REVENUE CYCLE MANAGEMENT...whole revenue cycle process, from end to end. For these situations, All...

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REVENUE CYCLE MANAGEMENT & DATA ANALYTICS SERVICES

Transcript of REVENUE CYCLE MANAGEMENT...whole revenue cycle process, from end to end. For these situations, All...

Page 1: REVENUE CYCLE MANAGEMENT...whole revenue cycle process, from end to end. For these situations, All Covered is responsible for attaining mutually agreed upon revenue-cycle performance

REVENUE CYCLE MANAGEMENT & DATA ANALYTICSSERVICES

Page 2: REVENUE CYCLE MANAGEMENT...whole revenue cycle process, from end to end. For these situations, All Covered is responsible for attaining mutually agreed upon revenue-cycle performance

A TEAM YOU CAN TRUST Konica Minolta’s All Covered Healthcare IT services delivers top of the line Revenue Cycle Management (RCM) services to healthcare organizations across the continuum. We have been successfully assisting healthcare organizations for decades in selecting, implementing and optimizing EHR systems, achieving interoperability, Value-Based Care, assessing & mitigating security and compliance risks, implementing cloud services, reducing IT expenditures and improving operating efficiencies.

We offer comprehensive Revenue Cycle Management solutions:

• Increase profitability while reducing denials and A/R days with a consultative and analytical approach

•Improve the patient experience through excellent customer service and transparent communication

• Automate processes and workflows to improve productivity and efficiency

• Minimize overhead costs while reducing administrative challenges

The All Covered Healthcare leadership team has a combined 100+ years’ experience servicing Healthcare organizations. Our team at All Covered is US-based and comprised of certified revenue cycle management professionals. Our clients are provided with a dedicated strategic client manager who thrives on delivering exceptional services and being your trusted partner.

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OURSERVICES

SERVICE MODEL

We provide a collaborative management approach with the client where All Covered assumes full responsibility and control of the whole revenue cycle process, from end to end. For these situations, All Covered is responsible for attaining mutually agreed upon revenue-cycle performance goals by coordinating with the provider’s staff.

We also offer a complete partnership in which we acquire the employees of a client. As a true risk-sharing partner, in this arrangement we join forces with the client and take full responsibility for a company’s revenue cycle processes. At All Covered, we work through your existing accounts receivable balances, helping you capture revenue both prior to and after system conversion, while your staff focuses on the new system.

PATIENT ACCESSComplete front end service and/or support for all processes including pre-registration, eligibility and benefits, prior approvals and financial counseling.

Services include: Pre-registration, patient calls, no-show management, appointment reminders, form digitalization, scheduling, financial counseling, insurance verification, collections, POS payment posting, authorizations/referrals and pre-certs, medical records and release of information.

PROVIDER MANAGEMENT AND CONTRACTINGA complete provider management platform that can deliver on every aspect of enrollment, privileging and credentialing. Top-notch evaluation of payer contracts with payment versus contractual analysis.

Services include: Privileging, payer enrollment, provider credentialing, facility credentialing, licensing, EDI/ERA/EFT enrollment, contract management, contract review, contract renegotiation and contractual payment analysis.

BILLINGFull-service, back-end solution with appeals and denials management that provides transparency at every level. Optimized and accurate coding with auditing processes to improve compliance, reduce denials and increase revenue.

Services include: Charge capture, coding, claim scrubbing and claim submission.

QUALITY PAYMENT PROGRAMOur powerful analytics and KPI monitoring assist in helping you meet and improve your performance-based measures.

Services include: Analytical evaluation of measure performance, reporting and tracking.

A/R MANAGEMENTTimely and efficient A/R account follow-up to reduce denials, improve transparency and maximize your reimbursement.

Services include: A/R analytics, denial management, claims follow-up, state-specific capitation, appeals management and bad debt management.

CASH MANAGEMENTEfficient cash management processes for reconciliation, lockbox management, payment posting, refunds and collections to improve profitability.

Services include: Cash reconciliation, month-end process, payer takebacks, patient refunds, lockbox management and patient statement services.

DATA MIGRATION SERVICES

Successful data migration helping your organization move data from one system to another. Our experts use efficient methodologies to seamlessly move data to meet your business needs.

UTILIZATION REVIEW/ CASE MANAGEMENTFull retrospective assessment that can provide claim submission, coding and accurate billing review for services rendered.

Services include: Retrospective assessment and discharge planning.

ADVISORY SERVICESOur comprehensive analysis can assist with current workflow through process improvements/redesign, and identify positive or troublesome trends in your organization. We offer streamlined remediation solutions that increase revenue, improve productivity, decrease costs and enhance both patient and client satisfaction.

Services include: Consulting, spreadsheet and document data consolidation, KPI assessment and management.

AUDITINGPre-audit review, auditing services and audit results provide an in-depth report with recommendations for improvement.

Services include: RCM/Back-end collection, front end activities, billing transactions, CDI (clinical documentation), coding, cash management, underpayment recovery and chart auditing.

TRAININGOur expert team offers state of the art training that will improve efficiency, overall satisfaction and maximize revenue.

Services include: RCM/Back-end collection, front end activities, billing transactions, CDI (clinical documentation), coding, cash management, underpayment recovery and chart auditing.

At All Covered, we offer a comprehensive suite of high-performance, technology-driven Revenue Cycle Management Services that are tailored for your organization. We are known for our expertise and quality. We provide end to end Revenue Cycle Management Services and Data Analytics Services.

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© 2020 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC.

For complete information on Konica Minolta products and solutions, please visit: www.CountOnKonicaMinolta.com

CountOnKonicaMinolta.com

KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC.100 Williams Drive, Ramsey, New Jersey 07446

SCHEDULING & PATIENT

REGISTRATION

CASHMANAGEMENT

CONTRACTMANAGEMENT

QUALITYASSURANCE

UTILIZATIONREVIEW

CREDENTIALING

COMPLIANCE

ACCOUNTRECEIVABLES

CORRESPONDENCEFOLLOW-UP

DENIALMANAGEMENT

COLLECTIONSFOLLOW-UP

INSURANCE VERIFICATION &

ELIGIBILITY

MEDICAL CODING

CHARGE CAPTURE & DEMOGRAPHIC

DATA ENTRY

CLAIMS SUBMISSION

REVENUE CYCLE

MANAGEMENT

Item #: ACHC RCM 2/20-L