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
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