(281) 297-2257 info@visualutions.com

 

Revenue Cycle Management

The Lifeline of Every Practice

  

Visualutions’ revenue cycle management services are tailored to the unique and demanding needs of community health centers to manage billing complexities and improve collections results. We work exclusively with our clients to optimize their revenue cycle and create increased cash flow by identifying and capturing missed revenue. 

Our revenue cycle program now includes the revolutionary VisAnalytics dashboards…because the cycle doesn’t stop when the claim is paid.

Your Visualutions RCM representatives have state-specific payer expertise and diligently track changing Medicare and Medicaid rules to minimize denials and keep your cash flowing.  Whether your needs are full-service revenue cycle management, rehabilitation for a short period of time, or something in between, Visualutions is your best choice to ensure that your system is implemented and managed competently and effectively.

Therapy

Rehab

Management

Real People, Real Stories

“Choosing to work with Visualutions on our large re-billing project was pivotal to turning around the Health Center. The Health Center did not have the expertise nor staffing resources to take on the challenge immediately. Simply stated, Visualutions stabalized the cash position of the Health Center.”

Joey Marie Horton

Executive Director, North Country Family Health Center

Revenue Cycle Services

A healthy revenue cycle bridges the gap between the business and clinical side of your organization.  When issues interrupt that space, the impact can be detrimental to your cash flow, impeding your ability to provide services to your community.  Our Revenue Cycle Therapy services provide insight into your revenue cycle by providing an in-depth analysis of your billing software, as well as the critical inputs and outputs of your system.

RCM Analysis

A Visualutions RCM Health Check includes a rich visual representation of your revenue cycle including a multi-year Transaction Analysis, multi-year payer mix review, A/R trends, E/M coding analysis, and more.  These valuable insights help to illuminate the areas of your revenue cycle that are performing well, in addition to areas where improvement is needed.

Database Review

Getting paid for the work that you’ve done can be tricky and involves a complex system of settings and processes that remains in constant motion.  Unfortunately, the smallest system configuration change can impact your ability to get paid or the amount that you receive.  Our comprehensive database review provides an in-depth review of your configuration and a list of recommended changes to ensure that you are receiving every penny available to you.

When revenue cycle challenges arise, it is important to partner with a trusted advisor with the experience you need to help get you back on track.  We understand that you may not require a fully managed revenue cycle service and offer tailored programs to help train your staff, optimize workflows, or target specific short-term revenue cycle projects (such as re-billing or cleanup) to put you on the path to success.

Workflow Optimization

An efficient RCM workflow and a sound set of policies ensures smooth, reliable billing processes and a higher rate of collection on services rendered.  Our experts will analyze your current workflows and offer suggestions for improvement.  We analyze your processes from the provider level through remittance processing.

Targeted Staff Training

A highly trained team is a more capable team.  When turnover occurs within your billing department it is vital that new staff be trained to use the system in the most accurate and efficient manner.  In the event that you do not have a training regimen available for new hires, Visualutions offers target training to help your staff succeed at billing.  We cover areas such as payment posting, managing A/R, and other revenue cycle functions.

Short Term Projects

Occasionally opportunities or changes to billing requirements come along that require immediate action.  With budgetary constraints, it is not always possible to ramp up your staff to meet these short term demands in effect causing your organization to lose potential revenue.  Our short-term projects provide a well-defined, fully managed service for a short period of time to help organizations complete these types of projects on a budget without having to grow your staff.

With staffing costs and overhead constantly on the rise organizations need an experienced revenue cycle partner who can not only navigate complex billing requirements, but who produces a sizable return on their investment.  Our fully managed revenue cycle services take the guess work out of getting paid.  Our experienced staff deals exclusively with CHC billing, so we know what it takes to keep the money flowing in your direction.

Charge Entry

Accurate charge entry is vital to receiving the monies you are due.  Our team of highly trained staff members leverage many years of CHC experience to accurately prepare your claims for filing reducing denials and delayed payments.

Coding

Our industry standard certified coders are passionate about the quality of their work and it shows in the accuracy of what they do.  Our coding staff is well versed in reading patient charts and – more importantly – translating those charts into payable claims.

Transmission

Claim requirements and file formats constantly change in the healthcare world making payment more and more difficult.  Visualutions partners with key clearinghouses and works with them to create rules and processes that speed up the claims process, helping our customers avoid common EDI pitfalls and constantly changing requirements.

Payment Posting and Denials

Once we get you paid for the work that you’ve done, it is important to record that work and keep an accurate A/R for planning and budgeting purposes.  We work with our in-house software engineers to post your payments quickly and accurately.  In the event that your claim is denied, we work until it gets paid.  Our net collection rate is in the upper 90th percentile due to our aggressive management of claims and industry leading knowledge.

