• Access Management:

    • Referral Management

    • Preregistrations/Precertification/Preauthorization

    • Insurance Discovery Verification

    • Patient Liability Estimation

    • Patient Financial Counseling

    • POS Collection Communications

 

  • Health Information Management:

    • Coding & Auditing

    • Charge Master Development & Ongoing Updating

    • Clinical Documentation Improvement

    • Transcription – Outsourced

 

  • Claims Process:

    • Electronic Claims Submission

    • Insurance Follow-Up

    • Payment Posting - ERAs & Paper

    • Payer Relations

    • Credit Balance Auditing

 

  • Self Pay Collections:

    • In-house Collections -60-90 Days

    • Call Center Collections

    • Bad Debt Collections Management

    • Credit Balance Auditing

 

  • Revenue Cycle Auditing:

    • Third Party Liability (Subrogation)

    • Underpayment Identification & Recovery

    • Zero Balance Audits

    • Denial Management

 

  • Provider Relations & Analytical Support

    • Managed Care Contracting

    • Provider Enrollments & Revalidations

    • Credentialing Support

    • Contract Mgmt & Modeling (ongoing)

    • Legacy A/R Management

 

 

 

Oklahoma Spine Hospital Animas Surgical Hospital Key Health Institute