Your Revenue Cycle Health is a Priority!
In today’s healthcare market, the revenue cycle is an essential aspect of any medical facility. The pressure of shrinking profit margins due to reduced carrier allowances increased regulation and increased payor red tape means that it is time to make your revenue cycle health a priority!
A strong revenue cycle foundation leads to two things: assured compliance and maximized operational cash flow.
Customized Solutions to Get Results
We believe that a customized solution developed from a strong depth of knowledge based on years of experience, and foundational relationships, is what your facility needs to tap into your revenue cycle potential and achieve excellence.
This is why you won’t find any cookie-cutter solutions here! From complete overhauls to a few process improvement tweaks, our team of experts will develop a roadmap specifically for you.
Revenue Cycle Consulting
Are you grinding your gears and unsure of where to start to improve your revenue cycle? We got you. Our team of experts breaks down your team’s current level of knowledge to customize a solution that will work best for you!
Coding and Billing Audits
Audit does not have to be a scary word. It is a useful and powerful tool that allows you to see your current performance and improvement areas, putting you one step ahead of the payors. Let us help you eradicate the stress from the unknown and provide you with recommendations and support to meet compliance regulations and maximize your reimbursement.
Self-Pay Consulting
Our unique and effective self-pay solutions provide your team support to tackle the hardest obstacle in the industry: collecting self-pay balances. Our model allows us to integrate with your processes and collaborate with your consumers to resolve their self-pay balances.
Chargemaster Integrity Package
Your chargemaster is one of the foundational elements to assure your organization’s financial health. Ensuring that it is up to date provides you with the confidence that you’re compliant and capturing maximum reimbursement.
Our team of highly skilled experts designed this unique package to identify any compliance issues and revenue opportunities, while delivering you a market pricing analysis, charging strategies, and reimbursement maximization. The deliverables from this package assure we will guide your team to correct these missteps and get you back up and running like a well-oiled machine.
Managed Care Contract Management Program
Turn managed care contracting into your competitive advantage.
Through our industry experience, we have obtained intimate knowledge of Payor strategies, market rates, and contract language. We will review your initial contracts, handle ongoing negotiations, notify you of changes coming down the pipeline, and most importantly, make sure you are getting paid what you deserve.
Support Packages
Our HIM/Coding and Revenue Cycle support packages offer you the opportunity to ascend your team to their peak performance by always having an expert resource available.
“Inner Circle” Client Portal
When you sign up for one of our support packages, you gain access to our ”Inner Circle” client portal. Within the portal, your team will have access to our reference library with educational documents, on-demand webinars, guides, toolkits, and more!
Integrated Solutions
To us, the word “outsourcing” leads you to put a quarter in the swear jar. However, we strongly believe that there are several benefits to bringing an outside resource “inside” to provide expertise and coverage for your operations.
From full-service coverage or casual support until you are back to full staff, to delivering additional resources like customized education, we seamlessly integrate alongside your team to provide support where it is needed.
Integrated Coding Support
- Full-Time, Part-Time, or Casual Coding Coverage
- Coding and Billing Audits & Reviews
- Custom Coding Education
Integrated Billing Support
- Full-Time, Part-Time, or Casual Billing Coverage
- Reimbursement Analysis
- Custom Revenue Cycle Education
Who We Serve:
Hospitals
Health systems are constantly facing financial challenges that impact your bottom line. From the complexities of payor reimbursements, government regulations, contract negotiations, alternative payment models, raising care costs, and the desire for a better patient experience.
From Acute Care and Specialty Hospitals to Critical Access Hospitals, our experience and insight will help you navigate these challenges and help you achieve revenue cycle excellence.
Medical Clinics
Primary Care and Specialist Clinics
No clinic is the same shape or size, and our solutions scale to meet your needs. Whether it is providing support to your current team, taking items off your plate, or empowering your current team to exceed expectations.
Rural Health Clinics
Rural health clinics play by different rules. Whether you are newly credentialed or have been supporting your community for years, we understand that each dollar makes a huge impact. We are here to help you navigate the complexities surrounding payor regulations and reimbursement.
