Difficulty modeling the financial impact of new payer contracts or renegotiations
Unclear ownership and accountability for contract managers across departments
Time intensive manual contract reviews
Confusion around reimbursement rates
Duplicative / redundant charging workflows
Inconsistent, manual or time consuming coding practices and workarounds
Underutilized EHR features that could automate workflows
Difficulty tracking KPIs like denial rates, days in A/R, or clean claim rate in a meaningful way
Staff turnover / retraining issues with new regulations
High patient complaints about inaccurate bills
Unclear operational ownership of revenue cycle processes
Resource intensive plans to make changes to operations or processes
Inconsistent or lack of timely financial reporting
Errors in reimbursement models
Streamline processes like scheduling, eligibility verification, and prior authorization to ensure accurate patient information and insurance details.
Ensure timely and accurate billing, claim submission, and follow-up to reduce denials and accelerate payments.
Optimizing the collection of patient payments, including co-pays, deductibles, and balances, through better systems and communication.
Track outstanding payments and improve collections through technology and strategies to reduce aging accounts.
Ensure adherence to healthcare regulations (e.g., HIPAA, CMS guidelines) and perform audits to identify and rectify errors or inefficiencies.
Use advanced tools to analyze financial and operational data, identify trends, and provide actionable insights for improvement.
Implement and integrate software systems like electronic health records (EHR), practice management systems, and revenue cycle management tools.
Investigate and address claim denials to recover revenue and prevent future issues.
Provide expert advice and training to staff to optimize workflows and adopt best practices.
Provide assistance with the deployment and integration of Contract Management systems.
Use precise, data-focused methods to recapture lost revenue.
Offer data management and analysis services tailored to specific projects.
