Patient Accounting
Subject Expert
Boyd Stewart
Research Director
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Associated Market Segments
Claims Management & Clearinghouse
Software tools that help provider organizations manage claims and submit them to payers.
Complex Claims Services
Services focused on assisting provider organizations with complex claims—specifically, claims for workers' compensation, VA,...
Denials Management Services
Services that help healthcare organizations ensure they get reimbursed correctly for services provided, specifically in...
Eligibility Enrollment Services
Healthcare organizations' cash flow is supported via patient advocacy services that obtain eligibility and enrollment...
End-to-End Revenue Cycle Outsourcing
End-to-end engagements in which a provider organization outsources all or key components of their patient access, HIM, and...
Extended Business Office
Ongoing collection services performed by a third-party firm for the business office of a hospital. Includes collection work...
Government Reimbursement Services
Services that help healthcare organizations complete Medicare/Medicaid cost reports. Includes adjustments like DSH, IME, wage...
Insurance Discovery
Products that help provider organizations search for and identify patient insurance coverage through Medicare, Medicaid, or...
Patient Access
Solutions designed to help with the tasks associated with patient registration, including determination of insurance...
Patient Accounting & Patient Management
Software products that provide core inpatient functionality, including patient management (ADT), patient accounting (billing...
Patient Financial Engagement
Technology that supports the financial aspects of patient engagement by facilitating patient payments via a patient portal....
Patient Financing Services
Vendor services offered by provider organizations (through vendor/provider agreement) that give patients additional...
RCM - Other Validated Software
Software that belongs under the umbrella of revenue cycle management but doesn't currently fit in any of KLAS' more defined...
Revenue Cycle - Charge Capture
Tools that automate the billing audit process to aid in billing compliance and to improve reimbursement via identification of...
Revenue Cycle Analytics
Analytics tools specifically designed for revenue cycle management insights.
Revenue Cycle Automation
Technology that enables software to automate repetitive and rule-based tasks normally performed by humans. This segment...
Revenue Cycle Prior Authorization
Software that facilitates the electronic transmission of information between provider and payer organizations for (1)...
Revenue Cycle: Chargemaster Management
Tools that manage the chargemaster file in order to ensure regulatory compliance and maximize revenue.
Revenue Cycle: Contract Management
Tools that assist in managing contract provisions and calculating expected reimbursement.
RPA Managed Services
Ongoing digital transformation services that help hospitals, health systems, and physicians automate manual processes,...
Underpayment Recovery Services
Contingency services firms that perform audits and reviews to proactively discover missed revenue opportunity. This includes...
