Healthcare Revenue Efficiency
Healthcare Revenue Strategies (HRS) is dedicated to aiding healthcare organizations
achieve optimum Revenue Efficiency. We define Revenue Efficiency as
the highly efficient and accurate generation of claims, generated at the maximum
allowable amounts, coupled with timely and seamless remittance processing and analysis.
- Claims are generated accurately with all necessary information. All patient and
procedure data is gathered throughout the visit as part of a standard process. Proper
proration rules and claim checks are applied to produce an accurate claim the
first time.
- Charge amounts, and procedural codes are accurate, up-to-date and set to legally
maximize revenue.
- Contractuals are clearly documented and remittances are checked for accuracy.
- Remittances are analyzed with RemitWebTM
Online Denials and reduced payments are quickly uncovered and corrective actions
are taken. EOBs are produced as required.
True Revenue Efficiency is a discipline that is followed throughout the Healthcare
organization. The efforts required are well worth the numerous benefits:
- Increases in revenue
- Reductions in denials and partial payments
- Improved A/R days
- Reimbursement amounts are higher for the same level of services
