Craneware is the market leader in automated revenue integrity solutions that improve healthcare providers’ financial performance. Approximately one quarter of all registered hospitals in the U.S. have partnered with Craneware to gain visibility into the business processes needed to identify, address and prevent revenue leakage.
Craneware's market-driven approach to providing Revenue Cycle, Access Management & Strategic Pricing, Supply Management and Audit & Revenue Recovery solutions empowers healthcare organizations to effectively price, charge, code and retain earned revenue for patient care services and supplies. Craneware solutions help customers establish a solid foundation of revenue integrity for optimal, appropriate reimbursement, increased operational efficiency, and reduced compliance risk.
We invite you to view below our healthcare revenue integrity products and related services to discover how Craneware can improve financial performance at your organization.
Revenue Cycle
The original CDM-management solution and ranked No. 1 in the KLAS Revenue Cycle -- Chargemaster Management category for the last five years, Chargemaster Toolkit automates
chargemaster management processes to help capture legitimate reimbursement and is customizable for organizations from small community hospitals to large healthcare networks.
Enables effective establishment, standardization and management of multiple chargemasters across a multi-facility system to ensure the corporate standard is maintained.
Automates chargemaster management processes, and is uniquely designed and priced for Critical Access Hospitals.
Reduces compliance risks by providing web-based access to reference and regulatory resources, including CPT® Assistant.
Improves charge capture by identifying potentially missed charges and correcting errors at their source to ensure claim accuracy and compliance.
Improves data accuracy by establishing a connection between Chargemaster Toolkit and the patient financial system to automatically upload chargemaster changes.
Manages physician charges, codes, RVUs, fee schedules and related information and includes a version of Online Reference Toolkit that address the specific reference needs of physician billing.
Provides the functionality of Physician Revenue Toolkit but is enhanced to standardize as well as maintain files across disparate billing systems to ensure consistent, accurate pricing and coding.
Provides the same functionality as Physician Revenue Toolkit and can also track financial and operational key performance indicators through data trending with Decision Dashboard®
Access Management & Strategic Pricing
Provides web-based, all-payor, medical necessity validation and creates Advance Beneficiary Notices, helping prevent denied claims, unnecessary write-offs and RAC adjustments.
Identifies insurance eligibility at the time of registration, showing all payor information for the patient,
including co-pays, limitations, out-of-pocket amounts, and primary and co-insurance amounts, to prevent claim rejections.
Simplifies the process of providing estimates for inpatient and outpatient services to support defensible,
transparent pricing and help patients understand out-of-pocket costs.
Automates and simplifies the process for developing pricing, enabling analysis of regulatory, reimbursement, and cost and market information to establish pricing that is compliant, defensible and competitive.
Supply Management
Ensures accurate pricing, coding and billing of medical and surgical supplies by establishing links between critical data in a hospital's purchasing, item master and chargemaster systems.
Improves charge capture, pricing and cost management, establishing and maintaining a connection between a hospital's pharmaceutical purchases and billing.
Audit & Revenue Recovery
Analyzes, tracks, trends and reports on denial data, providing workflow tools to distribute denied claims to the right departments and staff for resubmission.
Manages all of an organization’s medical claims audits and workflows from one central location. Covers RAC, CERT, MIC, OIG, ZPIC and more.
Identifies, tracks and helps eliminate lost revenue from underpaid claims.
Craneware Professional Services
Services for assisting organizations to enhance process and implement best practices, resulting in improved financial performance. These professional services include the following:
Helps an organization establish chargemaster management processes, roles and responsibilities to ensure financial improvement, and provides customized Chargemaster Toolkit training materials to support business processes.
Helps optimize chargemaster management and control processes, moving the chargemaster from clean-up to management mode by leveraging Craneware's chargemaster experts and Chargemaster Toolkit.
Helps establish a customized standard to fit the corporate need for a single chargemaster by engaging stakeholders, developing processes, and setting up supporting technology.
Includes identification of the highest areas of financial risk and root causes of missed charges, and establishes a sustainable charge capture process to ensure continued improvement.
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