Revenue Recovery and Risk Management Analysis

Our business partner is a 30-year leader in the healthcare support and maintenance industry. Their strong reputation for protecting and recovering revenue for hundreds of hospitals, labs, private physicians, and healthcare networks means they have a360-degree understanding of the healthcare industry. While their software tools focus on protecting and recovering revenue, they focus on improving the lives of the healthcare staff and patients with their innovative solutions and personalized customer service. Building human connections is what makes this business partner stand out from the competition.

Since 1993, this business partner has worked closely with healthcare organizations to maximize revenue and reduce risk—from catching billing errors to providing high-level safeguards against compliance risk. As a result, they have grown exponentially with a 98.2% customer retention rate.

Our business partner has become a trusted expert in financial healthcare management, compliance, risk assessment, and chronic care management. They attribute their success to:

  • Being a partner and not just a vendor. They commit to working closely with their healthcare clients. They listen to their clients and how they can enhance our services and technology to support them best. They believe they are always give clients more than just the minimum to get by.
  • Creating customized solutions tailored to each client’s individual needs. One size does not fit all.  All services are scalable and based on the size of the organization.
  • Researching and constantly monitoring the state of the healthcare industry and the challenges our prospects and clients face to ensure the solutions best meet their needs.
  • Applying their years of knowledge to create innovative, smart technology to solve healthcare problems.

Our Solutions

We can address a more robust solution with significant benefits to clients. Our solutions provide everything from turnkey offerings to component services. There are no “long-term” commitments. Address your staff shortages, revenue concerns, audit risk, and more while adding more human contact with your patients and improving their health outcomes. Everyone wins!

Revenue Value Assessment

Our Revenue Value Assessment (RVA) uses our innovative proprietary technology to analyze all your providers’ coding activity in seconds to identify care gaps using Fee for Service and Value-Based care models. The resulting analysis provides information to connect with patients, improve their care & outcomes, and prevent the loss of millions in potential revenue.

There is no software to install, IT resources, EHR interfacing, or training required. Instead, We deliver a comprehensive analysis of your revenue situation with tools to increase your revenues without adding work for providers or staff.

Billing & Revenue Cycle Management

Our award-winning billing and Revenue Cycle Management (RCM) service streamlines and manages all back-end operations from start to finish, including:

  • Coding & Compliance
  • Billing & Compliance
  • Claims & Appeals
  • Payment & Reporting
  • Lockbox Services
  • Document Storage & Retrieval
  • Pre-appointment Patient Insurance Verification
  • Profitability Analysis
  • Debt Assistance & Collection

Mergers & Acquisitions Value Assessment

Our Mergers & Acquisitions Value Assessment (MVA) ensures you have the information necessary to make an informed acquisition or merger decision. MVA uses our smart technology to analyze and determine the revenue and risks associated with the organization you are evaluating.

Whether the target organization is Fee for Service or Value-Based Care, our proprietary software uses coding information and artificial intelligence to assist in analyzing and determining acquisition value.

New Provider Assessment

When hiring new providers, it can be challenging to look at all the factors that make them a good hire. Of course, medical background and capabilities are essential, but you also need to understand their coding history.

We look at the provider’s historical coding and billing information to help you evaluate a new hire’s potential value or risk.

Our total revenue and compliance/risk assessment of the provider using our innovative technology provides a detailed analysis that helps you factor their coding, billing, and risk history into your hiring decisions.

Audit Risk Assessment

Our Audit Risk Assessment (ARA) uses our innovative proprietary technology to analyze all your providers’ coding activity in seconds to identify which providers are over-coding and creating a compliance/audit risk. The resulting analysis provides information to let you know where to proactively take action and avoid a costly audit.

There is no software to install, IT resources, EHR interfacing, or training required. Instead, we deliver a comprehensive compliance/risk assessment identifying coding at the organizational level, locations, specialty level, and provider level.

Billing & Revenue Cycle Management

The Well Living Initiative is an opportunity to enhance the human connection with patients and improve care plan adherence without increasing your workload through:

  • Annual Wellness Visits
  • Chronic Care Management
  • Transitional Care Management 
  • Remote Patient Monitoring
  • Nurse Triage & Admin Support

Improve patient and Value-Based Care outcomes, care quality, satisfaction, population health, and revenue by closing gaps in care and simplifying patient engagement with our suite of patient services and technologies.

For more information, contact us at (813) 582-3971

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