The revenue cycle is a complex system that involves multiple departments and personnel. Patient access, charge capture, the chargemaster, coding and denials analysis are critical functions that rely on key metrics and ongoing validation to ensure appropriate reimbursement for the services provided.
Independent consultants can help you collect all your revenues for the services you work hard to provide. Revenue cycle professionals have experience with a myriad of areas of required reporting and compliance, including:
The right revenue cycle consultants allow you to focus on your patients while increasing your bottom line.
Eide Bailly is a Leading Revenue Cycle Firm
Our professionals understand the complexities of operating a successful revenue cycle. Our tools and resources assist our clients to improve revenue cycle processes, functionality, identify opportunities and maintain compliance with regulatory agencies.
Our team of revenue cycle professionals has experience across multiple segments of the healthcare industry, including:
Building a strong, patient-centric revenue cycle management program is key to achieving a sustainable margin. Eide Bailly will help you refine the strategy and operations of your organization and ensure you understand organizational impacts to your revenue cycle.
We'll identify gaps in your current processes and procedures and develop strategies to optimize the integrity of your revenue cycle. Our service style is hands-on, and we’re always looking for ways to solve your problems or help you embrace opportunities. We partner with you to design and implement a project specific to your needs.
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Confused on how to focus staff on your account receivables? Our revenue cycle professionals have hands-on experience on how to optimize staff and set up processes to have successful cashflow.
Are your days in accounts receivable increasing? Are you struggling to understand why? Improve your cash flow and resolve that backlog with a cash acceleration program. We utilize data analytics to pull out focused accounts for staff to drive cash in the door.
Our coding and clinical professionals provide reviews for clinical documentation improvement opportunities and medical necessity compliance.
Whether you’re struggling with denials or have concerns around compliance, our coding professionals are ready to assist. We will review the records for coding accuracy as well as identify documentation improvement opportunities. In addition, we provide education for providers, clinicians, and coders on proper coding practices per official coding guidelines.
Whether you require an external compliance review or simply need an extra hand in accomplishing your compliance work plan, Eide Bailly can assist with quarterly/annual coding reviews, compliance investigations or an overall compliance program assessment.
Are you providing comprehensive maintenance to your chargemaster? The chargemaster is key to preventing revenue leakage. A chargemaster review will include an analysis of the set-up of the CDM, the revenue codes and CPT codes. Key charge producing departments will be interviewed and an assessment of the charge capture process will also be included in the review.
Knowledge is key in reducing denials. Our tools pinpoint the areas that contribute to denials allowing your organization to create change and reduce denials in the future. Subscription services are available to provide ongoing denials monitoring as well as appeals assistance.
Is your fee schedule outdated? Do you have a fee schedule strategy? As payers update their fee schedules, it becomes critical to analyze your fee schedule and ensure optimal capture of revenue. An outdated fee schedule can significantly impact reimbursement.
Are you in need of interim leadership? Our AHIMA credentialed HIM professionals can ensure your HIM department functions are supported and running smoothly. We help with day-to-day management and evaluation of present daily operations. We assist with core HIM functions, including coding workflow, release of information processes, deficiency tracking and communication, record processing and scanning. Our professionals will interact with other departments and medical teams to assure optimal revenue cycle performance for the organization.
Engage your patients with financial discussions through providing information as required by the Price Transparency rule. We offer CMS price transparency services that include the machine-readable file as well as the list of shoppable services required to be published on the organization’s website.
Do you have a pricing strategy and defensible pricing? We offer a variety of options to assist your organization in operationalizing the pricing strategy. Market Price Analysis provides you with the information needed to achieve your goals.
Looking to transform your revenue cycle operations? Our team functions as project managers, leaders and mentors in revenue cycle operations, from patient access to account resolution.
Are you experiencing a slowdown in cash? Can your organization benefit from changes in your revenue cycle management processes? Our experts go through an in-depth analysis of data, job shadowing, and interviews to identify gaps and provide best practice recommendations. A project plan is developed to prioritize the areas that are most vulnerable.
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Identify gaps in your current process and develop strategies to optimize your revenue cycle.