Patient Accounting
Subject Expert
Boyd Stewart
Research Director
Preferences
Associated Market Segments
Claims Management & Clearinghouse
Clearinghouse and Claims Management software tools that manage and submit claims between providers and payers.
Complex Claims Services
Services focused on assisting provider organizations with Workers Compensation, VA, Motor Vehicle, and/or Out of State...
Denials Management Services
Services that help healthcare organizations ensure they get reimbursed correctly for services provided, specifically in...
Eligibility Enrollment Services
Support healthcare providers’ cash flow by providing patient advocacy services to obtain eligibility and enrollment (Medicaid...
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 - 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.
Revenue Cycle Outsourcing
Engagements in which a provider organization outsources all or key components of its patient access, HIM, or business office...
Robotic Process Automation
Technology that enables software to automate repetitive and rule-based tasks normally performed by humans. This segment...
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...
