Getting paid has become more complex and drives the need for higher level interaction, a comprehensive solution implemented by skilled staff who remain current on changes in the market.
The eight steps within our Revenue Process are solid on approach and implementation. Challenges surface when breakdowns occur, not with the process, but with contributing factors. These contributing factors greatly impact the ability for a practice to collect money regardless of who may be doing the billing and collections work.
Revenue Enhancers are key reasons why a practice doesn’t get paid and are a road map in generating additional revenue for services rendered. These services are provided as an integrated part of our revenue management services.
- Provider Data Management
- Plan Participation
- Providership and Credentialing
- Managed Care Contracting
- Reimbursement Matrix
- Coding and Compliance
- Charge Setting and Charge Capture
THE SAVINGS STACK UP!
Our Successful Revenue Cycle Management process embraces the complexity of the insurance industry. We have staff that possess the highest understanding of provider networks and have worked on the payer side. Our team is able to communicate the clear differences in product offerings by health plans and carriers to ensure the right steps are taken to get our clients paid. We value the importance of credentialing and we complete this crucial task on a timely and accurate basis to ensure payers process payment quickly and without interruption. These are all aspects critical to the overall revenue operations process.