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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
  • Telehealth consulting services
  • Therapy operations and referral development
  • 501(R) compliance

Infusions: Will your documentation pass a Targeted Probe and Educate Review?

For years, Blue & Co. has received questions from hospitals regarding coding and billing for infusions, as well as documentation requirements. Infusion coding can be some of the most difficult coding for hospitals. It takes a certain understanding of 1) the required hierarchy, 2) what happens if a stop time is not recorded, 3) how […]

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Facility Emergency Department Leveling | Stethoscope laying on top of financial reports | Blue & Co., LLC

Is Your Current Facility Emergency Department Leveling Process Working?

Blue & Co. has performed many Emergency Department Leveling Reviews for hospitals. The two most utilized leveling criteria are “points-based” or “intervention-based.” In either case, each hospital must determine which facility resources (or attributes) to include within its criteria, and how these resources crosswalk into ED visit levels (99281-99285). This can create significant reimbursement differences […]

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Transparency and Advocacy in Patient Responsibility

How Transparency and Patient Advocacy Can Reduce Your Hospital’s Bad Debt

In 2019 patient medical debt in the U.S. totaled at least $195 billion, according to an analysis by the Kaiser Family Foundation, a nonprofit organization focusing on national health issues. This is a massive figure and should be looked at as an opportunity for healthcare organizations. A survey conducted by Kaufman Hall in August 2020 […]

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Connect with our team.

To learn more about our services and areas of expertise, send us a message.