Revenue Cycle Management for Healthcare Practices

Let us increase your PROFITS, while you expand your PRACTICE.

SERVICES

Services provided are customized to fit the needs of your Practice
  • Provider On-boarding Services
  • Credentialing
  • Payer Enrollments
  • Payer Web portal set up
  • Charge master management
  • Fee Schedule updates
  • ​Charge capture and coding training services
  • Insurance Verification & Prior Authorizations
  • Coding
  • Billing, Claims Review, Scrubbing and Submissions
  • Payment posting reconciliation
  • ​A/R Management
  • Chart Auditing
  • Patient A/R Collections​
PERFORMANCE MEASURES
Aged A/R per Month 
This is an aged trial balance that separates the A/R by “aging buckets,” (i.e., 0-30 days, 30-60 days, etc.). It should be the organization's aim to maximize the first bucket and minimize anything above 60 days.
Gross and Net Collection Rates (by month) 
This is the money collected based on the charge for the service or the collectible revenue respectively. This is dependent on the payer mix and charge structure and is generally meaningful for a trend analysis. Net collection rates should always be towards 100%.
Total A/R and Days in A/R 
This is the number of days required to collect the charges submitted to payers. This is again dependent on the charge structures, presence of electronic submission, etc. However, above 90 days definitely indicates a need for improvement.