The largest healthcare providers in Brazil already automate the entire healthcare process billing for medical bills long time. This is because they needed to structure themselves to GROW.
Can you imagine an operator with thousands of lives without efficient software that guarantees its managers that all processes comply with legal requirements and deadlines? It's unimaginable... isn't it?
That's why we're here! First we want to present SAUDI, which is the medical bill audit software used by the largest Brazilian healthcare providers, and in particular we are going to tell you what it does, the true advantages of using software in 10 essential steps to get everything right with the billing of medical bills.
1. Maintains health care provider in compliance with laws and regulations related to medical bill auditing.
- It makes it possible to update routines and deadlines in real time to keep your healthcare provider always in compliance with the legal requirements of the supplementary healthcare sector. This advantage alone is worth it all! But it's just the beginning. Continue reading until the end to discover MUCH more! ; )
2. Intelligent dashboard for you to work with quantitative and qualitative data strategically.
- Operators that have a wide information base, need the help of software capable of centralize this data in order to organize the entire midfield;
- “Loose” information about patients can end up generating administrative or operational failures that place a burden on the operator’s coffers. Not to mention the risk of compromising patient safety and well-being as a result of these failures;
- An intelligent dashboard brings benefits to the entire team: managers benefit from an agile and organized workflow; employees become more productive and free from overload; and beneficiaries now have access to better quality of care received.
3. Keeps processes always updated in accordance with new developments in the area of medical bill auditing.
- Reduction of structural costs and optimization of operational processes;
- Reduces the operational cost of processing and auditing medical and hospital bills and disallowance resources;
- Reduction of internal work due to external error (the provider is informed so that they can correct their errors);
- Compliance with deadlines in accordance with RN 363 articles.
4. Enables the creation of a work plan structure that adapts to the specific needs of your healthcare provider.
- Optimizes electronic auditing of medical bills with the possibility of automated, fast and reliable activities, in accordance with what was contracted – Production Mat;
- Improves technical analysis, allowing doctors and audit technicians to focus more on issues of therapeutic conduct;
- Configurable Process Flow.
5. Provides effective communication tools to deal with various stakeholders involved in billing medical bills.
- Improves relationships with the provider network, making the presentation of medical bills transparent and quick;
- Better price negotiation with providers, through better support of historical information on volume of services and prices charged, compared to competitors (Benchmarking) and preparation of service “Packages”;
- Online interactions with providers and beneficiaries, via web and mobile platforms.
6. Keeps everything organized to meet established payment deadlines.
- Enables payment provisioning to service providers with greater accuracy, streamlining and simplifying financial management;
- The reduction in the aging of disallowance resources after the end of the period may lead to a reduction in the mandatory value of technical reserves, with a consequent reduction in financial costs;
- Reduction in the flow of billing disputes.
7. Points out possible errors, inaccuracies or inconsistencies in the data provided by the client.
- Electronic document management – GED;
- Transaction log;
- Usability history of health services;
- Significant reduction of up to 30% in healthcare costs;
- Reduction of undue charges due to error, misuse or fraud;
- Reduction of OPME costs, with online requests and acquisitions;
- Reduces time and expenses with materials and medicines during hospitalizations, with on-site audit records, via tablet, online or offline.
8. Talks frequently with the client to ensure all points are being addressed appropriately during the medical bill audit.
- Customizable 100% mobile application;
- Reduction of call center costs;
- Greater agility of response for the beneficiary.
9. Ensures that all relevant information is adequately documented for post-audit purposes.
- Reduction of rework costs (Post-payment Gloss Resource), through online gloss resource;
- Automatic recording of all audit steps;
- Automate medical and administrative audit processes electronically, quickly and reliably;
- Optimize process flows by identifying and eliminating bottlenecks;
- 100% Eliminate the use of paper from processes in your operation;
- Zero implementation costs.
10. Provides detailed reports of audit findings to help YOU make well-informed decisions.
O SAUDI is a system designed to maintain the “financial health” of Supplementary Health Plan Operators. Our software automates the account audit process of medical service providers, enabling a clear vision for both sides (operators X service providers) and a significant reduction in unnecessary costs. Acting throughout the entire process, from authorization request for medical procedures from the provider network, up to their respective release for payment, the objective of SAUDI is that companies in the area become more healthy and reach better results through a better management of your care costs. The results are surprising in the first few months of use!
Medical bill audit software adopted by the largest healthcare providers in Brazil
With an intuitive and easy-to-use interface, the SAUDI solution runs on several Unimeds and other large operators, reaching more than 60 units in different states across the country, and is the basis of the Acol Medical Account and Audit Management System – SCAM, which has been running for over 10 years at Bradesco Saúde, in addition to some medical audit service companies, which confirms the quality and relevance of results that the SAUDI System offers.
If you need to prepare the structure of your health care provider to GROW, schedule a quick presentation with one of our experts to answer questions about the implementation of SAUDI.
