Hospitals

Do you find your outstanding Accounts Receivable deteriorating your financials? The health and success of your services relies considerably on the efficiency of your revenue cycle. Outsourcing your revenue cycle management services to 3Gen Consulting can help streamline your process. Swift collections and improved cash flow are ensured through our medical coding and billing solutions. By integrating people, process and technology, we can help you improve your system efficiencies, meet organizational needs and reduce operational cost.

  • Clinical Documentation Improvement

  • Coding and Compliance Services

  • Eligibility and Authorizations

  • Billing

  • Denials and Appeals Management

  • A/R Follow up

  • Credit Balance Remediation

Hospital Revenue Cycle Management Process

  • Determine the Prior Authorization requirements
  • Prepare & submit required information to insurance companies
  • Follow-Up on submitted audits
  • Identify authorization issues & notify providers

Coding is the crucial component of RCM. It’s imperative that rendered services are coded correctly. This includes the appropriate use of HCPCS, Diagnosis Codes and Modifiers. With the vast expertise that our coders bring, we are able to efficiently and accurately code the services in compliance with ICD-10 guidelines. We pride ourselves to have a separate audit team who specialize in comprehensive review of the services coded.

Charge Entry
The main challenge faced these days is of Charge entry and Turnaround time. For our current clients, we have reduced turnaround time for such practices from 72 hours to 24-36 hours. This includes review of EMR/EHR and medical notes. Based on the review, our coders accurately code the charts.

Entry Audits
The most common error while entering charges is Human Error. 3Gen helps reduce this error and increase efficiency. With our current clients, charge entry errors have reduced up to 5%, which helped submit clean claims, reduced denials and lowered A/R days.

Automatic
Current technology makes it easy for all insurances as well as patients to make electronic payments. Electronic Remittances contain high volume of payment transactions. We process the batches and segregate them into denials & payment for further processing.

Manual
Explanation of Benefits (EOB) received via mail are captured in the form of scanned images. The information captured is posted to each patient account and claim.

A/R Calling is of vital importance post claim submission. It identifies the adjudication status of the submitted claim and helps in understanding the claim outcome. Early notification of a denial helps correct the claim at the initial stage and saves it from getting ‘Untimely’ for appeals or corrections.

This is one of the most critical verticals of RCM. A major portion of the revenue is stuck here and requires additional attention. We have a dedicated team for denial management who are experienced in identifying different types of denials and providing corrective action for them. We send out periodic reports to hospitals by identifying common denial types and ways to avoid it for future submission.

There is a portion of revenue that is dependent on Self-Pay or patient payments, which makes patient follow-up very important. We help send out statements on a monthly, quarterly, yearly basis or as per requirement. We generally follow-up with patients on daily basis or as per clients’ needs. This is a value-add service and we call patient on behalf of the clients.

Outsource your Hospital Revenue Cycle Management to 3Gen Consulting for extensive reimbursement collections by billing error-free claims and achieving maximum level of reimbursement

3Gen’s Achievements At a Glance*

  • Reduced A/R days by 20-25%
  • Increased collections by 3-7%
  • Reduced write-off percentage by 6-9%
  • Reduced claim filing time from 72 Hours to 24-36 Hours
  • Platform Agnostic

*Based on experience with our current clients. Outcomes vary by client.

Software we are familiar with, but not limited to

  • advancebilling
  • advancedMD
  • advantx
  • athena
  • carecloud
  • centricity
  • eclinic
  • epic
  • equelmed
  • kareo
  • lytec
  • medisoft
  • meditouch
  • misys
  • modernizing
  • nextech
  • nextgen
  • proclaim
  • pulse
  • totalMd

Need help with your end-to-end Hospital Billing Service?

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