ZirMed & Navicure Reviews 1

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ZirMed & Navicure offer healthcare RCM & billing management solutions to assist healthcare organizations in streamlining and automating processes related to claims and remits, denial and appeal management, insurance eligibility verification, cost estimation, contract management, charge integrity and patient payments. The solution is used by hospitals, health systems, physician groups, medical services, billing services, clinics, medical labs, ambulatory surgery centers, home health, hospice, radiology groups and more for revenue optimization. ZirMed & Navicure enable medical organizations of all types and sizes to manage their reimbursement models and ensure compliance with regulatory mandates on a timely basis. ZirMed & Navicure provide a claims management solution that allows users to submit electronic claims and reduce the account receivable days. ZirMed & Navicure also offer a patient access solutions feature to help patients understand their medical benefits, insurance eligibility, and payment responsibilities. ZirMed & Navicure integrate data from patient accounting systems and use predictive analytics technology to identify new revenue opportunities for hospitals. The ZirMed & Navicure contract management solution allows providers to manage and model payor contracts in order to better negotiate with payers to ensure contracts are mutually beneficial. The platform allows users to create new contracts and conduct routine analysis of existing contracts. ZirMed & Navicure also help healthcare organizations to draft alternate contact scenarios for risk mitigation and payer negotiation. ZirMed & Navicure offer additional features such as post-care insurance coverage detection, patient payments, denial and appeal management, payment processing, custom dashboards, KPI alerts, real-time information processing, data standardization and more. The solution provides APIs to integrate the platform with other existing software. ZirMed and Navicure are HIPPA and PCI compliant and ensures the security of online payments.See more