ORMBS

FREE PRACTICE AUDIT
Ormbs logo
Contact

BILLING ASSESSMENTS & COMPLIANCE

LET Techcure Rcm CONSULTING TEAM USE THEIR 15 YEARS OF EXPERIENCE TO ASSESS YOUR REVENUE CYCLE MANAGEMENT

Tech Curercm revenue cycle management (RCM) consulting was born out of the vast experience gained from 15 years of managing all facets of the revenue cycle, including optimization, for over 300 healthcare institutions.

Techcure Rcm can provide a detailed assessment of your practice’s billing environment and overall financial health.

Tech Curercm RCM consulting team will review your billing platform and clearinghouse, coordinate with your team, and review all financial data to give you a comprehensive analysis of the key factors, pain points, and bad debts that your business is struggling with, along with personalized optimization solutions.

WE ARE HIGHLY EXPERIENCED AT ANALYZING AND IDENTIFYING REVENUE CYCLE PROBLEMS

Our assessments are customized to the needs of the client and can include:

  • Review of in-house compliance programs and CPT coding for billing procedures.
  • Analysis of revenue loss from medical necessities with recommended changes to follow-up procedures to insure greater compliance.
  • Detailed analysis of billing and collection history to pinpoint areas of opportunities for improvement.
  • Examination of fee schedules, provider arrangements and CPT coding, and recommended changes to address situations where claims are denied or inadequately paid.
  • Operational reviews of billing functions to determine appropriateness of systems and resources to perform activities.
  • Review of internal processes with recommendations for streamlining patient registration, correcting missing information, and bill collection efforts.

The cost of our operational assessment is estimated based on the time required by the scope of work agreed to in advance. The assessment fee may be reduced or prorated if your practice decides to contract with Techcure Rcm Healthcare for additional billing services.

We are confident that our detailed report and follow-up recommendations will translate into major cost savings and revenue recovery opportunities for your practice.

Billing assessments and compliance are integral to effective revenue cycle management in healthcare. By identifying areas for improvement, ensuring regulatory compliance, minimizing errors, optimizing the revenue cycle, enhancing documentation practices, providing training and education, monitoring and auditing activities, and mitigating compliance risks, healthcare organizations can improve billing efficiency, accuracy, and compliance while maximizing revenue.

WE ARE HIGHLY EXPERIENCED AT ANALYZING AND IDENTIFYING REVENUE CYCLE PROBLEMS
  1. Identifying Areas for Improvement: Billing assessments involve evaluating the entire billing process to identify inefficiencies, errors, or gaps in compliance. This assessment helps pinpoint areas where improvements can be made to streamline operations and enhance revenue collection.
  2. Ensuring Regulatory Compliance: Compliance with healthcare regulations, such as HIPAA (Health Insurance Portability and Accountability Act) and CMS (Centers for Medicare & Medicaid Services) guidelines, is crucial to avoid penalties and maintain the integrity of billing practices. Assessments ensure that billing procedures align with regulatory requirements.
  3. Minimizing Billing Errors: Assessments help identify and rectify billing errors, such as incorrect coding or documentation discrepancies, which can lead to claim denials and revenue loss. By minimizing errors, healthcare organizations can improve claim acceptance rates and maximize reimbursements.
  4. Optimizing Revenue Cycle: Billing assessments focus on optimizing the entire revenue cycle, from patient registration and insurance verification to claim submission and payment posting. This comprehensive evaluation ensures that each step in the revenue cycle is efficient and contributes to timely revenue generation.
  5. Enhancing Documentation Practices: Assessments also evaluate documentation practices to ensure that medical records accurately reflect the services provided. Proper documentation is critical for billing accuracy, compliance, and defending against audits or legal challenges.
  6. Training and Education: Billing assessments often include training and education for staff members involved in the billing process. This ensures that billing personnel are knowledgeable about relevant regulations, coding guidelines, and best practices, reducing the likelihood of errors and non-compliance.
  7. Monitoring and Auditing: Compliance with billing regulations requires ongoing monitoring and auditing of billing activities. Assessments establish mechanisms for regular monitoring and auditing to detect and address any compliance issues promptly.
  8. Mitigating Compliance Risks: By conducting regular assessments and addressing compliance issues proactively, healthcare organizations can mitigate compliance risks and avoid potential legal and financial consequences associated with non-compliance.
×