While billing is a key part of Revenue Cycle Management, there is so much more!
We take a whole-business look at touch points from the initial data input during patient registration through to the final payment of a bill and the analysis of what is working well and what can be improved.
Staying Current with an Ever-changing Health Care System
Quality Reporting is a critical element to ensuring you capture revenue for all services provided.
We can work with your current quality vendor or help you get set up with one. Our Encompass advisory and leadership teams are practicing Anesthesiologists – we know first-hand what reporting is required and provide all the validation data you need to support your Quality Reporting.
On-Site Review Dedicated Account Team Primary Contact Person Flow Charting Analysis
|Provider Enrollment And Management||
Initial Set-Up with Payers Change of Billing Address Hospital Credentialing
Current Performance Practice Projections
|Optimize Data Collection||
HL7 Data Interface
Coordination of Billing Sheet Delivery
Coding from Provider Documentation
Specialty Specific Training
Provider Feedback and Education
|Coding and Billing Edits||
Payer-Specific Rules and Edits
|Accounts Receivable Management|
|Payments and Refunds||
Posting of all Insurance and Patient Payments Processing and Submitting of Refunds
Timely Response to Denials Denial Tracking and Measurement Root Cause Analysis Proprietary Rules Engine
Follow-Up Through Final Adjudication No Claim Abandonment
|RCM and AD-HOC Reports and Analysis||
Monthly Score Card Reports Specialty Specific Reports Current Performance and A/R Management
Practice and Provider Dashboards Optimized User Interface
Billed at Cost — Subject to Vendor Fee Increases (Currently $0.20/claim and $0.65/statement)