Available Services with our Financial Consultanting Service:

Evaluation of Business Office Staff

Evaluation of Bus Office Policies and Procedures

Consultation and Training on recommended changes

Audit of Bills and Billing Procedures

Audit of Patient Trust Procedures

Training of Bus Office Staff/Billers:

Billing:  All Billing/Compliance and HIPPA rags: UB-04, use of 837

The Fund Check/Phone Call checking Payor/Financial Sources

Billing questions/required information upon Admission

                                  Medicare Billing   

                                  All Medicare billing requirements/deadlines, etc

                                  Understanding the Medicare UB04

                                  Review of Medicare UB-04 vs. RUGs scores, etc

                                  No Pay bills, Billing BANS, Demand Bills

                                  Medicaid (State Assistance) Billing 

                                  Eligibility/Certification and re-Certification

                                  Rate codes, Diagnosis coding, etc

                                  Commercial Payor Billing

                                  Understanding Commercial requirements/Avoiding pitfalls & delays in Reimbursement

                                  Private Pay Billing-

                                  Use of Early Statements

                                  Dealing with Families

                                  Dealing with Attorneys/sending accounts to Collection

Collections:

Evaluation Productivity and Collection Practices

Consultation on recommended changes/additions to Collections practices

Understanding/interpreting and working with the 835 -Electronic Remittance

Collections/Reimbursement Status Meetings, etc

How to handle Billing rejections/requests for additional Financial or Clinical info

Interpretation of the 835S and EOB codes/notices

Collections calls with Medicare/State Payors

Collections/Follow-up Calls with Commercial Payors

Collections/Follow-up Calls for Private Pay

Reimbursement/Collections Management

Evaluation/Consultation AR % per Bed

Evaluation/Consultation- Revenue Testing

Training/Consultation on Management Reporting

How to manage and Motivate your Staff

Training/Consultation- Use of FI computer systems

Evaluation/Training on Business Office billing software

Evaluation/Training on MDS and/or Rehab billing software

Cross Training with Clinical Departments (i.e. MDS/Nursing, & Rehab)

                MDS-Importance of timely submissions w// respect to Billing

                Rehab-Therapy Caps, non coverage

                Required Coding/Modifiers

                Training of Billers-Re: review of Medicare UB-04 vs. RUGs scores

Consultation:  Mock Survey/Quality Assurance

Resulting Efficiencies

More competent/confident and productive Bus office staff

Increased charge capture

Increased accuracy in Billing

Decrease in Billing Rejections

Increased productivity in Collections

Increases in Revenue %

Greater cross knowledge Clinical and Financial Departments/Staff

More competent/confident and productive MDS staff