- Strategic Pricing
Maximizing payments from managed care companies
- Underpay Recoveries
Managed care payment compliance
- Billed Claim Follow Up
- Appeals of Managed Care, Medicare and Medicaid denied claims
- RAC audits
- Clinical staff explore the medical record and work with the treating physician
- Sophisticated appeals written to pinpoint the facts in support of the claim
- Team meetings with provider staff and payor to review details and expedite payments
- Custom reports to identify and track denial trends, used to prevent future denials
- Return Mail Processing
- Credit Balance Management
- Paid Claim Review
- Manage all aspects of the Business Office and Revenue Cycle, reducing cost to collect and AR
- Examine and retool Access, Denials Management and Claims Management processes
- Establish Key Performance Indicators
- Outsourcing Receivables after System Conversion
- Third Party A/R
- Early Out
- EBO Customer Service with reports on monthly call volume, category of call, and success rate
- AR analysis, including self pay and third party
- CDM charge capture
- Unbilled accounts
- Cash posting processes
- Revenue Integrity Analysis
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