Revenue Cycle Management
A robotics-enabled full suite of revenue cycle management services that has guaranteed ROI to our customers:
Dedicated account team with supervisor oversight Billing and collections Claim review and scrubbing Review coding, apply modifiers as appropriate Electronic submission of claims Claim denial review Appeal denied claims 4028 split billing Payment posting and adjudication Work co-insurance and file those claims Submit secondary and tertiary claims Bill patient portion of bill including deductibles and share of cost Patient customer service with a live representative to:
Explain patient bills/EOB and share of cost or sliding scale requirements Take payments telephonically
Monthly reconciliation reports such as write-offs Monthly reports: KPI’s and Dashboards mutually developed Account receivables: KPI’s and Dashboards mutually developed Bad debt report Data mining upon request (ad hoc reports) as software reports Coding assistance and training Audit missing splits report (managed care claims without related split to Medicaid)
Practice Transformation
Operation Transformation, PCMH readiness and Risk management planning
Operational Transformation Administration of electronic health records and dental records PCHM readiness and adherence Care management coordination design for clinical support teams Risk management planning and training Development of quality plans Patient experience evaluation Change management programs Board of directors training and development Lean and process improvement Customer service programs Developing clinical workflow Workforce development Patient education program development Community health worker program design and implementation Leadership development Policy and procedure development Train the trainer programs on all aspects of FQHC readiness and adherence
Analytics Infrastructure
Big data analytics for actionable information that drives KPI metric
KPI metrics Google analytics Risk stratification Easy drill down Analytics for any data source Actionable information Data Integrity Robotics and AI Ease of use
High End Management Consulting
Strategic planning, organizational assessments and process improvements
Strategic planning Organizational assessments Operations oversight and redesign Regulatory application development and support Administration of electronic health records and electronic dental records Patient-centered medical home (PCMH) readiness and adherence
© 2019 by Solutions 4 Community Health
