OnePoint

OnePoint is a healthcare technology solution offered by Certive Solutions Inc. According to the vendor, it aims to improve healthcare efficiency and revenue cycle management for healthcare organizations of all sizes, including hospitals, clinics, and healthcare systems. This solution is utilized by healthcare providers, revenue cycle management professionals, hospital administrators, healthcare finance professionals, and healthcare IT professionals to streamline processes, enhance revenue capture, and ensure compliance with coding and billing regulations.

Key Features

Revenue Integrity AnalyticsTM platform: According to the vendor, this feature combines data science, clinical expertise, and administrative process knowledge to ensure revenue integrity and compliance of hospital processes. It is designed to identify and verify potential lost charges by comparing them to medical records, providing actionable insights to improve billing accuracy and capture additional revenue.

DRG Integrity and Revenue Assurance: The vendor claims that this feature offers real-time, pre-bill review of Diagnosis Related Groups (DRGs) to optimize DRG payments by identifying potential coding and documentation errors. It is said to facilitate continuous billing improvements and revenue capture by leveraging nursing expertise, intellectual property, and proprietary algorithms.

Eligibility: According to the vendor, this feature streamlines the eligibility verification process for patients, aiming to reduce errors and denials related to patient insurance coverage. It is intended to improve revenue cycle efficiency and cash flow for healthcare organizations.

ChargeMASTER™: The vendor states that this feature ensures accuracy and compliance of the Charge Description Master (CDM) to help hospitals capture appropriate charges for services rendered. It is designed to reduce revenue leakage and billing errors, enhancing revenue cycle performance.

Claims Management: According to the vendor, this feature streamlines the claims management process by automating claims submission and follow-up with payers. It is claimed to reduce denials and improve revenue cycle efficiency for healthcare organizations.

OCExaminer™: The vendor claims that this cybersecurity solution provides on-demand security testing to validate security risk effectiveness for healthcare organizations. It is specifically tailored to address the unique security needs of the healthcare industry, ensuring compliance with HIPAA regulations and safeguarding against cyber-attacks.

Cash Acceleration: According to the vendor, this feature aims to accelerate cash flow for healthcare organizations by improving billing and collection processes. It provides early-out and short pay services to expedite payment, reducing insurance receivable backlog and improving revenue cycle performance.

Audit & Compliance: The vendor claims that this feature offers lost charge recovery services to identify and recover missed charges, ensuring compliance with coding and billing regulations. It is designed to improve revenue cycle accuracy and reduce financial leakage for healthcare organizations.

Price Transparency: According to the vendor, this feature assists hospitals in complying with price transparency regulations by providing tools and resources to make pricing information publicly available. It is intended to enhance patient satisfaction and transparency in healthcare pricing.

Software Solutions: The vendor offers the ChargeMASTERTM CDM Integrity software for charge description master management, ensuring accuracy and compliance. They also provide the OCExaminerTM Claims Integrity software, which offers comprehensive claims management and validation solutions for healthcare organizations.