Solution Bundle

Revenue Management Services

Health system and hospital revenue cycle management services to help improve financial performance.

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What's included in Revenue Management Services

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    A/R Management Services

    Accounts Receivable Management is the core revenue cycle and AR management service for hospitals and health systems that want to become more operationally efficient and improve financial performance.

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    Denials and Appeals Management

    Outsourced denials and appeals management services for hospitals that want to improve their clean-claims rate, better manage denied claims, and have expert assistance in handling appeals.

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    Patient Responsibility Management

    Self-Pay patient collection services for hospitals and health systems that want to increase patient collections and shorten billing collection cycles.

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    Third Party Coverage

    Third-party liability claims management services for hospitals and health systems that want to optimize reimbursement for all accident-related medical claims.

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    Underpayment Audit and Recovery

    Outsourced underpayment recovery services for hospitals that want to better manage denied claims and quickly correct healthcare underpayments.

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    Transfer DRG Services

    A reimbursement management solution for providers that want to leverage expertise and technology to identify underpayments and recover revenue associated with CMS’s Post-Acute Care Transfer (PACT) rule.

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    Business Office Outsourcing

    A customizable revenue-management solution for providers that want to access expert resources and technology to help expedite cash flow, maximize reimbursement and collections, and reduce expenses.

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    Hospital Outreach Labs

    Collection, billing and revenue management services for hospital outreach labs that want to increase cash flow and patient revenue and efficiently manage their billing.

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  • Coding and Compliance Services

    Medical coding and compliance services for hospitals, health systems, and medical practices that want to avoid denials, gain compliance, and optimize reimbursement.

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Expertise and technologydrive physician and hospital revenue cycle management results

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Discover Physician and Hospital Revenue Cycle Management Services

Hospitals, health systems, academic medical centers, and their employed physician practices are under pressure to improve quality of care while also facing declining reimbursement, increased risk, and margin pressure. For many healthcare organizations, maximizing revenue cycle efficiency and improving billing, coding, and accounts receivable are paramount to achieving healthcare reform goals. Discover our Physician and Hospital Revenue Cycle Management Services.

A/R Conversion Services
A/R Management Services
Denials and Appeals Management
Patient Responsibility Management
Underpayment Audit and Recovery
Business Office Outsourcing

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Our outcomes

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Fact Sheet

Everything you Need to Financially Clear a Patient

Fact Sheet

Everything you Need to Financially Clear a Patient

Optum® Financial Clearance helps providers deliver a modern patient experience that is automated, intuitive and improves revenue.

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Article

Four ways to strengthen your practice in 2024

Article

Four ways to strengthen your practice in 2024

Discover how your practice can control payer rate negotiation, grow current services, consider financial support requests, and change employment options in 2024.

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e-Book

The Revenue Cycle is Evolving – Patient Access Leaders Should Too

e-Book

The Revenue Cycle is Evolving – Patient Access Leaders Should Too

Explore this e-book to better strategize how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.

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