PHYSICIAN PRACTICE REVENUE MANAGEMENT
- Coding services to ensure accurate billing and coding.
- Physician documentation education to improve the quality of clinical documentation.
- Daily claims entry and submission, both electronically and on paper.
- Dedicated follow-up on claims to ensure timely payment.
- Claim correction and resubmission as needed.
- Billing for government, commercial, and private insurance payers.
- Customized weekly and monthly reports to track practice performance.
- Patient statements, including up to three past-due notices, to facilitate soft collections.
- Payment posting and adjustments to accounts receivable.
- Denial management to identify and address claims that are rejected by payers.
- Tracking and claims management to optimize revenue cycle management.
- Managing collections to improve cash flow.
- Handling patient inquiries about billing and insurance.
- Accounts receivable (A/R) recovery to maximize revenue for the practice.
CODING AND AUDITING
- Our coding and auditing services cover the following areas:
- Hospital inpatient and outpatient
- Community rural hospitals
- Imaging centers
- Ambulatory surgical centers
- Physician offices
- COVID-19 services
- We conduct coding validations and reviews to ensure accuracy and completeness.
- Our services include validation of MS-DRG codes.
- We specialize in coding for ambulatory surgical centers (ASC).
- We conduct regular and ongoing audits of Hierarchical Condition Category (HCC) coding.
CLINICAL DOCUMENTATION INTEGRITY
- Standardizing documentation: Creating standardized templates and protocols for documentation can help ensure consistency and completeness of documentation.
- Streamlining documentation workflows: Reducing the time it takes to complete documentation can improve efficiency and accuracy.
- Training providers: Educating providers on the importance of complete and accurate documentation can help ensure they understand the impact their documentation has on patient care and reimbursement.
- Using technology: Leveraging technology, such as natural language processing and speech recognition, can help automate documentation and improve accuracy.
- Help navigate changes and updates to regulatory requirements related to clinical documentation.
