More than 25 years of experience in the healthcare industry. More than 15 years of business office management experience in hospital, clinic and long-term care operations.
Healthcare Revenue Cycle analysis and support for hospital, swingbed, clinic (provider based, free standing, RHC, FQHC, Method II CAH election), long-term care and home care services.
Consulting and training consistent with compliance guidelines established by Medicare and other third-party payers for both UB-04 and HCFA-1500 billing.
Assist with establishing and implementing daily policies and procedures to meet accounts receivable targets. On-site business office management services guiding operations from patient pre-registration to final resolution of accounts receivable.
KPI Metrics Management for daily, monthly, quarterly and yearly reporting. Analysis of third party reimbursement and claims denial management. Integration of clinic and hospital business office functions
CMS Quality Strategy goals directly align with the many preventive services offered to beneficiaries which are tied to value-based payments. Reimbursement focus continues to be on shifting from the volume of services to the value of services.