Revenue Cycle Review
In an increasingly complex environment, healthcare organizations face incredible challenges. Service line improvement and expansion, technology upgrades, and equipment updates must be carefully balanced in an environment of declining reimbursement. To achieve strategic, financial, and quality goals, administrative and clinical operational processes must become more efficient and effective.
PYA has assisted several healthcare clients with evaluation, redesign, and reengineering of their revenue cycle operations. We have provided these services to hospitals and health systems ranging in size from 60 to over 400 beds, as well as to several physician practices. As a part of these projects, we have identified and implemented numerous improvement opportunities leading to significant cost savings, revenue enhancements and recoveries of lost revenue. We focus on the performance and processes of critical revenue cycle functions.
Based on the client's situation, we design a process that best fulfills the needs of the organization and outcomes desired by management. The process also allows us the flexibility to easily modify the project scope should client needs or objectives change. Our approach is a dynamic process, allowing us the ability to tailor services designed to meet your organization’s specific needs and goals. Denial management, lost revenue recoveries, A/R management, and payer contractual compliance are just a few of our improvement targets.
Revenue Cycle Review Services Offered:
- Scheduling and Precertification
- Admitting/Registration
- Case Management and Utilization Review
- Medical Records, Coding
- Patient Accounting, Billing, and Collections