Financial Consulting
Drive Efficiency Through Smarter Claims Management
Optimize Revenue Cycle Performance
In an era of value-based care and evolving payer models, effective claims data management is critical for healthcare organizations to maintain financial stability and operational efficiency. Keena’s Claims Management Consultants combine expert consulting with advanced data analytics and automation to streamline claims processing, enhance accuracy, and improve financial performance.
Claims Data Optimization and Predictive Insights
Keena’s claims specialists leverage cutting-edge normalization and analytical tools to clean, organize, and structure claims data for better financial reporting and trend detection. Our experts help you:
- Ensure Clean Claims Submission by eliminating data inconsistencies and enhancing payer compliance.
- Identify Trends Across Payers to predict revenue shifts and reimbursement challenges before they impact your bottom line.
- Gain Real-Time Financial Insights with automated reporting and forecasting tools.
ACO Claims Strategy and Optimization
A strong Accountable Care Organization (ACO) requires seamless claims management and data-driven decision-making. Keena’s ACO Advisory Services help organizations:
- Optimize Claims Processing Workflows to reduce administrative burden and improve reimbursement accuracy.
- Analyze Claims Data for Performance Insights that enhance cost control and quality initiatives.
- Design and Implement Scalable ACO Networks to support growth and regulatory compliance.
Master Data Management (MDM) for Claims & Mergers
Consolidating claims and patient data across multiple systems—especially during mergers, acquisitions, and ACO formation—is a major challenge. Keena’s Master Data Management (MDM) experts provide:
- Data Standardization and Normalization utilities and processes to unify disparate data sources.
- Advanced Identity Matching and Data Governance for accurate patient attribution.
- Custom MDM Solutions and Advisory to streamline claims processing across complex healthcare networks.
Claims Automation and Process Optimization
Through Robotic Process Automation (RPA), Keena automates complex claims tasks to improve accuracy and efficiency. Our automation experts assess your workflows to implement solutions for:
- Claims Auditing and Attribution to ensure accuracy in payments and provider alignment.
- Automated Claims Processing to eliminate manual tasks and accelerate reimbursement.
- Web Process Automation to enhance payer portal interactions and data entry efficiency.
Contact Us
With Keena’s Claims Management Advisory Services, healthcare organizations gain the tools, expertise, and automation solutions needed to optimize claims workflows, maximize reimbursement, and drive financial success in an evolving healthcare landscape.