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re|charge - Charge Capture Review
The Office of Inspector General of the Department of Health and Human Services has issued a report that it is doubtful that any hospital in the country is billing correctly for APC’s. Using Proprietary technology and a process which reviews all claims that have the potential for additional APC reimbursement we are able to identify suspect claims, review and provide the facility with a revised claim for billing. All work is done on contingency with no payment to resolution unless additional dollars are found. A no risk program that brings your billing back in compliance.
re|cover - Cash Acceleration
If you have a temporary backlog of aged receivables due to a recent system conversion, employee turnover, management changes, increased volume, or other disruptions to the business office, re|solution provides relief by placing personnel on-site to clean up the backlog and provide customized training and support for your business office personnel to prevent the backlog from recurring.
re|assess - Revenue Cycle Assessment
If your days are high and you are unable to determine the cause of an inefficient business office or if turnover of key staff, management changes, system conversion or other factors are contributing to problems in the revenue cycle, re|solution can review all phases of the revenue cycle including admissions, charge entry, coding, billing, collection and cash posting. Our management team will also prepare a financial analysis, benchmark study, staffing analysis and information technology review as part of this assessment. Observations and recommendations are made with action plan developed. Implementation, training and process re-engineering are also available.
re|source - Interim Staffing and Training
Hospitals are constantly struggling with retaining qualified personnel (particularly with smaller community hospitals). Replacing key personnel in the business office may require training existing personnel and establishing procedures and policies that enhance a new manager’s ability to perform. Occasionally, locating a new employee takes time to find a good fit. The facility may not have the luxury of reduced cash flow while recruiting takes place. re|solution has qualified and experienced personnel ready on a moment’s notice to assist as Business Office Managers, Coders, Billers, Collectors and Cash Posters. Personnel are placed on-site for as long as they are needed.
re|search - Unidentified Payer Search
Self pay dollars comprise an increasing percentage of all healthcare providers’ aged accounts receivable. This is due to higher deductibles and co-pays required of those who have insurance, as well as an increasing number of people who are uninsured. re |solution provides a comprehensive plan to handle self pay from pre-registration to payment. Using proprietary data mining technology that does not replace other Medicaid eligibility or collection agency solutions the re|seach program continuously mines your registration information retroactively and proactively searching for insurance programs that will cover patient responsibility balances due. re|solution manages the self pay dollar so that provider personnel can focus on third party payers. re|solution’s self pay management program reduces FTEs and increases cash collections on self pay accounts.
re|class - Charity and Self Pay Stratification
Recently healthcare providers have experienced a significant rise in self pay revenue as a percentage of the hospital’s total revenue. Self pay patients create a unique set of collection challenges for healthcare organizations. Providers often have little information about an individual’s financial situation that would provide valuable insight into their propensity to pay their bill, qualify for government assistance programs or to receive charity care. The re|class verification results provide confirmation of all personal information, automates and validates charity care by utilizing an algorithm that blends income and number of dependants against know liquid asset. re|class delivers a maximum payment recommendation as to what a patients financial capabilities are to pay their bill. re|class offers platform tools which increase collections, improve cash flow, identify and automate the charity process, reducing costly placements to bad debt agencies.
re|store – Virtual Business Office
Your facility has a significant investment in a billing system but does not have the personnel available to adequately manage and staff the business office. re|solution performs all business office functions using your facility's existing billing software and utilizing a mix of experienced personnel on-site and from one of our regional billing centers. This treatment is most effective in managing business office costs and relieving billing headaches, without the added expense of replacing your existing system.
re|view – Candidate Screening
re|view is a cost-effective way to determine a candidate’s business office skills, and management style. We work with you to assess the position criteria and then use re|solution’s candidate screening to combine the best of competency based selection with behavioral-based interviewing. Using our competency analyzer and conducting structured and actions interviews, suitable candidates are quickly identified. The program can be tailored to fit your budget and needs.
re|train - Training and Mentoring
re|train is a cost effective way to provide new or less experienced business office staff and management with receivables management skills. The service is conveyed one-on-one by a re|solution revenue cycle operations expert. Throughout the training, your staff completes a series of written and oral exercises to verify comprehension and retention of the material. re|solution also applies proprietary software to monitor employee performance.