Our Revenue Cycle and Practice Management Solutions leverage the best talent, integrated technology and operational excellence to deliver superior patient experiences and proven financial results for physician groups.
Physician groups face a host of financial challenges such as rising operating costs, compensation and staffing, patient satisfaction and payer and patient reimbursement. We provide revenue cycle and practice management solutions for independent (office-based and hospital-based – which includes emergency medicine, hospitalist, anesthesia and post-acute care) and enterprise (health system employed and national multi-specialty) physician groups.
Blend scheduling, registration, clearance, intake and payment functionality into one welcoming, self-service experience for patients.
Ensure full reimbursement and proactively address chronic errors to stop denials ahead of time.
Set expectations about patient payment responsibility and offer financial advocacy.
Provide consumer-preferred options such as online bill pay, automated payment plans and omni-channel customer service.
Facilitate speed, accuracy and appropriate payment while supporting increased compliance and reimbursement.
Ensure consistent full payment.
Analyze patient accounts and claims to determine proper use of CPT and HCPCS codes and DRGs.
Evaluate transfer-eligible accounts and identify potential missing reimbursement; manage Medicare rebilling.
Identify incorrectly reimbursed or denied accounts and manage appeal process to receive correct payment.
Analyze chargemaster, payer contracts and competitiveness to find areas of pricing opportunity and create pricing scenarios aligned with strategic goals.
Blend data-driven analysis with expert knowledge to identify opportunities to optimize revenue management and restructure existing payer contracts.
Minimize risk and maximize accuracy through comprehensive education and quality assurance to ensure physician groups receive full payment for services provided.
Analyze patient data in new ways, and restructure both financial and clinical workflows to effectively manage value-based care and create strong revenue streams.
Fully staff all departments, including specialized A/R work, to ensure efficiency and continual cash flow.
Enable ongoing business continuity via management of integrated technology platform.
Receive operational visibility and clarity around financial and clinical goals.
Utilize individually assigned customer representatives to help guide strategy and provide attentive service.
Oversee candidate management from identification to onboarding.
Administer all HR-related activity including benefits management, new hire education, enrollment and orientation, employment verification, insurance claims and guidance on the creation and maintenance of policies and procedures.
Our proven model delivers real results for physician groups.
improvement in patient collections
reduction in cost to collect
increase in revenue
reduction in cost to collect
reduction in aged A/R
improvement in CPV