Back to the catalog

Financial Management

Revenue Cycle Pro

Revenue Cycle Pro logo

Product description

This online, web-based subscription service is specially created to help hospital billers, hospital revenue integrity managers, inpatient and outpatient hospital coders, and case management consultants. Revenue Cycle Pro provides a complete reference source for compliance issues. It assists in analyzing financial problems, resolving claim disputes, reviewing medical necessity issues, and appealing rejection decisions.

How we use Revenue Cycle Pro at VA

Revenue Cycle Pro allows accounts payable (AP) departments within VA to confirm that outside health providers are submitting bills within the standard rates. It provides up-to-date answers to tough questions about coding, billing, coverage, and reimbursement and resolves problems to minimize non-compliance exposure. Medical cost analysts within the VA use Revenue Cycle Pro with a diagnosis-related group (DRG) to update medical costs in the internal VA system.

No VA Data

For SaaS products that do not contain VA-owned data*, there is now an expedited process that does not require a traditional VA authority to operate (ATO). Criteria include the following:

  • User owns a device (even if VA paid for the purchase of the device) such as a CPAP or glucometer that uses a SaaS product to share patient data (non-VA data*).
  • SaaS product has no direct connections or interfaces to VA systems or network.
  • Users consent to share their data (which may include PII and PHI) directly with the SaaS provider.
  • SaaS providers must have published terms and conditions for user consent.
  • VA providers access data in a view-only mode or with limited functionality per the userโ€™s consent.

*According to Circular a130, anything that VA creates, collects, processes, maintains, disseminates, or disposes of by or for the federal government is considered federal information (VA data).

VA providers may not enter any VA information into this product; it must adhere to no VA data standards mentioned above.

The next step

If VA employees would like to use or purchase this previously approved service, please submit a SaaS inquiry form to confirm your use case and get procurement approval.

Submit a Request

Other products in the Marketplace from Optum

  • Status: Approved
  • VA Authorization Level: No VA Data
  • Funding: End-user funding required
  • Product Line: Financial Management

Link Disclaimer

This page includes links to other websites outside our control and jurisdiction. VA is not responsible for the privacy practices or the content of non-VA Web sites. We encourage you to review the privacy policy or terms and conditions of those sites to fully understand what information is collected and how it is used.

Statement of Endorsement

Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government, and shall not be used for advertising or product endorsement purposes.