Revenue Cycle Management 

The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).

Here is what we focus on to manage your revenue:

  • Charge capture: Rendering medical services into billable charges.

  • Coding: Properly coding diagnoses and procedures.

  • Remittance processing: Applying or rejecting payments through remittance processing.

  • Third-party follow up: Collecting payments from third-party insurers.

  • Utilization review: Examining the necessity of medical services.

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Assessment 

In order to remain competitive in an ever changing healthcare industry, organizations must learn to adapt. Our first step in optimizing your revenue is to complete a comprehensive assessment interview that includes:

  • Key Performance Indicators (KPI's)

  • Staff observation

  • Account audits

  • Documentation audits 

Health Information Management 

Clinical documentation and coding accuracy are vital to an organizations financial success.

 

We provide the services of highly qualified coders to ensure accurate and optimal reimbursement.  

Revenue Integrity 

When partnered with Health Information Management, revenue integrity is enhanced through: 

  • Clinical Documentation Improvement 

  • Charge Description Master 

  • Payment Variance 

  • Charge Audits