
Services you can depend on.
Our experience has proven that a slow-moving Revenue Cycle can be attributed to many issues. 'Process' is usually at the top of the issues list. Masters Associates can perform assessments, identify problems, recommend solutions, develop and implement action plans geared toward process improvement.
Listed below are some of the improvement opportunities experienced by most healthcare facilities and some of the methods used by Masters Associates to help their clients address their specific issues
Opportunity |
Method |
Process |
- Operational Assessments
- Department Reorganization
- Assist Managers with Change Implementation
|
Systems |
- Identify system vs. procedural errors
- Troubleshoot errors related to mapping, file maintenance, billing system edits.
- Review follow-up schedules
- Audit accounts for appropriate status
|
Policies and Procedures - Review, Update, Develop |
- Scheduling
- Registration/Pre-Registration
- Pre-Certification
- Insurance Verification
- Billing
- Follow-up
- Collection/Bad Debt Processing
- Electronic Remittance and Cash Posting
|
Receivables Analysis |
- Develop Key Performance Indicators (KPI) management reports
- Determine collectability of A/R
- Calculate cash as a percent of Net Revenue
- Identify quick cash opportunities, backlogs, registration & billing errors
- Validate the flow of accounts through the system
- Develop comprehensive work-plans, which outline action required to reduce A/R
- A/R assessment for Home Health, Dialysis, Hospice, and Occupational Health
|
Audits |
- Credit Balance
- Late Charges
- Medicare Secondary Payor
- HCAP
- ABN
- Registration Accuracy
- Billing Accuracy/Compliance
- Cash and Electronic Remittance Postings
- Quality Assurance
|
Denials |
- Clinical or Technical
- Denial tracking
- Appeal process
- Validate recoveries
|
Staff |
- Utilize productivity measures to determine 'Right Size' staffing
- Skills Assessment
- Train all levels of staff from Registration through Collection
- Executive Coaching
- Interim staffing – Management, Billing & Collection
|
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