consulting Services Information
RCM Due Diligence & Evaluation
Evaluation for Potential Acquisition
Focus and Deliverables:
* A/R Health & Revenue Risk Assessment
* RCM Infrastructure & Process Maturity
* Referenceable findings and recommendations
RCM Optimization
Executive Level Evaluation
Focus & Deliverables:
* A/R Aging – KPI’s – Denials – Credit Balances
* Scorecard Analysis
* Referenceable findings and recommendations
RCM Practice Performance Evaluation
Provider & Payer Level Analysis
Focus & Deliverables
* Provider CPT – RVU – Revenue – Cash
* Report of findings
* Strategic action items to improve revenue capture and collections
Third-party Payer Contract Performance Evaluation
Contract Variance Reporting
Focus & Deliverables:
* Reimbursement by Payer - top volume CPT's
* Top Payer variance analysis
* Strategic action items for improved payer reimbursement
Patient Collection Workflow Assessment
Patient Collection Opportunity Analysis
Focus & Deliverables
* Time of Service collection analysis
* Self-pay and post-insurance analysis
* Strategic action items for improved upfront and post-insurance patient collections
A/R Bad Debt
Bad Debt Recovery and Analysis
Focus & Deliverables
* A/R Bad Debt Trend Analysis
* Root Cause Identification
* Strategic Action Items to Reduce Bad Debt