Recover healthcare revenue in record time

Rivet Resolve can speed your claim appeals — right out of the box. As a strong healthcare denials management system, you'll help your team work denials smarter and create documented, scalable processes to get more done.

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Rivet Resolve in action


Watch how Claim Resolution works](https://vimeo.com/1010269682)

We are integration agnostic

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Why Rivet Resolve?

The Problem

You’re leaking cash. Why is it OK to flush your revenue down the drain? It’s not. But it’s hard to find the cash flow leak when you are in the dark.

The Solution

That is where Rivet comes in. Think of us as the bright light you need to rescue your lost revenue. Since we are tailor-made for denials management process and other claim resolutions — we solve the healthcare claims issues from the ground up as an easy, to use, intuitive and highly customizable workhorse. With flexible team work lists, easy filtering, batch workflows, and personalized denial processing documentation we help you conquer one-off problems as well as systemic denial trends. Legacy systems were not built to deliver this way.  In the end we help you rescue your money — and the kicker — you get to keep 100% of your recovered dollars — no percentage fee collections.

Rivet Resolve Strengthens

  • Custom revenue recovery
  • Scalability
  • Speed the appeal process
  • Productivity
  • Claims analytics

Custom revenue recovery

  • Simple-to-view, understandable claim denial work lists
  • See big picture and specific claim dashboards
  • Tailored worklist for denial management

Scalability

  • Easy filtering for group processing
  • Tailored worklists to help your team prioritize tasks
  • Customizable instructions to scale RCM knowledge

Speed the appeal process

  • Plugin feature supports 10x faster appeal through online payer portal form fill
  • Timely filing alerts to prioritize denials work
  • Export batch appeals to streamline sharing with payer reps

Productivity

  • Real-time progress views to motivate each team member
  • Recovery data views for manager and rep
  • Measurable speed and submissions

Claims analytics

  • Assess the root causes of denials
  • Benchmark denial rates
  • Delinquent claim auto-checks

Provider partners demolishing Denials:

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Get more done

Easy, personalized worklists, custom filtering and a simple, smart design lets your team of one or more experts perfect their denial management workflow to make the most of their time. Hunting for answers is minimized while the ability to process more denials with the same team is maximized.

Learning from within

Since turnover and understaffing are constant issues in healthcare organizations, Rivet provides a formalized learning ground to help your newest team reps consistently adhere to best practices for denial management. You can retain and document expert knowledge to assist new teammates to optimize the denial management process denials like a pro. Your proven processes are not only documented with a specific type of denial, they are also attached to similar denials in the workload. Automation simplifies processes and eliminates repetitive tasks.

Rescue your revenue — faster

With Rivet on your side, your team’s efforts are multiplied, their denial management processes streamlined and their abilities amplified. And the best part is when you recover the denial owed to you — it all posts to your account, without a percent lost to collections.

Can my medical practice automate claim denial management?

Denial management software automation includes claims analysis to understand root causes, predict revenue impact, prevent future denied claims, and speed up recovery. Rivet denial management offers automated and customizable reports in a matter of seconds, billing edits to combat autogenerated denials, and revenue recovery for denial workflow assistance. Download any of the reports, charts, and tables for a presentation, training, or further investigation. Dispel the manual data entry needed to fully deep dive on claim issues.

What is the average claim denial rate​?

The average claim denial rate in healthcare varies, but it generally falls between 5% and 15%. Some sources suggest an industry average around 10%. However, denial rates can fluctuate significantly based on factors like payer type, plan type, and the specific healthcare provider. Some Medicare Advantage and Medicaid managed care plans have been reported to have denial rates higher than the average. On average, Rivet customers lower their denial rate by 40% or more through Rivet denials management and prevention.

How can Rivet help my practice appeal insurance claim denials effectively?

Rivet denial management software offers appeal forms that automatically fill with the claim information needed and payer portal automation through an easy-fill popup for simplifying and speeding up appeals. Track claims to resolution with ease and know where to prioritize time to recover the most amount of revenue in the shortest time.

What causes claim denials and improper service reimbursement​?

Billing errors, coding inaccuracies, lack of proper documentation, and authorization problems can cause denials and improper reimbursement. Rivet denial management software prevents denials through AI powered analysis and billing edit suggestions to outsmart insurance auto denials. Rivet also assists in speedy revenue recovery and audits current and historical claims for improper reimbursement.