P R O V I D E R    S E R V I C E S
Revenue Cycle Review & Implementation
 

An efficient revenue cycle is a key to the financial success of healthcare providers. Presscott Associates has extensive experience in evaluating the revenue cycles of healthcare organizations. During a Revenue Cycle Review, the Presscott consulting team meets with the healthcare organization’s staff in each functional area that impacts the revenue cycle to review and analyze the processes and flow of information effecting revenue. The charge description master and managed care contracts are also reviewed to identify opportunities to enhance revenue. Presscott consultants assist healthcare organizations in increasing reimbursement through the development of proactive approaches to revenue generation.

Presscott Associates provides the services of Revenue Cycle Review and Implementation through the following:

  • Review scheduling and pre-registration procedures
  • Assess the process for complying with referral and pre-authorization requirements
  • Review registration and co-pay collection at the point-of-service
  • Identify how charges are captured and entered into the billing process
  • Analyze the billing process, reviewing coding processes and claim edits, and identifying delays in timely billing
  • Review payment posting and reconciliation procedures
  • Examine the collection of self-pay responsibilities
  • Analyze claim denials, developing denial rates by payor and reason
  • Assist in developing a strategy to track, analyze and minimize claim denials
  • Assist in developing a process for appealing claim denials and tracking the process
  • Review the aged trial balance by payor and age category
  • Recommend standardized processes and workflows to maximize operational efficiency
  • Recommend strategies to improve managed care operations and administration


  

It isn't that they can't see the solution. It is that they can't see the problem.
-- GK Chestertor --

 
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