Healthcare Services

Hospitals, health systems, academic medical centers and their physician practices are under pressure to improve the quality of care while simultaneously facing declining reimbursement, increased risk and margin pressure.

For many healthcare organizations, maximizing revenue cycle efficiency and improving the areas of medical billing, coding and accounts receivable management are paramount to achieving the goals defined by healthcare reform.

Identifying incremental reimbursement opportunities can deliver an immediate return without a significant amount of time or cost. This first step gets your revenue cycle in good working order as you go down the path of value-based care.

PERFORMATEL helps hospitals and a variety of healthcare facilities improve profitability with revenue cycle management services designed to help them maintain focus on patient care. As an extension of your team, we have the resources and depth of experience you need to help strengthen the financial health and profitability of your whole organization.

If your healthcare organization is struggling to maintain its revenue cycle operations, PERFORMATEL’s end-to-end revenue cycle management and medical billing services can provide as much – or as little – help as you need. Our domain expertise in both physician and hospital billing and claims management, combined with end-to-end revenue cycle management services, can help your organization reduce operating costs and accelerate cash flow.

ESSENTIAL REVENUE CYCLE AND AR MANAGEMENT SERVICES

Because the person who answers your phone is often times the first experience a customer has with your brand, it’s vital for those individuals to be highly trained and customer-centric. We take great care in selecting and training the best people for that important task and have rigorous processes in place to ensure consistent quality at all times. Our values are aligned with one goal – happy people. Let us help your business grow with our unparalleled approach to customer service and ensure that we represent your brand just like you would.

BILLING AND PAYMENT MANAGEMENT

From insurance billing and patient declarations, to the publication and validation of payment, PERFORMATEL can help you manage the critical processes that directly affect one of your most important KPIs: portfolio days.

EXTENDED BUSINESS OFFICE SERVICES

Our team of experts can increase your staff by tracking accounts receivable from insurance and patients. For the monitoring of accounts receivable insurance we can contact the payers to determine the status of the claim and the causes of delinquent claims and then provide the necessary information to resubmit the claim or initiate appeals. Our follow-up on the balance of payment collections payable by the patient is addressed efficiently and respectfully. We have a predictive dialer to make follow-up calls to patients to request payments and help establish personalized payment plans in accordance with their policies and procedures. We can also exempt your employees from expensive, heavy and long tasks such as pre-registration, patient admission and programming, CRM data entry, insurance eligibility 24 hours before treatment, evaluation for financial assistance (before and after billing ) and 24/7 follow-up responses.

EARLY-OUT / COLLECTIONS MANAGEMENT

Your hospital can reduce bad debts and increase revenue by leaving hard-to-collect debts in our hands. Depending on your needs, we can focus on outstanding charges, including disbursement amounts and types of payers by age and balance.

AR MANAGEMENT SERVICES THAT ADDRESS GROWING HEALTHCARE TRENDS

Consider partnering with an expert for AR management services that have become increasingly important given these growing trends in healthcare: increasing complexity of payer contracts, mergers and acquisitions that affect system platform strategy, and the rise in self-pay accounts due to high deductible health plans.

MEDICAL DENIALS MANAGEMENT AND UNDERPAYMENT RECOVERY

From the complete outsourcing of its refusal resolution procedures to the performance of focused audits; Our denial management team can offer you as much help as you need to keep track of your financial performance.

AR SYSTEM CONVERSION

We work through the balances of your existing accounts receivable while your staff focuses on the training and implementation of the new system. Our comprehensive support will help you recover balances before and after the system conversion, capturing the revenue that is commonly lost during times of significant changes.

SELF-PAY COLLECTIONS

We have established the right combination of processes, technology and patient support to help optimize collection cycles in patient balances. By acting as your extended business office, we help you reduce accounts receivable from payments payable by the patient, increase cash flow, reduce bad debts and optimize financial performance.

END-TO-END REVENUE CYCLE MANAGEMENT SERVICES

The leaders of the healthcare income cycle are considering outsourcing their administrative operations of the hospital and medical income cycle in view of the increasing pressures to preserve financial performance, keeping up with current regulatory changes, reducing cycle costs of income associated with payment and change its approach to improve service delivery. PERFORMATEL can provide health systems with comprehensive income cycle management services and knowledge as a strategy to help health systems improve revenue management processes, become more efficient and positively affect the financial health of their organizations.

REVENUE CYCLE INSIGHT AND ANALYTICS

As an extension of your business office staff, we help you accelerate cash collections through our best practice processes, automated tools and insight into your revenue cycle.

MONTHLY REPORTING

We provide you with detailed monthly reports of net income calculations and cash flow projections, based on mixed provision and monthly trends.

ON DEMAND ANALYTICS

PERFORMATEL solutions provide you with active and on-demand access to the detailed billing and accounts receivable information of your organization, providing you with valuable information about your revenue cycle with a high-level dashboard, standard report templates, report delivery by Email and easy point-and-click navigation.

ACCOUNT VIEW AND COLLABORATION

Improve collaboration between your staff and ours to solve accounting problems. Your clinical and admissions cycle teams can examine patient account records to investigate their consultations and review billing history, facilitate requests for additional information, assist in the recovery of denials, track & publish patient service and other transactions entered by service personnel.

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