Assessment & Process Improvement
Organizations are realizing the benefits of streamlined operations, the best way to increase back end collections is to integrate the entire Revenue Cycle Department. Integration of the Revenue Cycle leads to increased productivity and a healthier bottom line. Besler Consulting has assisted numerous hospitals in aligning themselves with benchmarked standards of success.
The Revenue Cycle snapshot will give your organization a brief overview of the areas for improvement. Hospitals continually loose about 13% in revenue due to billing errors, underpayments and uncollected self pay debt. The back end staff spends about 80% of their time reworking unclean claims. Besler Consulting will assist your organization with implementation of procedures that will increase the bottom line, leading to increased revenue enhancement and more efficient allocation of employee time.
Our Services Include:
- Rapid Revenue Cycle Assessment - The Rapid Revenue Cycle Assessment is a complete Revenue Cycle review that will provide your institution with a snapshot of performance all in a 1-2 day audit. This assessment reviews Key Performance Indicators as well as departmental policies and procedures to determine how aligned your organization is with best practices.
- Traditional Revenue Cycle Assessment – Is a comprehensive review of the Revenue Cycle department including: Patient Access departmental practices, to ensure current processes and procedures are in place to accurately capture required patient information and qualification in order to minimize denials and re-billings. Billing departmental reviews are to help ensure that codes and charges for provided services accurately flow from medical records to the final bill in compliance with regulatory oversight and Managed Care contracts. Collection processes to increase cash flow initiatives, assess denial process and track outsourcing productivity.
- Comprehensive Revenue Cycle Improvement – Takes the Traditional Revenue Cycle Assessment one step further by providing your organization with institutional specific strategies as well as a hands-on implementation approach. Besler Consultants will take ownership in realigning your Revenue Cycle from a project management perspective and work side by side with your organization developing and implementing a process improvement initiative.
- Physician Practice Review – Encompasses a full audit of operational processes, computer system efficiencies and/or inefficiencies, staff and resource allocation, and revenue cycle trends to improve overall financial performance. This assessment evaluates the full scope of the revenue cycle with the purpose of identifying immediate opportunities to increase cash flow and reduce receivables.
- Compliance
- Policy & Procedures – Full review of your institutions policies and procedures as it relates to the Revenue Cycle with the intention of identifying ambiguous language, improving operational procedures and developing methodologies to increase staff efficiency, productivity and bottom line profitability.
- OIG Mock Audits – This assessment prepares your hospitals Revenue Cycle department for upcoming OIG Audits by simulating actual audits with the purpose of preparing staff for potential interviews, updating outdated policies and procedures with specific attention to the key areas of focus taken directly from the OIG’s current work-plan.