Revenue Cycle Management
Revenue Cycle Management comprises all of the processes and efforts that you as a healthcare provider undertake to receive payment for services. The escalating pressure on healthcare providers, coupled with declining reimbursement rates elevates the importance of Revenue Cycle Management services within the healthcare landscape.
We offer a comprehensive suite of Revenue Cycle Management and medical billing services including:
- Provider Enrollment
- Financial Reporting/ Analytics
- Pre-Registration/Insurance/ Eligibility Verification
- Claims Scrubbing
- Charge Entry
- Claims Submission
- Claims Management
- Insurance Follow up
- Denials/Appeals Processing
- Payment Posting
- Patient Collections
Our offerings are flexible, allowing you to choose only the services you need. We connect multiple data sources with innovative software and web based solutions to leverage operational improvements for long term business success. Our technology solutions, including rigorous data modeling, automate labor intensive functions into scalable electronic functions optimizing workflow and financial performance for our healthcare clients.
With Origin as your Revenue Cycle Management partner, you will see significant increases in collections. We will perform a comprehensive review of fee schedules, analyze the competitiveness of payor contracts and make recommendations for improvement, and help fix broken processes, resulting in increased efficiency.
“Approximately 90% of medical claims denials are preventable.”
Revenue Cycle Management Continuum
Revenue Cycle Management activities begin at the first point of contact with the patient and continue throughout the patient lifecycle. We have the infrastructure and administrative expertise needed to effectively manage the entire revenue cycle to ensure you receive maximum, timely reimbursement.
Pre Visit - Includes all processes that take place prior to the patient encounter. Data accuracy in this phase of the revenue cycle is critical to creating clean claims and maximizing revenue through back-end collections. Industry studies indicate that 90% of denied claims are caused by inaccurate collection of patient information on the front end. The source of payment and patient demographic information are critical data points that significantly impact payment results.
Patient Encounter – Includes physician/patient encounter related documentation such as transcription and coding. Proper documentation is critical to ensure proper billing and clean claims.
Back End - Includes all billing, follow-up and cash collection processes. The success of this phase is highly dependent on the pre-visit and patient encounter phases.