Ready To Hear About Revenue Cycle Services?

Get a Revenue Cycle Analysis!

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Revenue

Cycle

Management

The Lifeline of Every Practice

  

Visualutions’ revenue cycle management services are tailored to the unique and demanding needs of community health centers to manage billing complexities and improve collections results. We work exclusively with our clients to optimize their revenue cycle and create increased cash flow by identifying and capturing missed revenue. 

Our revenue cycle program now includes the revolutionary VisAnalytics dashboards…because the cycle doesn’t stop when the claim is paid.

Your Visualutions RCM representatives have state-specific payer expertise and diligently track changing Medicare and Medicaid rules to minimize denials and keep your cash flowing.  Whether your needs are full-service revenue cycle management, rehabilitation for a short period of time, or something in between, Visualutions is your best choice to ensure that your system is implemented and managed competently and effectively.

Revenue Cycle Services

A healthy revenue cycle bridges the gap between the business and clinical side of your organization.  When issues interrupt that space, the impact can be detrimental to your cash flow, impeding your ability to provide services to your community.  Our Revenue Cycle Therapy services provide insight into your revenue cycle by providing an in-depth analysis of your billing software as well as the critical inputs and outputs of your system.

RCM Health Check

A Visualutions RCM Health Check includes a rich visual representation of your revenue cycle including a multi-year Transaction Analysis, multi-year payer mix review, A/R trends, E/M coding analysis, and more.  These valuable insights help to illuminate the areas of your revenue cycle that are performing well, in addition to areas where improvement is needed.

Database Review

Getting paid for the work that you’ve done can be tricky and involves a complex system of settings and processes that remains in constant motion.  Unfortunately, the smallest system configuration change can impact your ability to get paid or the amount that you receive.  Our comprehensive database review provides an in-depth review of your configuration and a list of recommended changes to ensure that you are receiving every penny available to you.

When revenue cycle challenges arise, it is important to partner with a trusted advisor with the experience you need to help get you back on track.  We understand that you may not require a fully managed revenue cycle service and offer tailored programs to help train your staff, optimize workflows, or target specific short-term revenue cycle projects (such as re-billing or cleanup) to put you on the path to success.

Workflow Optimization

An efficient RCM workflow and a sound set of policies ensures smooth, reliable billing processes and a higher rate of collection on services rendered.  Our experts will analyze your current workflows and offer suggestions for improvement.  We analyze your processes from the provider level through remittance processing.

Targeted Staff Training

A highly trained team is a more capable team.  When turnover occurs within your billing department it is vital that new staff be trained to use the system in the most accurate and efficient manner.  In the event that you do not have a training regimen available for new hires, Visualutions offers target training to help your staff succeed at billing.  We cover areas such as payment posting, managing A/R, and other revenue cycle functions.

Short Term Projects

Occasionally opportunities or changes to billing requirements come along that require immediate action.  With budgetary constraints, it is not always possible to ramp up your staff to meet these short term demands in effect causing your organization to lose potential revenue.  Our short-term projects provide a well-defined, fully managed service for a short period of time to help organizations complete these types of projects on a budget without having to grow your staff.

With staffing costs and overhead constantly on the rise organizations need an experienced revenue cycle partner who can not only navigate complex billing requirements, but who produces a sizable return on their investment.  Our fully managed revenue cycle services take the guess work out of getting paid.  Our experience staff deals exclusively with CHC billing so we know what it takes to keep the money flowing in your direction.

Charge Entry

Accurate charge entry is vital to receiving the monies you are due.  Our team of highly trained staff members leverage many years of CHC experience to accurately prepare your claims for filing reducing denials and delayed payments.

Coding

Our industry standard certified coders are passionate about the quality of their work and it shows in the accuracy of what they do.  Our coding staff is well versed in reading patient charts and more importantly, translating those charts into payable claims.

Transmission

Claim requirements and file formats constantly change in the healthcare world making payment more and more difficult.  Visualutions partners with key clearinghouses and works with them to create rules and processes that speed up the claims process, helping our customers avoid common EDI pitfalls and constantly changing requirements.

Payment Posting and Denials

Once we get you paid for the work that you’ve done it is important to record that work and keep an accurate A/R for planning and budgeting purposes.  We work with our in-house software engineers to post your payments quickly and accurately.  In the event that your claim is denied we work until it gets paid.  Our net collection rate is in the upper 90 percentile due to our aggressive management of claims and industry leading knowledge.

  Testimonials

Ready to Schedule Your Revenue Cycle Analysis?

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