Strategies to minimize revenue loss in Medical Billing

Our shared goal with healthcare providers is to improve clinical, financial and human performance, which yields consistent and long-term success in the ongoing mission to better serve their community.

We recognize that each organization has its own set of strategic, operational and financial challenges, and we tailor our solutions and delivery to achieve the potential of your provider enterprise.

OUR APPROACH TO ENGAGEMENT INVOLVES A DETAILED ASSESSMENT OF YOUR ENTERPRISE BUSINESS PROCESSES AND FINANCIAL PERFORMANCE. WE PAY SPECIFIC ATTENTION TO:
Billing Operations Review – Assess the billing and accounts receivable process, staffing, and workflow.

Collection Performance Assessment – Calculate the appropriate ratios to assess the performance in comparison to other enterprises providing similar services at similar size.

Technology – Assess the existing technology investments and determine if they are being optimally utilized.

Coding – Assess medical services and proper CPT code assignments.

Documentation Compliance – Review the medical record documentation to determine sufficiency in meeting government payer requirements for E&M CPT codes charged (including compliance review, education and documentation templates for easier compliance).

Overhead Analysis – Compare overhead, by category, to national norms.

Our comprehensive range of Revenue Cycle Management services for the healthcare industry include but are not limited to:

Medical Billing
Medical Coding
Denials Management & Resolution
Patient Statement Review & Mailing
Credit Balance Resolution
Payment Posting
Pre-Authorizations
Documentation Compliance Review
Miscellaneous Call Center Services
Demographics
Credentialing
Charge Capture
Eligibility / Benefits Verification
Accounts Receivable (Insurance & Patient)