Services

Healthcare Reimbursement Consulting Services
We maximize provider reimbursement while maintaining the letter, spirit & intent of compliance rules.

WHAT WE DO

REIMBURSEMENT MAXIMIZATION:

Ensuring maximum reimbursement available for each patient visit is more than just submitting clean claims.  Our periodic review of your entire revenue cycle will:

  • Increase your cash flow and identify hidden revenue opportunities
  • Identify payers who have implemented streamlined processes (They want to trim expenses too!)
  • Evaluate in/out-of-network participation
  • Define expected payment cycles for each payer

STAFFING & BUSINESS OFFICE PRACTICES:

Documented Policies & Procedures promote consistency, mitigate risk and encourage professionalism.

  • When new staff join you, is their “training” a bunch of yellow sticky notes on the
    office computers?  Or do you provide comprehensive instructions customized for YOUR
    practice, outlining how YOU want your business run?
  • We provide a customized quick-reference guide that documents your instructions for patient
    interactions, remit processing, and insurance calls

MEDICARE COMPLIANCE / CODING AUDIT:

Internal audits increase confidence that practice operations comply with current guidelines and regulations.  Accurate, comprehensive coding maximizes revenue, and enhances compliance.

  • Do you get paid for all billable services you perform?
  • Does your documentation support the codes on your insurance bills?
  • Have you reviewed the most current fee schedules from all payers to bill all allowable and billable services?