ED revenue cycle management
Our services will provide a framework that clinical and financial managers can use to ensure that all charging, billing, and compliance processes are in place to achieve revenue integrity.
We cover a range of issues, including:
- Medical necessity
- Incident-to
- Billing for specific products and services inherent in treating ED patients
The current regulatory environment demands rock solid compliance policies and procedures requiring additional staff attention.
We can also develop on-site customized education.
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RAC Readiness
Despite a delay because of contractor protests, RACs are inevitable, and the burden now falls on your facility to protect your reimbursement dollars. Discover tips and strategies to combat denied claims. Learn what to expect when RAC comes to your state, how to track your RAC claim process, craft an appeals process, select your RAC team and avoid denials in the first place. Learn more about our January 6 audio conference.
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Injection and Infusion Coding and Billing
Many hospitals continue to struggle with reporting injection and infusion services accurately and completely. Issues such as reporting start and stop times, selecting the initial service, and dealing with Medically Unlikely Edits are just a few of the issues with which hospitals still struggle. Our speakers will share what they consider to be best practices for documenting infusion time, reporting drug administration services that cross the midnight hour, and charging for services in the inpatient and outpatient setting, among others. Learn more about our January 20 audio conference.
