Our case studies encompass our industry leading discoveries and breakthroughs of test and trial of brand-new processes and procedures resulting in groundbreaking impacts to our Payer and Provider clients. Read about the challenges we have overcome while partnering with the best fit resources and innovative solutions to level the playing field and drive down cost of collection between Payers and Providers.
REVELOHEALTH utilized payment management system data on specific code sets to identify areas of issue. Spreadsheet presentation that is now captured and visible through our iCALIBRATE™ solution.
REVELOHEALTH collaborated with Cognizant to create a unique repricing solution based on TriZetto QicLink, ClaimsExchange and NetworX Pricer.
Streamline Success with CBO Consolidation and Credentialing Cleanup.
Reengineering the RCM model consolidating and mitigating multi-site challenges.
Indications of poor payer contract performance lead to deep dive of contract terms and variances.
Impactful Improvements to operations resulting in drastic drops in call volumes.