Health Tech Scope Of Services
- 1. REVENUE CYCLE SCOPE OF SERVICES HealthTech Solutions Group provides a comprehensive mix of revenue cycle services and technology solutions focused on improving hospitals’ financial and operational performance. HealthTech’s solutions are designed to meet the needs of Critical Access and small, community hospitals. An innovative Revenue Cycle Management approach to Accounts Receivable Management: Follow-up on insurance claims for all financial classes hospital revenue at any aging bracket to assist with special projects or supplement staffing cycle services: • AR Liquidation Typical results • Hospital and physician billing services show 1-3% • Revenue Recovery projects increase in net • Cost based on a percent of collections revenue Denial Trending: Report of denials, non-covered codes and other coding issues. Data can be used to make process improvements or implement new front end edits Correct cash focused Retroactive Medicaid Eligibility Services: Review of all self pay patient claims for retroactive eligibility by utilizing EMR data Efficient and • Contingency-based fee, applies only if eligible accounts are recovered effective • Monthly service provides list of eligible accounts to bill technology • Fast results - less than a day after submission • IT assistance with data extract when needed Centralized and scalable Managed Care Contract Analysis: Review of managed care contracts with creation of user- friendly matrix to interpret contract reimbursement. Highly specialized • 12-18 month zero account balance review functions • Pinpoints areas of lost revenue and/or contractual underpayments • Cost based on percent of collections Post Acute Care Transfer Recovery: Analysis of all applicable Medicare discharges to identify all accounts that have potential for revenue recovery; then work with the facility to validate all information, correct and re-file all applicable claims. Revenue Cycle Performance Analysis: Identification of opportunities for improvement and recommend solutions for resolution. • Increases opportunities for increased cash flow and reimbursements • On-site Business Office assessments with plan of action for resolution of identified issues • Interim Business Office Directors also available at a contracted rate Continued on next page www.ht-llc.com
- 2. Technology-Based Solutions MyClaimIQ Genie: Reviews claims from your desktop prior to submission and checks for charge capture errors, coding omissions, claim data integrity losses and compliance issues. • Web-based, desktop application • Downloads from Web in minutes • Works with any billing system/no IT integration Find out what • Typical net revenue increase of 1-3% additional opportunities ClaimIQ AutoStatus: Software automatically searches online payor websites for claim status are available for updates to be integrated into the hospital’s patient accounting system. your healthcare • 75% savings on generating claim status reports • Reporting capabilities improve denials management organization. • Reduces A/R days • Improves CBO productivity Call or email us today. ClaimIQ ProFee: Physicians claims analysis tool to improve cash results and productivity. • Web-based software sales@ht-llc.com • Works with any billing system • E&M coding review 800.228.0647 • ICD-9 to ICD-10 Procedure Coding System • RVU calculation tool EHR & Practice Management Technology: Allscripts physician Electronic Health Record (EHR) and practice management software. • Leading EHR technology for $0 upfront • Approved technology for HITECH stimulus funds/Meaningful Use • Improve documentation & connectivity with other healthcare providers • Increase productivity, efficiency & revenue ICD-10 Procedure Coding System (PCS): As a training application ICD-10 PCS will help prepare patient accounting staff for the transition from ICD-9 to ICD-10 diagnosis and inpatient procedure codes effective October 1, 2013. • Provides education and training on complex code translation • Produces General Equivalence Mappings (GEMs) for ICD-9-CM to ICD-10-CM & ICD-10-CM to ICD-9-CM • Generates 7-digit ICD-10 code possibilities using user-friendly, step-by-step application HealthTech is a gold- • Creates lists of ICD-10 codes frequently used at a facility level sponsor of the National Rural Health Association www.ht-llc.com