Objectives: To perform a comprehensive review of processes and procedures of departments with high impact to your revenue cycle success.
2-day on-site review of current processes with key Revenue Cycle staff
Registration
Financial Counseling
Utilization Review
Health Information
Business Office/ Billing
Offsite and in-depth review of hospital Accounts Receivable to include:
Current collection processes and effectiveness
Accounts receivable aging by financial class and by accounts receivable days
Current insurance billing processes and effectiveness
Efficiency of charge capture
Managed care contracts review and payer grid development
Reimbursement analysis to ensure maximization of current negotiated rates
Establish trend reports
Develop management reports for executive level reporting
Summarized findings and recommendations
2-day onsite presentation of findings and recommendations with facility action plan assistance while on-site
Preliminary Information for Audit
Primary point of contact throughout assessment
Point of contacts for each Revenue Cycle Department
Access to Health Information System
Overview of Health Information System navigation
Deliverable
Within 6 – 8 weeks of receiving the high-level overview of the Health Information System the on-site presentation of recommendations and findings will be presented.