Full-Service Revenue Cycle Management
Utilizing state of the art billing system and innovative processing protocols, our comprehensive billing service allows your group to collect more revenue, improve compliance practices, and decrease your risk of audits. Services include:
- Comprehensive management of the billing process, including: verification of charges received, data entry, claim submission by payor specifics, coding, demographic extraction, account payment reconciliation, primary & secondary claim denial corrections and appeals, and patient statements.
- A rigorous compliance program to help protect your practice from fraud—and ensuring your physicians are fully compliant with all federal and state regulations. Our staff utilizes best practice guidelines to ensure that all claims are submitted accurately.
Billing Education & Revenue Stream Analysis
Billing education programs, including physician report cards, and revenue stream analysis for hospital-based Intensivist practices nationwide. Our education programs evaluate your practice using:
- Claims analysis
- Detailed coding reviews based on medical records
- Assessment of over/under billing reimbursement
- Detailed comparison of the coding and billing potential
- Comparison of patient acuity based on medical records vs. chart documentation/billing system charge
- Individual provider evaluations
Financial Analysis
Pro forma Financial Analysis services for hospital-based practices nationwide. We use the following methods to provide a “bird’s eye view” of your program’s financial picture, including:
- Projection of potential revenue with correct coding and documentation
- Comparisons between what’s currently documented in your revenue stream vs. its clinical potential
- Revenue projections for multiple coverage models
- Revenue breakdown by payor mix
- Calculation of your program’s lost critical care revenue
