The company’s RCM service offering is designed to adapt to a provider’s organizational structure. The company’s teams understand the missions and unique needs of healthcare organizations and are trained, certified, and continuously developed to deliver on customer revenue cycle needs.Īnalytics - Performance Monitoring and Management System - The company uses hundreds of operating metrics to drive comprehensive daily accountability and to enable front-line operators to deliver on differentiated business outcomes every single day. Operations - Scaled Global Delivery Model and Leading Domain Expertise - The company brings experienced talent across global business services, centralized analytics, and deployment teams who all deliver one operating platform. The approach is based on standard structures and rigorous methods, tested and proven in multiple organizations and environments. Workflow - End-to-end Workflow Differentiated On Outcomes - The company deploys a fully cataloged, standardized methodology for revenue cycle execution from order intake and scheduling to claim reimbursement. Through its intelligent automation, the company optimizes workflows across front, middle and back-end operations by leveraging a digital workforce and implementing scalable robotic process automation and machine learning. Technology - Comprehensive Revenue Cycle Workflow and Intelligent Automation - The company’s technology integrates across multiple host and payer systems and combines its standard methods, operating metrics, and daily routines into an end-to-end technology platform. This operating model consists of four components: The company’s approach to deliver value for its customers is built on a holistic operating model designed to fit into a healthcare provider’s revenue cycle operations. The company’s largest RCM service offering consists of comprehensive end-to-end RCM services, which address the full spectrum of revenue cycle challenges faced by healthcare providers. The company’s patient experience solutions help to streamline patient workflows to improve the bill payment experience.Įnd-to-End Revenue Cycle Management Offering The company’s business office services can help providers with the entire billing function or to specifically recoup revenue that may otherwise be lost by focusing skilled resources in lower priority areas with significant revenue potential. The company’s coding management offering drives performance, quality, and consistent results via business intelligence and analysis, human capital management, an accountability framework, and a quality management program. Its CDI solution helps customers improve Hospital Compare Star Ratings, which in turn can increase volume and reimbursement. The company’s PAS offering assists healthcare organizations to comply with payer requirements regarding whether to classify a hospital visit as an in-patient or an out-patient observation case for billing purposes. The company’s accounts receivable and denials solutions assist clients to collect their most complex and aged receivables to maximize net collections. The company’s PM services offer administrative and operational support to allow healthcare providers to focus on delivering high quality patient care and outsource non-core functions to the company. The company’s revenue integrity solutions identify missed revenue through its proprietary technology and experienced auditors to assist clients with additional revenue collection and reimbursement accuracy. The company also offers modular solutions, allowing customers to engage it to address specific revenue cycle improvement opportunities, such as revenue integrity solutions, practice management (‘PM’), accounts receivables and denials recovery, physician advisory services (‘PAS’), clinical documentation integrity (‘CDI’), coding management, business office services, and patient experience. Under a co-managed relationship, the company leverages its customers’ existing RCM staff and processes, and supplements them with its infused management, subject matter specialists, proprietary technology solutions, and other resources. Under an operating partner relationship, the company provides comprehensive revenue cycle infrastructure to providers, including all revenue cycle personnel, technology solutions, and process workflow. The company’s largest service offering consists of end-to-end RCM services for health systems, hospitals, and physician groups, which it deploys through an operating partner relationship or a co-managed relationship. provides technology-driven solutions that transform the patient experience and financial performance of healthcare providers.
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