Drive Efficiency Through Smarter Claims Management
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.
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 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 Solutions (MDM)
Data management is a weighty responsibility for any healthcare organization. MDM solutions are a lifeline in this sector, allowing segmented enterprises to standardize and pool critical data into a single database, and pull from this common point of reference for reporting and management.
With an MDM solution in place, Accountable Care Organizations, Health Information Exchanges and organizations involved in merger or acquisition processes can accurately consolidate information on patient identities and activities from disparate systems. By channeling cross-organizational data into a master database with integrity assurance, ACOs and HIEs gain more efficient access to reliable business intelligence, allowing for faster reporting and smarter analysis.
Read our latest white paper on MDM Solutions:
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.
ETL & Reporting
Keena’s ETL solution brings disparate data from isolated systems into a consolidated view. Having only a partial view of your data is not going to reveal the full story the data has to tell. By bringing all your financial, clinical, and claims data into a single view, this will allow you to create the necessary dashboards and scorecards you need to turn your data into meaningful information that you can act on.
ETL allows for personnel to monitor the loading of data from 3rd party sources, to get insight into the health of the data, to keep an eye on server health, to get alerts for issues arising like when bad files or bad data are received, and to document processes directly in the dashboard, all while data is loaded behind the scenes in a hyper-efficient way that even provides a template that can be leveraged with new data providers so that disparate data sources can move closer towards the client’s format.
Examples of what a robust ETL solution can solve for healthcare
- Load claim data
- Normalize & Standardize payer data and synthesize into a single comparable format
- Manage payer membership, eligibility, and primary care physician attribution
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.