Revenue Cycle Management

One of the critical success factors for home care organizations is effective Accounts Receivable Management. Your AR processes must reflect best practices and the use of key indicators. Simione Consultants, LLC can support you with :

• Expert analysis of your organization's billing and collection processes
• Turnkey recommendations for appropriate modifications

To help you implement the best AR management practices leading to improved cash flow and decreased Days Sales Outstanding, our analysis of your current processes includes:

• Pre-billing activities:
  • Necessary clinical documentation including Plan of Care and OASIS
    • Patient registration and insurance verification
    • Charge/visit entry
  • Claim submission activities
    • Efficiencies of electronic and manual systems
    • Timeliness of billing cycle
  • Collection activities including claims tracking methods and tools
    • Additional Data Request (ADR) management processes
    • Review and/or development and documentation of Policies and Procedures
• Using the right key indicators helps you know where you really stand and minimizes your "management surprises". We will:
  • Identify the key indicators and how to utilize them
  • Analyze your revenue reporting methods
  • Quantify the ability to collect on your claims
• If you require additional accounts receivable management support we can provide:
  • AR recovery at your location or at Simione Consultants' offices
  • Medicare denial and appeal process management
  • Interim management of your billing department including billing outsourcing
  • Specialized training in Medicare PPS billing and PPS claims tracking and use of Medicare's on-line system

For more information about Simione Consultants Account Receivables Management services, contact us.