Revenue Cycle Management
Proficient & All-inclusive
Billing and reimbursement are often the most difficult part of any clinical practice. Without clear protocol, process, and reporting a clinical practice will face significant cash flow hurdles as it struggles with denials, billing errors, adjustments and write-offs. Our experts and partners provide billing and collections services, best practices and staff training to ensure timely and accurate collections.
Cash is king in any business
For healthcare providers collecting it can be especially challenging and expensive. Managing and billing claims with insurance carriers can be a significant burden on the business and physicians detracting from valuable time spend treating patients. The collections process begins at the time the patient first contacts the office and continues well after the bills have been collected.
A strong collections process ensures:
Insurances are validated and patient liabilities paid before services are rendered
Clinical notes and charges are captured in a timely and accurate manner
Utilization and Coding are reviewed
3rd party payers are identified and pursued
Claims are submitted
Denials/appeals are managed
You’ve come to the right advisors
A gap in any of these steps above, especially the first 3, can lead to writeoffs, adjustments, wasted resources and even insurance clawbacks after payments are made.