Reimbursement
Management
A claims and remittance management solution for healthcare providers who want
to improve resource utilization and accelerate cash flow by increasing first pass
claim acceptance rate. Our comprehensive edits package helps you stay current
with changing payer rules and regulations.
Billing and Coding Support
Coding and compliance services for hospitals, health systems, and medical
practices that want to avoid denials, gain compliance, and optimize reimbursement.
Meet your compliance obligations, optimize reimbursement, and streamline
operations with support from our experienced coders and support staff. Our
professional coding and compliance services cover most specialties, inpatient and
outpatient, and virtually any volume needs. Coding and Compliance Advocate
solutions include Coding and Staffing Services, Compliance and Audit Services,
and Clinical Documentation Improvement Services.
Audit and Compliance Management
Compliance and Audit Services for hospitals, health systems, and physician
practices that want to mitigate risk by achieving and maintaining regulatory coding
compliance.
Meet compliance obligations and receive recommendations to help you achieve
desired coding outcomes. Ensure appropriate billing for documented procedures to
help mitigate risk. Identify under or overbilling of services from comprehensive
reviews and charge capture audits
Denials and Appeals Management
Our solution uses an innovative analytics engine and robust messaging platform to
provide messaging back to the provider at the time of claim submission. This
integrated process reduces losses for high-volume, low-dollar claims; decreases
overbillings; and changes outlier behavior.
Our partners can increase their audit savings and improve their medical cost
savings with no additional risk.
Eligibility and Enrollment Advocate
Our onsite staff consults with patients to determine their eligibility and enrolls them
in government funding sources at the federal, state, and local level to secure
payment for accounts that would have otherwise resulted in uncompensated care.
Financial Counseling Services
With our financial counseling services, we help collect and confirm insurance
verification, identify coverage sources, communicate financial responsibility,
establish payment plans, and collect and process payments.
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Revenue Optimization
Spend more time with patients and less time chasing revenue. Revenue
Performance Advisor helps streamline workflows, facilitate faster payment, and
enhance patient satisfaction.
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Underpayment Audit and Recovery
Stop revenue leakage. Missed charges and underpayments can negatively impact
your revenue streams and financial stability. Our comprehensive documentation
review and automated processes will help reduce lost revenue.
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Payroll & Staff Scheduling services
We provide payroll and staff scheduling services for Independent Contractors,
Physicians, Administrative and Clinical support staff.
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Customer Service Monitoring and Management
Patients’ expectations of service have increased as they bear more financial
responsibility for their healthcare.
Providing patients, the information they need in a timely manner is vital, but many
Providers find it difficult to accomplish on their own without the right technology or
staff. From the first point of scheduling and registration, our solutions help you and
your staff improve patient service and operational efficiency. Please see an
example of our Customer Service Analytics tool below.
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Office Engagement Analytics
In the Addiction Treatment Center business every phone call matters. One missed call
for help could end up in a lost revenue and more importantly a lost life.
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Patient Transportation Services
We often find patients whom do not receive treatment for Addition and Co-Occurring
conditions because of a lack of motivation to take public transportation or the funds to
travel. With our Transportation and Concierge service we provide door to service from
home to your facility and Pharmacy
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Food and Hospitality Support
We provide a personal Chef with well prepared meals and packaging with fortune
messages of inspiration and motivation every day. Patients will leave your facility with
a new sense of dignity and self respect
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