Revenue Cycle

Improvement and change can be difficult to incorporate into the daily operations of hospitals and physician practices. Factors such as decreases in reimbursement (due to Medicare and Medicaid funding cuts), increases in the uninsured population, declines in margins, and pressures from managed care organizations demand process improvements in the revenue cycle.

We can help achieve improved operational results by maximizing revenue and improving cash flow for your organization.

Services Overview

  • Accounts receivable assessment and action plan
  • Behavioral health coding and billing consulting
  • Case mix analysis
  • Coding reviews: MS-DRG, hospital outpatient, and
    physician
  • Chargemaster reviews with education and training
  • Chargemaster re-modeling and pricing
  • Charge capture/clinical documentation
    improvement reviews
  • HIM staffing and interim coding assistance
  • Home health and hospice coding and billing consulting
  • Implementation assistance
  • Operational practice assessments
  • Patient access optimization, centralized scheduling
    and pre-registration
  • Practice management services
  • Provider enrollment and credentialing
  • Provider-based consulting
  • Rural health clinic/FQHC consulting
  • Specialty coding and billing education: cath lab, IR,
    radiation therapy, etc.
  • Supply/pharmacy revenue cycle management
  • Therapy operations and referral development
  • 501(R) compliance
2019 Hospital OPPS Proposed Rule

2019 Hospital OPPS Proposed Rule

On July 25, the CMS released proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for 2019. Key proposals include: Increasing the OPPS payment rates by a factor of 1.25% and to increase ASC rates by 2.0%. Applying a Physician Fee Schedule-equivalent payment rate for clinic […]

Learn More
Documentation, coding, and billing for nursing home services

Documentation, Coding And Billing Requirements For Nursing Home Services

According to the most recent Centers for Disease Control statistics, 1.4 million Americans reside in nursing homes. Federal and state laws require that nursing home residents be under the care of a physician and that those physicians routinely evaluate, manage and direct the patient’s care. The Social Security Act strictly prohibits coverage for routine care. […]

Learn More

The Future Of Coding Clinical Validation Reported Diagnoses

Resources [ Hot Topic] The Future of Coding: Clinical Validation of Reported Diagnoses Lynette Thom, BS, RHIT, CCS, CDIP AHIMA Approved ICD-10-CM/PCS Trainer U.S. hospital revenue cycles have been undergoing radical changes since the advent of the prospective payment system (PPS). In response to this radical change to the way they earned revenue, hospitals fought […]

Learn More

Connect with our team.

To learn more about our revenue cycle services, contact our team here.

Send us a message.