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