Cash Posting

Unposted cash is a serious liability and hinders a hospital's ability to understand its financial health and therefore, manage operations properly.

  • Do you post all zero pays?
  • Do you have a denial management system?
  • Is there a reconciliation process of amounts posted to AR to the cash deposit?
  • Do you know you are being paid correctly from all payers?
  • Can you define your internal escalation path for variances within your own posting process?
  • How significant is the volume within your undistributed posting backlog?

Cash Posting

Business Issues

It's all too common for facilities across the country to face the business problems resulting from excessive amounts of unallocated or unreconciled payments to patient account systems.

Successful cash posting is complex, with payments made at various stages of treatment and settlement provided by multiple payers including the patient and third parties. The challenges are amplified by increasingly complex and different reimbursement agreements between insurance carriers and the facility.

The problems and subsequent risk increases dramatically if your facility struggles to achieve high quality standards in coding or charge capture.

Too often, facilities rely on a pool of expensive and poorly trained resources to clear backlogs, failing to introduce repeatable business processes and improve performance

Best Practices

Key Performance Indicators

  • Aged accounts receivable as a percentage of billed accounts receivable by payer group
  • Point of Service cash collection
  • Cash collection as a percentage of adjusted patient net revenue
  • Precentage of clean 835s



Revenue Cycle Assessment

The revenue cycle challenges faced by hospitals today are enormous. Charge Capture, Coding, reimbursement and compliance issues plague larger facilities as well as rural and community hospitals. Resources to ensure appropriate reimbursement for services provided are stretched. re|assessre|solution’s revenue cycle assessment provides the foundation to optimize your revenue cycle and performance. <more>


Interim Staffing

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.  Business office interim staff are placed on-site for as long as they are needed. <more>


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. <more>


Insource Your Business Office

The regulatory atmosphere and relentless pressure of increasing complexity combine to create staggering challenges while introducing risk to your facility's ability to get paid for the services you are expected to deliver to the community.

  • Increased federal and state regulatory, oversight, and audit pressure continues to drain resources and cash from hospitals while these same agencies increase their focus on billing and coding compliance, often issuing stiff penalties
  • Reductions in reimbursement, increasing self-pay or higher deductibles combine to make cash collection critical
  • Revenue and cash collection are increasingly put at risk due to inadequately trained staff, the inability to afford the best technology and tools, and the struggle to implement and maintain best revenue cycle practices

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 under this ever-changing environment . re|solution performs all business office functions using your facility's existing billing software and utilizing a mix of your staff, our 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. <more>


How does your facility compare nationally with other facilities of your respective size?

re|solution is an expert in rural, community, and critical access hospitals, providing superior accounts receivable management, revenue cycle analysis, training, charge capture reviews, interim staffing, and an array of other business office services.  If you are interested in knowing how the performance of your business office compares with demographically similar facilities and where your opportunities exist to increase CASH. Please complete the form below and return it to us by fax or e-mail.  In return, we will provide you with a free benchmarking analysis.  We will also make ourselves available for a discussion and explanation of the data. You may view a Sample Report.

Benchmark Indicator Analysis

Please click to complete the Benchmark Indicator Analysis online and we will return your results to you shortly. Your information is confidential.

If you prefer you may print and complete the form and Fax to (303) 847-0417 or e-mail to

Case Studies

Dallam-Harley Counties Hospital District increases cash and reduces expenses

In partnership with re|solution, Dallam Hartley deployed re|store™. re|solution placed a Revenue Cycle Manager onsite to assist with training current staff, securing additional staffing, stabilizing the DNFB and billing. The staff worked aggressively to meet milestone goals.

Ohio Valley Medical Center and East Ohio Regional Hospital find over $16 million in Net Revenue

Ohio Valley Medical Center deployed re|assess™ complemented by an experienced re|solution BOD to assess staff and staffing levels, provide training and accountability. The re|solution proprietary tools were utilized and left behind for sustainable improvement and success.

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