Assurance Services
Tax Consulting
Consulting ServicesRevenue 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
- Assist law firms and internal counsel with defenses and rebuttals for third-party audits and demand notifications
- Assist with defenses to Medical Necessity assertions from payors
- Behavioral health coding and billing consulting
- Case mix analysis
- Clinical documentation and coding compliance concerns, education, trainings
- Coding reviews: MS-DRG, hospital outpatient, and physician
- Corroborate financial/statistical calculations for overpayments targeted in demand notices
- 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
- Perform Probe/Discovery assessments
- Provider enrollment and credentialing
- Provider-based consulting
- Rural health clinic/FQHC consulting
- Statistical sampling (random, stratified, targeted as necessary) and payment error extrapolation
- Specialty coding and billing education: cath lab, IR,
radiation therapy, etc. - Supply/pharmacy revenue cycle management
- Telehealth consulting services
- Therapy operations and referral development
- Validate or rebut third-party assertions of potential impropriety (reactive)
- 501(R) compliance
Related Articles View All Thought Leadership
May 22, 2024
Non-profit hospital organizations as defined by Section 501(c)(3) must meet requirements imposed by Section 501(r) on a facility-by-facility basis to be treated as a tax-exempt organization. According to the Internal Revenue […]
May 14, 2024
The Centers for Medicare & Medicaid Services (CMS) has introduced significant changes to the requirements for hospital price transparency. The aim is to enhance pricing transparency and ensure compliance with […]
May 08, 2023
In the past several years, hospitals have continued to feel the impact on revenue from Clinical Validation Denials (CVD). The need for a robust CDI team to capture support for […]
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To learn more about our services and areas of expertise, send us a message.
As we head into the second half of the 2024 calendar year and the start of 2025, there are a few major dates that you need to be aware of for wage index purposes. These dates are important because they will have an impact on reimbursement for Federal Fiscal Year 2026.![]()
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Join Blue & Co. for the 2024 Construction Summit Series: Part I! Our keynote speaker, Dr. Anirban Basu, will be giving an economic update on current industry trends.![]()
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Register here: hubs.la/Q02HwrXd0![]()
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#construction #financialforecast
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