End-to-End Revenue Cycle Management
Seamless Strategies to Align Patient Care, Operational Efficiency, and Financial Health.
Front End
Mid Cycle
End Cycle
Patient Experience
Chargemaster Services
Claims Management
- Registration & Scheduling
- Insurance Eligibility & Authorization
- Financial Counseling
- Market-Based Pricing
- Chargemaster Review
Inpatient CDI
Outpatient CDI
HCC Coding & HEDIS Abstraction
Point of Care
Outsourced Coding
Billing & Claim Edits
AR Management & Follow-Up
Specialized AR
Payment Posting Reconciliation
Self Pay
Value-Based Care
Technology
Denials Prevention
RAF Accuracy
Risk Adjustment Program
VBC Strategy & Action Plan
PULSE Coding Automation Technology™
VISION Clinical Validation Technology®
PRISM Enterprise RCM Technology™
SMART App™
Compliantly Secure Reimbursement
Observation or Inpatient, that’s the constant debate – but it shouldn’t be. Strategically address payer behaviors that undercut reimbursement with our Admission Status Review program. Your goal is to achieve proper reimbursement. Our solution finds the revenue through a flexible, customizable program supported by a dedicated team of clinical and revenue cycle experts. Secure your hospital’s revenue for the important care you provide.
A Programmatic Approach to Reimbursement
Unlike other vendors, we integrate clinically led healthcare analytics, clinical expertise, and strategic advisory services to improve financial outcomes, helping you see tangible results.
Our Program Includes:
Accurate Statusing
- Patient status review and process redesign
Improved Reimbursement
- Review workflows, contracts, and clinical documentation to strategically claim payment
Minimize Penalties
- Monitor adherence to regulatory standards and ensure audit readiness
Uncover Opportunities
- Monitor, audit, and analyze programs to improve financial performance
Payer Responses
- Review, analyze, and manage payer responses and denial behavior
Payer Contracts
- Develop a robust strategy for negotiating payer contracts
Education & Training
- Train doctors and other departments on utilization management
Compliance Audits
- Thorough audits to assess and uphold evolving regulatory requirements
Staff Efficiency
- Streamline workflows to optimize staff utilization
Data-Driven Insights
- Utilize clinically led analytics to improve process outcomes
Customized Approach
- Tailored solutions for specific hospital environments
Continual Support
- Supporting your financial resilience with performance monitoring and gap identification.