REVENUE ENHANCEMENT
Customized solutions to maximize revenue, contain cost, and to reduce rebills and delayed payments by:
- Timely identification and intervention of undercharged, underbilled, undercoded, and underpaid claims
- Charge master and cost analysis
- Vendor supply price negotiation for targeted services
- Documentation review
- Coding audits
- Reimbursement analysis, in-network and out-of-network
- Training for coders, business office staff, and providers
- Contracts modeling, impact analysis, and structure recommendations
QUALITY IMPROVEMENT
Customized solutions to improve performance on measures that are publicly reported and affect reimbursement by:
- Process analysis and redesign
- Measures education with providers, staff, and abstractors
- Patient satisfaction analysis
- Core Measures opportunity analysis
- Physician Quality Reporting Initiative planning
- Pay-for-Performance and Value-Based-Purchasing planning