Revenue Cycle Optimization


Healthcare systems see significant revenue leakage due to missed referrals, delays in collections, write-offs, and incorrect claims verifications. A majority of these issues are due to disjointed process workflow, poorly designed processes, old systems, and manual operations. Impact on revenue can be as high as 2-4% of the top-line. Persistent's RCO solution simplifies operations and automates repetitive tasks. With modern user interfaces and dashboards, companies can optimize revenue in months.

Key Features & Functionality

Persistent’s Revenue cycle optimization offers a centralized digital platform for health facilities, clinicians to manage and automate critical functions such as:

  • Patient referrals— Manages all your referrals and reimbursements in a single window
  • Patient pre-authorization – Automatically verifies, initiates, statuses, and retrieves comprehensive authorization details
  • Eligibility and benefits verification – Maintains consistent and accurate verification process to preserve a healthy revenue cycle
  • Denial management – Reports denials for medical necessity, non-covered services, and prior authorization to management to avoid errors in the billing cycle

Benefits & Business Impact

  1. Automated Patient Referral - Manage all referrals on a single dashboard - 3x Increase in referral conversions and 100% Automated workflow
  2. Prior Authorization - Reduce denial & delay of payments - 50%+ Faster collection of early payments and 3x Reduced wait time
  3. Automated Claims and Clearance - Automate end to end claims and clearance process - < 5% Reduced denials and 95% Reduced rework
  4. Appointment scheduling - Simple web interface for DIY booking and rescheduling solutions with a reminder - 100% Automated and <5% Reduce no show rate