Using "LOGIC" to analyze your current processes is
fitting together all the pieces of a puzzle
to form one completed "puzzle" we call THE REVENUE CYCLE. All parts of the revenue cycle are interdependent pieces of that puzzle to form one process. All of them, from the initial patient encounter to final payment.
Medical Practices today face a myriad of economic challenges:
Increased self-pay account receivables
Medical billing and collection complexities
Constant changes in health plan rules
Employers seek to cut costs and reduce employee benefits
Governmental regulation amendments
All of these factors force practices to look for sophisticated practice management solutions to assist in balancing the power between payers and providers.
Health Care Revenue Logic, LLC (HCRL) has the solutions that will assist you in identifying problematic areas of the business side of your practice and redesign your revenue cycle operations that will improve the overall financial health of your practice.
Ask yourself these questions:
Is your charge master current?
Are your payer contracts current?
Are your payors reimbursing you what they should?
Are your insurance verifications automated?
Are your resources concentrated where there is the greatest chance to improve your bottom line?
Do you use a code scrubber?
Do you use a claim edit process?
Are all of your claims submitted electronically?
Do you have a denial management system?
Do you monitor correct payer payment activity?
Can your patients receive e-statements?
Can your patients make on-line payments?
If you've answered "no" to any of these points your practice may be at risk to lost revenue and in need of a "check-up."