Revenue Cycle Services for Multi-Specialty Physician Practice Groups Solutions Designed for Multiple PM Systems For many Multi-Specialty Groups, having more than one Practice Management (PM) system isn’t that unusual. This is especially true for groups that have grown through mergers and acquisitions. In some cases, certain specialties may require unique features or functionalities not available
Maintaining Cash Flow when Migrating Practice Management (PM) Systems While staffing shortages continue to create a variety of revenue cycle obstacles and cash flow interruptions, there are also a considerable number of groups in the process of researching and selecting a new Practice Management (PM) system. If you’re currently in that mode, or contemplating the
Maintaining Your Clearinghouse & Banking Relationships Our client’s Clearinghouses and Banks play an important role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits checking, referral authorization, and claims status
Streamlining Post-Merger Integrations When merging two or more practice groups together, there’s a considerable amount of work to be done in negotiating agreements and in working through all of the organizational details. Some may say, however, that after the papers are signed, the real work is just getting started. When it comes to the revenue
Working in a Multi-Submitter, Single Receiver Business Environment For aggregated Physician Practice Groups that operate with business unit autonomy, health insurance payors will often combine payments generated by claims that originated from different divisions. These co-mingled batch files received from the Clearinghouses, require us to split the EDI payments within the Electronic Remittance Advice (ERA)
Managing Cash Flow in a Multi-Vendor Environment For larger practice groups and MSOs, the complexities of a multi-vendor environment can often inhibit efficiency and adversely affect cash flow. This is especially true for organizations with business units using a variety of EMR/Practice Management (PM) Systems and Clearinghouses to capture charges, process claims and receive payor
