BEGIN YOUR JOURNEY TO EXCELLENCE
Billing services
We will bill your medical claims and work each claim from start to finish until the claim is paid. This includes working any denied claims, records requests, or submitting appeals as deemed appropriate.
Utilization and Efficiency Review
We assess your service line utilization via patient data analysis. We look to find ways to reduce expenses, boost revenue, and optimize resources through strategic improvements in efficiency.
Performance Metrics
We will analyze performance incentives to ensure compliance with guidelines and cost/benefit. We will identify key performance indicators for service lines by using tailored scorecards to track and share performance across your healthcare organization.
Revenue Cycle Optimization
Using strategic solutions we will help you improve your organizations revenue cycle by putting into practice the right people, processes, and technology to increase yield and reduce costs, redesign your operation model, advance your insights and analytics, and adopt a digitally minded approach.
Clinical Documentation Improvement and Education
Identify opportunities for improvement via one-on-one coaching, education, and training where we will review electronic health records to ensure high quality physician documentation.
Training
We will put together a comprehensive training plan for your utilization to ensure that your employees use best practices in the most efficient and meaningful manner. We will also come in and train employees in various departments on best practices such as in patient registration to reduce errors during data entry, billing, and coding best practices to ensure that you are being reimbursed correctly and in a timely manner, and other administrative departments to ensure that strategic practices are being utilized to ensure best practices are being used in the most efficient and effective manner.
Staffing Analysis
We analyze your staffing models for flexibility, resilience, and cost-effectiveness. We then work with you to construct a strategic, optimized model that meets your evolving needs and connects with clinical and business goals.
Provider Contracting Review
We will review your current provider contracts and compare your reimbursement rates with those in the area to ensure that you are being reimbursed what you deserve. We will look at your most commonly billed CPT’s and work to “get a raise” for your providers on those services to help increase revenue in the office.
Recoupment Defense
We will evaluate prospects for appeals and disputed claims by analyzing documentation, coding, and Medicare coverage criteria, including both national and local coverage determinations while creating and sharing documentation practices that support timely, accurate coding.
“what you get by achieving your goals is not as important as what you become by achieving your goals.”
- Zig Ziglar