Technology Solutions and Enhancements

Customizable Technology Offerings

Enhancements to meet your organization's unique needs. 

Global Healthcare Resource understands the complexities of revenue cycle management and has over 25 years of experience delivering cost-effective billing and patient contact services to healthcare organizations across the United States. Our approach focuses on integrating seamlessly with your team to address any operational gaps within your revenue cycle. We proudly employ over 7,000 medical billers, coders, and patient call center agents ready to assist with your project. Additionally, we leverage our proprietary, in-house software to replicate and enhance repetitive processes, leading to a more comprehensive billing cycle including quicker turnaround times and improved quality metrics.

GloBOTs

Our GloBOTs help automate repetitive and labor-intensive tasks. Common GloBOT activities include: 

• Online Verification of Eligibility & Benefits (OVEB): An advanced automation tool designed to perform verification of patients' eligibility and benefits information across payer portals and clearinghouse websites like Availity and Navinet. 
  
• Online Verification of Claims Status (OVCS): A solution for automating the verification of patients' claims status from payer portals and clearinghouse websites like Availity and Navinet. It streamlines the claims status tracking process, reducing manual workload and turnaround time.
  
• Real-Time Insurance Pre-Authorization Checks: Automates obtaining pre-authorizations from insurance providers, ensuring faster approvals and reducing delays in patient care.
• ERA/Autopost: An innovative tool for processing ERA (Electronic Remittance Advice) and auto-post payment transactions. It improves financial workflow accuracy and streamlines payment processing.
• Automated Chart Data Extraction: An advanced solution for automating the extraction of data from patient charts, ensuring accurate and efficient documentation for claims processing. It minimizes manual effort and improves data accuracy. 
• Claim Resubmission and Appeals Automation: Utilized to simplify the resubmission and appeals process for denied claims, ensuring quicker resolutions and improved collections.
• Automated Refund Processing for Overpayments: Automation solution for the refunding process for overpayments, ensuring accurate and timely reimbursements to patients or payers.
• Patient Statement Generation and Delivery:  Automatically creates and delivers patient statements, ensuring timely and accurate billing communication.

GlobART.ai

An AI-driven revenue cycle management (RCM) solution used to enhance operational efficiency and accuracy. GlobART.ai provides: 

• Automated AR Workflow:  Simplifies claim allocation, call management, and auditing.
• AI-Driven Accuracy: Delivers precise call transcription and auditing of call notes.
• Powerful Analytics: Tracks productivity and claim performance with actionable insights.
• Enhanced Oversight: Provides dashboards for productivity and quality monitoring.
  
  

GlobRev

An advanced application designed to ensure precision and compliance in claim coding and billing processes. GlobRev provides: 

• Error Detection and Warnings: Automatically identifies coding errors and suggests corrections.
• Rule-Based Validation: Leverages a powerful engine with over 32,000+ coding and billing rules to validate claims against compliance standards.
• Enhanced Accuracy: Flags inconsistencies to maintain exceptional coding and billing precision.
• Streamlined Review Process: Simplifies claim reviews, reducing manual effort and boosting efficiency.
  
  

GlobVerify

GlobVerify transforms eligibility and benefits verification with AI-powered GloBOTs, ensuring seamless and accurate data extraction from multiple insurance portals simultaneously. GlobVerify provides: 

• AI-Driven Data Extraction: Automates extracting eligibility and benefits information with advanced precision.
• Multi-Source Integration: Effortlessly retrieves data from diverse insurance websites and portals, simultaneously.
• Real-Time Processing: Delivers instant verification, significantly reducing manual effort and turnaround time.
  
  

GlobPassVault

Top-tier encryption and seamless password management solutions tailored for enterprises, ensuring both security and usability. *Currently, it is in the ready-to-implement stage for internal deployment. GlobPassVault provides: 

• Secure Credential Storage:  Developed for our employees to store and manage credentials, ensuring safety and compliance securely.
• Advanced Encryption Algorithms:  Leverages robust encryption to secure sensitive data and credentials.
• Auto-Capture and Auto-Fill Functionality: Automates password management by capturing and filling credentials with ease.
  
  

GlobInsight

GlobInsight is an AI-powered analytics dashboard designed to provide real-time insights into key Revenue Cycle Management (RCM) metrics, enhancing operational efficiency. Currently, it is in the development stage. GlobInsight provides: 

• Claim Status Tracking: Monitors the progress of insurance claims, providing up-to-date information on paid, denied, and pending statuses.
• Denial Rate Analysis: Identifies patterns and causes of claim denials, enabling targeted strategies to increase collections and reduce future occurrences.
• Revenue Optimization: Analyzes denial rates and AR days to pinpoint areas for revenue improvement.
  
  

Claimocity

 An integrated software and services platform aimed at addressing all the backend functions your practice needs, from capturing patient encounters to getting paid. Clamocity provides:

• Encounter Workbench: Easily review your daily work queue and to-do lists.
• Missed Visit Reconciliation: Our platform proactivity reconciles patient visits versus billing to ensure you capture every billable encounter.
• Fully Integrated Billing Support: Approved encounters go directly to the billing team queue, allowing providers to communicate with them through in-app messaging.
• Practice IQ Activity Dashboard: Access real-time data on charges, revenue, compensation, and KPIs to track your practice’s success.