Rivet

Rivet is a revenue acceleration platform offered by Rivet Health, aimed at helping healthcare organizations maximize revenue and streamline their revenue cycle management processes. This solution caters to practices, hospitals, consultants, and billing companies of various sizes. The suite of solutions includes Revenue Diagnostics, Payer Performance, Patient Pricing, and Claim Resolution, which are utilized by professionals in the medical practices, hospitals, healthcare consulting, and medical billing industries.

Key Features

Revenue Diagnostics: According to the vendor, Rivet's revenue diagnostics feature offers advanced statistical models for revenue forecasting. It provides real-time reporting with actionable insights and delivers granular metrics for deep dive information and root cause analysis.

Payer Performance: The vendor claims that Rivet's payer performance feature allows healthcare organizations to benchmark their geographic payer performance against competitors. It includes an easy-to-use contract scenario simulator and auto-payment variance detection.

Patient Pricing: Rivet's patient pricing feature is said to enable healthcare organizations to deliver accurate and compliant Good Faith Estimates (GFE) as per the No Surprises Act. It seamlessly offers automated real-time eligibility and out-of-network benefits, along with contract management for accurate estimate valuations.

Claim Resolution: According to the vendor, Rivet's claim resolution feature helps healthcare organizations recover denied and non-response claims efficiently. It aims to lower the overall denial rate through delinquent claim management and full revenue cycle improvement. It also provides analytic dashboards, worklists, and team assignments to maximize productivity, along with document instructions and best practices for scalable results.