Revenue Optimization
SERVICES/SOLUTIONS
Revenue Optimization
operate at the highest level possible
Our Revenue Optimization Program focuses on ensuring that your organization is operating at its highest level. We will spend time reviewing your current daily processes from a variety of angles similar to the Revenue Cycle life span.
We will review in-take and patient throughput charting and coding, claim generation, claim submission, and claim resolution. After the current state analysis, we will work with you and your team to develop an optimization program your organization can implement in-house and/or transition to our organization.
WHEN DO YOU NEED US?
8 Signs You Need to Contact PR Med Solutions About Our Revenue Optimization Program
1. Lack of Oversight & Reporting
The Cornerstone for highly effictive medical billing is accountability and transperancy
5. Untimly Payment Posting
Failure to post payment for your medical billing claims leads to difficulty collecting denied claims.
2. Inconsistant Cash Flow
Effective medical billing will level out the extreme peaks and valleys of your cash flow.
6. Repeated Denails
Consistently being denied for the same reason points to ineffective claim follow-up.
3. High Amounts of Denials
Goal denial rate of 5% or below. A denial rate of 10% or higher indicates medical billing issues.
7. Delayed Billing after service
Claims being billed long after the service was performed are more likely to be denied.
4. Gaps in billed amount vs paid
Large gaps in billed amounts vs paid amounts can indicate poor medical billing practices.
8. lots of Medical records requests
Inaccurate medical billing leads to increased scrutiny by healthcare payer.
ARE YOU LEAVING MONEY ON THE TABLE ?
if you are coding level 4 visit as level 3 ,then yes you are
Many times, we find our clients are under coding their visits! Don’t leave money on the table; give us a chance to look everything over and optimize your bottom line.