemutumiri mumwe. Kutamira kune rumwe rutivi kunoreva kuchengeta clearinghouse yako yazvino uye maitiro ekurambwa uye kuwedzera macheck aPearl ekusati kwaitwa kushanyira mukati mePMS.
Kwete maererano netsanangudzo yayo yeruzhinji. Pearl RCM inoshanda paclaim kusati kwaitwa kushanyira — kodzero, mabhenefiti emacode, magwaro nemaalert emhando yeX-ray mukati mePMS — uye PMS inoendesa claim. Intake.Dental inoendesa pamubatanidzwa wayo wega weclearinghouse uye inotevera acknowledgments neremittances kudzoka kuclaim yega yega.
Pre-authorizations haisi chikamu chetsanangudzo yeruzhinji yaPearl RCM. Intake.Dental inochengeta worklist yepre-authorization yakarongwa nezuva rechigaro, inogadzira rondedzero kubva muchati, inotumira predetermination yeelectronic, uye inonamatidza nhamba yemvumo kuclaim inouya.
Ehe, uye kupindirana kuduku. Maalert aPearl ari-muPMS uye Imagecheck zvinoshanda pakushanyira; Intake.Dental inoshanda paclaim kubva pakuendesa zvichienda mberi. Kana ukashandisa zvose, siya chikamu cheverification cheIntake.Dental chiri Off kana muSimulate kudzivirira kuongorora kodzero kaviri pamurwere mumwe chete.
Nzvimbo nhatu: inogara mukati meappointment card yePMS pane skrini yechipiri; inoongorora mhando yeX-ray pakutora, izvo Intake.Dental haiiti; uye upamhi hwayo hwemaportal hwakataura — 300+ carrier portals — hwakafara kupfuura nzira inotanga neelectronic inokwanisa yega.
Ndidzo claims dzaPearl pachayo kubva mupeji yayo yeruzhinji — kusvika 80% kushomeka kwedowncodes nedenials dzakabatana nemagwaro, uye kusvika 35 maawa evashandi akachengetwa pavhiki. Hatina kuzviongorora uye hatisi kuburitsa percentage inokwikwidzana.
Sarudza Pearl RCM kana zvaunoda iclaim yakachena inobva muPMS — kodzero nemagwaro akaongororwa mukati mejimbo, X-rays dzakaongororwa pakutora — uye PMS yako neclearinghouse zvatoshandisa zvimwe zvakanaka. Sarudza Intake.Dental kana uchida zvimwewo zvichibatwa: AI voice verification kana electronic yatadza, pre-authorizations, kuendesa kweclaim nekutevera, kunyora remittance, uye kurambwa kwakadavirwa seclaims dzakagadziridzwa, chikamu chega chega chinoshandurwa chete kana wazvitaura.
Pearl RCM inogara mukati mesystem yekutonga basa rekurapa uye inoshanda paclaim usati washanyira: kukodzera uye mabhenefiti epakodhi mukadhi yekushanyirwa, marwadzo ezvinoshaikwa X-rays nekusakwana kwekuvhara, uye kuongorora mhando yeX-ray pakutora. Intake.Dental inotanga munzvimbo imwe cheteyo uye inoramba ichienda — pre-authorizations, kutumira claim paukama hwayo hweclearinghouse, kutevera kubvuma uye mari inodzoserwa, kuisa paledger, uye kukakavara kunotumirwa seclaim dzakagadziridzwa. Dzinofanana pachinhanho chekutanga uye dzinosiyana pane zvese zvinozotevera.
Ronga demo yemaminetsi 30 uye tichakuratidza kuti tinokwana sei pamimiriro inokosha kubasa rako.
Kana ukatoshandisa Dentrix, izvi zvinowedzerwa neIntake Dental uye nei isingatsivi PMS yako.
