Augmenting your EHR to capture the revenue that brings your care to life.

Health systems using Epic or Oracle Health make significant investments in their electronic health record (EHR) platforms to provide seamless patient care. Yet despite these state-of-the-art systems, financial teams often face persistent operational hurdles, such as lingering denial rates, aging accounts receivable, inadvertent missed charges, and delays in cash posting. For patients, navigating complex billing statements can be confusing, while health systems may unintentionally miss out on rightful reimbursements.

These challenges aren't flaws in your core EHR. Tools like Epic Resolute and Oracle Health's patient accounting platforms perform fundamental transactions wonderfully. Instead, revenue opportunities often hide in the nuanced transitions between those core operations. Managing cross-departmental handoffs, navigating unique payer policies, and offering compassionate patient guidance require flexible workflows that standard work queues weren't designed to support.

At Macedon Technologies, we bridge these operational gaps by supporting your team from the initial patient encounter to final payment resolution without requiring any changes to your core billing configuration.

Innovative enhancements around your existing EHR

Macedon crafts tailored revenue cycle applications that connect smoothly with Epic or Oracle Health through industry-standard integrations, as well as connecting to clearinghouses, payer portals, and banking partners. This creates a unified digital ecosystem. Each solution surfaces clear insights, directs tasks to the right person with full context, and updates your core systems automatically.

Our human-centered approach allows your staff to work comfortably in user-friendly environments while gaining transparent workflows, helpful reminders, and real-time visibility. Because your foundational Resolute or Millennium configurations remain untouched, software upgrades remain simple, and new features can be introduced thoughtfully in weeks rather than months.

How we support your revenue cycle journey

Front end: patient access

• Eligibility and benefits: thoughtfully resolve coverage gaps and coordination-of-benefits details prior to patient visits.
• Prior authorization: streamline authorization tracking and clinical documentation to ensure patient care moves forward smoothly without unexpected delays.
• Registration quality: gently catch and adjust demographic or insurance details during intake, helping avoid downstream billing hurdles.
• Price estimates and financial counseling: empower patients with clear, compassionate financial estimates, fulfilling Good Faith Estimate guidance while assisting with tailored payment arrangements and financial aid.

Mid-cycle: charges and coding

• Charge capture and reconciliation: collaboratively identify uncaptured services across departments prior to final billing.
• Clinical documentation and coding: facilitate seamless communication between coders and clinical staff, reducing discharged, not final billed (DNFB) hold times.
• Claim edits: intelligently manage claim scrubbing so submissions are accurate and clean on the first pass.

Back end: getting paid

• Denials management: categorize root causes thoughtfully, pairing appeals with intuitive templates to improve resolution success.
• Underpayment recovery: help teams systematically identify payment discrepancies against contractual agreements to recover rightful revenue.
• Payment posting and cash reconciliation: accelerate cash application and eliminate unapplied balances smoothly.
• Credit balances and refunds: efficiently process overpayments and maintain positive relationships with payers and patients alike.
• Patient collections: offer transparent, respectful patient communication and flexible payment options.

Across the cycle: payers, audits and compliance

• Payer disputes and the No Surprises Act: navigate the dispute lifecycle, from open negotiation through independent dispute resolution (IDR), with attentive automated deadline tracking.
• Audit response: organize documentation seamlessly for RAC, commercial, and Medicare Advantage audit requests.
• Payer contract management: centralize fee schedules, rate updates, and policy terms into actionable guidance for your team.
• Revenue cycle visibility: provide leaders with intuitive, real-time dashboards on key performance metrics and workflow health.

Proven results and industry benchmarks

Across the healthcare sector, regulatory friction and manual processes continue to strain revenue integrity. Following the implementation of the No Surprises Act (NSA), CMS recorded over 1.5 million disputes in 2024, which is nearly 70 times initial projections. Handling this massive scale manually introduces severe operational bottlenecks and high risks of missed deadlines.

By working with Macedon, health systems can turn regulatory burdens into structured, repeatable workflows. Organizations partnering with Macedon Technologies have automated up to 90% of NSA dispute processes and reduced manual workloads by up to 80% while ensuring complete compliance and auditability.

Reflecting on this transformation, Rommy Foteh, President and COO of our customer Neuromonitoring Associates, shared during a podcast with Becker’s:

"What started as us just trying to meet all the deadlines... has turned into a very automated, streamlined platform with all of our team members working in the same system. Now that we've put this all in the automated platform that Macedon put together, we're thinking strategically."

To help your organization pinpoint hidden revenue leakage, Macedon Technologies offers a low-friction Workflow Performance Assessment. In just a few weeks, our team evaluates your current workflows against industry benchmarks to identify quick wins and quantifiable ROI opportunities without disrupting your core EHR configuration.

A collaborative partnership approach

We begin by listening to your team to understand your highest-priority operational goals. Together, we map out key workflows across your Epic or Oracle Health environment, measuring potential impacts on staff time and revenue health. Next, we build a tailored solution using real data, often delivering a working model within weeks. Every step is built thoughtfully with HIPAA compliance at the forefront.

The outcome? Your health system achieves sustainable performance improvements without disruptive core re-implementations, leaving you with an adaptable platform ready for future growth.

Let's innovate together

 Every healthcare leader strives to support their teams and patients with smoother financial experiences. If you're ready to explore how thoughtful automation can transform your revenue cycle, I would love to connect. Reach out today to discuss how we can partner to achieve your goals. 

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