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Revenue Cycle Assessment

Conducting detailed evaluations to identify inefficiencies and provide actionable recommendations, optimizing your practice’s financial performance and
operational efficiency.

Features:

Comprehensive Evaluation

Perform a thorough examination of current revenue cycle processes to uncover inefficiencies and opportunities for enhancement.

Root Cause Analysis

Identify underlying issues that are hindering financial performance and create a strategic plan to address them.

Tailored Optimization Plan

Develop a customized plan designed to streamline operations and improve revenue flow, tailored to the unique needs of your practice.

Performance Benchmarking

Compare your practice’s performance against industry standards to identify gaps and areas for improvement.

Benefits:

• Increased Revenue Efficiency:

By addressing inefficiencies, your practice can enjoy more streamlined revenue processes, leading to faster revenue collection.

• Operational Streamlining

Enhance your practice’s operational effectiveness by removing bottlenecks and implementing more efficient processes.

• Reduction in Revenue Leakage

Minimize financial losses due to inefficiencies, denials, or underpayments through targeted improvements.

• Strategic Financial Planning

Gain a clear, actionable roadmap for continuous improvement in your revenue cycle, ensuring long-term financial health.

Medical Billing

Comprehensive billing services from charge entry to payment posting, ensuring accuracy and maximizing reimbursement for your practice.

Features:

Accurate Charge Processing

Ensure all charges are processed accurately and efficiently, reflecting the services rendered.

Detailed Patient Data Entry

Capture and verify patient demographic and insurance information with precision to avoid billing errors.

Insurance Verification

Conduct thorough insurance checks to confirm patient coverage, reducing the risk of claim denials.

Efficient Payment Processing

Implement an effective payment posting system that accelerates cash flow and reduces the time between service delivery and payment receipt.

Benefits:

• Improved Reimbursement Rates

Maximize the reimbursement from insurance providers by ensuring billing accuracy and reducing errors.

• Accelerated Cash Flow

Faster and more efficient payment processing leads to quicker revenue realization for your practice.

• Lower Administrative Costs

Reduce the burden on your administrative staff with streamlined billing processes, freeing up resources for other tasks.

• Financial Clarity

Enhance transparency in your billing operations, giving you a clearer picture of your financial performance.

Medical Coding

Expert coding across various specialities, ensuring precise use of CPT and ICD-10 codes for optimized reimbursement and compliance.

Features:

Accurate Code Assignment

Assign precise CPT and ICD-10 codes based on thorough knowledge of medical procedures and terminology, ensuring compliance and accuracy.

Speciality-Specific Expertise

Leverage coding expertise across multiple medical specialities, ensuring that every code reflects the unique requirements of your practice.

Regulatory Compliance

Stay up-to-date with the latest coding standards and regulations to ensure that your coding practices meet all compliance requirements.

Ongoing Training

Continuously train coding staff to maintain a high level of expertise and stay current with changes in the healthcare industry.

Benefits:

• Higher Reimbursement Rates

Accurate coding leads to higher reimbursement by reducing the risk of undercoding or overcoding.

• Minimized Claim Denials

Ensure your claims are processed smoothly with correct coding, minimizing the chance of rejections.

• Regulatory Adherence

Protect your practice from compliance-related issues by adhering to industry regulations and standards.

• Streamlined Revenue Cycle

Improve the efficiency of your revenue cycle by reducing errors and delays in the coding process.

Accounts Receivable (AR) and Denial Management

Streamlining AR processes and minimizing revenue loss through effective denial management and proactive follow-up strategies.

Features:

Efficient AR Monitoring

Implement a system for continuous monitoring of accounts receivable, ensuring timely follow-up on outstanding payments.

Denial Resolution

Analyze denied claims to identify common issues and develop strategies to correct and prevent future denials.

Data-Driven Insights:

Use real-time data and analytics to monitor AR performance, spot trends, and make informed decisions.

Proactive Follow-Up

Establish automated systems to follow up on unpaid claims and engage patients, improving the likelihood of payment collection.

Benefits:

• Enhanced Cash Flow

Reduce the time it takes to collect payments, leading to a more consistent and predictable cash flow.

• Decreased Denials

By addressing the root causes of denials, your practice can minimize the number of rejected claims and increase overall revenue.

• Optimized AR Management

Keep track of your accounts receivable more effectively, reducing the risk of bad debt and uncollected payments.

• Improved Financial Performance

With more efficient AR and denial management processes, your practice will see a noticeable improvement in financial health.

Patient Billing Services

Generating clear, accurate patient bills and managing collections, ensuring timely payments and improved financial transparency.

Features:

Clear and Accurate Billing

Generate transparent and precise patient bills that reflect the services rendered.

Collections Management

Proactive management of collections to ensure timely payment from patients.

Compliance Assurance

Adherence to industry standards and regulations to minimize errors and prevent billing disputes.

Patient Communication

Effective communication tools to keep patients informed about their bills and payment options.

Benefits:

• Timely Payments

Streamlined billing processes result in quicker payments, improving cash flow.

• Financial Transparency

Clear billing ensures that patients understand their charges, reducing disputes and enhancing trust.

• Reduced Billing Errors

Compliance with regulations and accurate billing reduce the likelihood of errors, leading to fewer rejected claims and denials.

• Patient Satisfaction

Improved communication and clarity in billing contribute to higher patient satisfaction.

Financial Reporting and Analytics

Providing detailed financial reports and real-time analytics to monitor performance, identify trends, and guide strategic decision-making.

Features:

Detailed Financial Reports

Comprehensive reports that provide a clear picture of your financial performance, including revenue, expenses, and profitability.

Real-Time Analytics:

Access real-time data to monitor financial health, identify trends, and respond promptly to any issues.

Trend Identification

Analyze historical data to spot trends and make informed predictions about future financial performance.

Strategic Decision Support:

Use data-driven insights to guide strategic decisions, optimize operations, and drive growth.

Benefits:

• Enhanced Decision-Making

Data-driven insights empower you to make strategic decisions that improve financial performance.

• Proactive Management

Real-time analytics allow you to identify issues early and take corrective actions before they escalate.

• Improved Financial Health

Detailed reports provide transparency and help optimize resource allocation, leading to better financial outcomes.

• Operational Efficiency:

Identifying trends and areas for improvement can streamline operations and reduce costs.

604 E 99th St, Kansas City, MO 64131, USA

Phone: +1 816 787 6032

Fax: +1 816 787 6032

Procedureplus.com

www.procedureplus.com

Specialities

■ Family practice
■ Internal medicines
■ Cardiology
■ Podiatry
■ Radiology

EMR/EHR Support

■ Practice Fusion
■ Cerner
■ AdvancedMD
■ eClinicalWorks
■ NextGen
■ Allscripts

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