Revenue Cycle Process Assessment Services
Health care providers are increasingly challenged to capture the full value of their services, and in a compliant manner. A comprehensive review of the revenue cycle provides a road map for improvement, which will lead to improved net revenue for the organization.
Areas of Expertise
- Hands-on operational experience
- Process improvement training and implementation
- Process flow mapping
Types of Services
- Mapping of process flows and redesign based on best practices:
- Front-end process (scheduling and registration)
- Charge capture process
- Back-end billing process (claims adjudication, payment posting, A/R management)
- On-site shadowing of current operations to identify patient and staff flows
- Key staff and provider interviews
- Revenue cycle benchmarking. For example:
- Preregistration completion rate and timing
- Financial screening rate
- Point of service collection rate
- Chart deficiencies and uncoded account tracking reporting and communication rate
- Return to Provider (RTP) rate
- Charge capture review rate (high dollar/high volume areas) and error rate of < x%
- Account follow-up rate and timing
- A/R metrics
- Vendor performance
- Other, based on circumstances
Contact: Gina Koebke or Jeanne Chapdelaine