Revenue Cycle Management
Maximize Revenue with Fast, Accurate Billing and Coding
We provide complete Revenue Cycle and Financial Services to help ambulatory surgery centers receive and document all the revenue they’re due, as quickly as possible.
Our comprehensive Revenue Cycle Management Services leverage the unrivaled experience and process expertise of our management team and employees. Since 2008, our accurate financial reporting and state-of-the-art billing and collection services have made it possible for our clients to consistently achieve outstanding outcomes.
Our current clients include multispecialty, orthopedic, endoscopy, ENT, urology and ophthalmology centers located in Connecticut, Massachusetts, Rhode Island, Virginia and Pennsylvania.
Coding
Our team of certified coders reviews documentation for each claim to ensure the claim filed matches the documentation and coders assign accurate CPT and ICD-10 diagnosis codes. Our billing coders meet demanding standards: we require at least three years of experience and administer rigorous skills testing. Annual coding audits ensure our coders continue to meet or exceed industry standard benchmarks.
Management of Accounts Receivable
Managers and directors on our AR teams oversee the daily workflow of your revenue cycle. Their hands-on staff supervision ensures prompt account follow-up, denial management and appeals processing where applicable. Our team’s longstanding carrier relationships help promptly facilitate any ongoing claims issues.
Contract Management
Utilizing your data, we analyze your current payer contracts and give you valuable information that can help you negotiate better deals. All contracts are fully loaded into a patient management system to ensure accurate payer reimbursement.
Data-Driven Business Intelligence Reporting
You can make better decisions and improve performance with our report data. Standardized monthly performance reports also include industry benchmarking. We also can provide more granular reporting whenever you need it.
World-Class Capabilities Aligned with Your Business
We build trusting relationships with ASCs like yours by becoming an extension of your business. Our revenue cycle management knowledge, proven processes and excellent customer service can help you run a more efficient and profitable ambulatory surgery center.
A team approach improves all aspects of your revenue cycle.
Our comprehensive team understands the entire revenue cycle. Working in unison, they move cases through the system faster, identify opportunities, and prevent problems before they happen. The team includes:
- Revenue Cycle Senior VP
- Revenue Cycle Director
- Certified Coders
- Benefit Verification Specialists
- Charge Entry/Billing Specialists
- Collection Specialists
Streamline workflows and maximize revenue.
We cut through unnecessary steps and engage the payment engine faster. Our proven processes, including checks and balances, turn the data from your team into action:
- Charge capture and claim submission within 48 hours of completed records
- ICD10-certified coders with ASC expertise assure accurate and timely coding records
- Utilize EDI claim edits to submit clean claims to payers for timely reimbursement
- Denial Management with trending reporting to administrators
- Contract Management utilized by payment posters to assure accurate reimbursement
- Standard monthly financial reporting
