Revenue Cycle Optimization
Discover new opportunities for financial gain.
Information technology meets business intelligence in our Revenue Cycle Optimization Solutions. We'll help you:
- Improve Financial Performance
- Reduce Administrative Inefficiencies
- Gain Control over Accounts Receivable
- Increase Cash Flow
- Enhance Patient and Provider Satisfaction
Our consultants have helped healthcare institutions improve their financial health for over 25 years. They'll construct an in-depth analysis of your current financial operations, map front and back office workflows, review HIPAA compliance, claims processing and NPI readiness, and provide recommendations for business process, resource and technology improvements.
HIPAA Transaction Outsourcing
TREKS, our Transaction Exchange and Knowledge-based Services, offer you the ability to lower your operating costs by leveraging our technology and information repositories to automate the intake, transformation, processing and resolution of electronic transactions. You can achieve full HIPAA compliance without making a large financial investment in hardware or a long-term vendor commitment. Our system agnostic platform will help extend the life of your legacy system.
Our TREKS central IT hub, intelligent gateways and advanced business rules create an interactive network to speed the flow of information, minimize manual interventions, accelerate claims resolution and improve visibility across the entire transaction lifecycle.
- A robust x12 processing engine with comprehensive HIPAA data Repository.
- Eligibility/verification integrated with existing systems.
- Claims transformation and validation through extensive formatting logic and editing tools.
- Electronic claim submission by intelligent transport to virtually all payers.
- Auto-generation of claims status, monitoring of electronic transactions. and resubmission of claims to improve A/R and minimize labor intensive manual processes.
- Automated utilization thresholds and service authorizations and more.
Revenue Cycle Solutions, Implementation and Support
Whether you're looking to implement a full enterprise financial solution, utilize our end-to-end hosted A/R model or require a custom interface to enhance an existing application, we have the talent and the toolsets to make it happen.