Services

Revenue Cycle Management

Overview

Revenue Integrity Outsourcing and Consulting

Revenue integrity is essential for healthcare providers to maintain financial health and compliance. Our comprehensive services help you optimize billing practices, reduce errors, and maximize revenue.

CDM Management

Optimize your Charge Description Master (CDM) to ensure accurate and compliant billing.
Present a fully optimized CDM that reduces billing errors and enhances revenue capture.
CDM standardization, CDM maintenance training, and periodic CDM audits.

Focused Department Reviews

Conduct thorough reviews of charging documentation, medical necessity, and appropriate payment to identify and correct discrepancies.
Provide detailed reports highlighting areas of improvement and actionable recommendations.
Department-specific training, compliance audits, and workflow optimization.

Revenue Integrity Validation

Validate your revenue processes to ensure they align with industry standards and regulations.
Deliver comprehensive validation reports with corrective action plans.
Policy and procedure reviews, compliance training, and regulatory updates.

Charge Audits

Perform detailed audits to verify the accuracy of charges and identify potential revenue leakage.
Provide audit reports with identified discrepancies and recommendations for correction.
Retrospective charge reviews, charge capture improvement programs, and audit training.

Integrating Source 1’s VCOM℠ approach into your compliance framework ensures a thorough, proactive compliance management system tailored to your organization’s needs. Let us partner with you to foster a robust compliance culture, reduce risks, and maintain regulatory adherence.

No Surprise Act (NSA) Audits

Conduct NSA audits to ensure compliance with new regulations and prevent unexpected billing issues.
Present NSA compliance reports and strategies to mitigate billing surprises.
NSA compliance training, patient communication strategies, and billing transparency initiatives.

Ongoing Monitoring

Provide continuous monitoring to maintain revenue integrity and quickly address any issues that arise.
Provide regular monitoring reports and real-time alerts for potential issues.
Automated monitoring tools, periodic compliance reviews, and continuous improvement programs.

Outsourced Denials Management

Manage denials efficiently to recover lost revenue and improve financial performance.
Leading to reduced denial rates and increased revenue recovery.
Denial prevention strategies, appeals management, and payer negotiation support.

Revenue Cycle Department Process Analysis

Analyze and optimize your revenue cycle processes to enhance efficiency and effectiveness.
Review process improvement plans and enhanced revenue cycle performance.
Workflow analysis, process reengineering, and staff training.

Post-System Implementation Assessments

Evaluate the effectiveness of new systems post-implementation to ensure they meet your revenue integrity goals.
Prepare assessment reports with recommendations for system optimization.
System integration support, user training, and performance benchmarking.

Other Focused Reviews

Offer specialized reviews tailored to the unique needs of your healthcare provider types.
Provide customized review reports with targeted recommendations.
Specialty-specific audits, compliance consulting, and performance improvement initiatives.

Services

Revenue Cycle Management

Overview

Revenue Integrity Outsourcing and Consulting

Source 1 Healthcare Solutions

A variety of solutions to support your compliance needs

Request a Revenue Cycle Management Quote

Optimize Your Revenue Cycle Today

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