Revenue Cycle Integrity
BILLING AND COLLECTIONS
Revenue cycle integrity starts with receiving demographic and encounter master data, submitting claims, reconciling payments, and billing patients. However, our billing and collections process strives to mitigate errors and denials by scrubbing the data received prior to submission to payers. Our experience over the years allows us to proactively increase our client’s revenue.
We take a comprehensive approach to investigating an established aged accounts receivable.
Remediation efforts for collectable candidates are enforced, and documented. Results of trends are communicated and included on any workflow enhancements to help eliminate future challenges with claims. Uncollected charges are identified, and strategies are proposed to help protect potential future lost revenue.
CREDENTIALING and CONTRACTING
Complimenting services relating to optimizing revenue, includes participation strategies with 3rd party payers. We establish strategies collaboratively with our client-partners, and launch participation campaigns. These services are offered to current (and prospective) client-partners as a revenue alignment strategy.