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