Consulting
Discover & Optimize Revenue In Your Own Backyard
HFS provides consulting services with a focus on upstream revenue cycle performance. We offer four revenue cycle consulting services for healthcare organizations including Patient Access Services, Patient Financial Services, Managed Care Contract service and placement of Coding staff.
Consulting Services
Patient Access Services
HFS offers patient access management services to function as an extension of your Patient Access Departments. Our strategy is to offer proactive and cost-effective solutions for opportunities related to pre-registration, authorization and referrals, time of service collections and registration related denials. We utilize standardized methodology, enhancing the patient experience and securing financial clearance prior to date of service. Providing our client’s with a viable solution for increased reimbursement and reduced re-work. We provide a clear understanding of operational efficiency, a roadmap for Leading Practice Standards, improved patient satisfaction and increased data integrity and cash collections from the front-end.
Patient Financial Services
We offer a comprehensive assessment of interim patient accounting management services, tailored revenue initiatives, and process implementations. Our innovative and cost-effective solutions for charge capture, billing, follow-up, and revenue collections are designed to maximize your financial performance. By partnering with us, you’ll gain clear insights into efficient practices, cost management, and timely reimbursements. Our roadmap to leading practice standards not only boosts patient satisfaction but also reduces overall accounts receivable (AR) and increases cash collections.
Managed Care Contract
Healthcare organizations are facing unprecedented challenges in maintaining financial stability in a rapidly changing industry. One challenge is to manage the increasingly complex system of reimbursement arrangements from both public and private payers. As a leader of a provider organization, you must grapple with dozens of payer contracts covering hundreds of services, each with different rates, terms, conditions, and reporting methodologies.
Coding Staff
Our Coding Staff services are designed to optimize your healthcare operations through a comprehensive approach. We offer:
• Assessment & Analysis: Thorough evaluations to identify areas for improvement.
• Tailored Training Materials: Customized resources to meet your specific needs.
• Effective Training Implementation: Including one-on-one and interactive learning sessions.
• Ongoing Support & Resources: Continuous assistance to ensure smooth operations.
• Regular Monitoring & Feedback: Through audits and performance metrics.
• Continuous Improvement: Keeping training materials up to date and engaging providers with the latest industry changes.
We adhere to ICD-10, CPT, and HCPCS coding standards, ensuring compliance with CMS and other regulatory guidelines. Our services include:
• Accuracy Targets: Setting specific goals, such as 95% coding accuracy.
• Audits: Conducting random sampling and focused audits.
• Corrective Action Plans: Implementing strategies to address identified issues.
• Peer Reviews: Ensuring high standards through regular evaluations.
• Performance Metrics: Monitoring error rates and turnaround times.
• Training Programs: Offering ongoing education to keep your team informed.
• Quality Improvement Initiatives: Launching projects to continuously enhance coding practices.
Additionally, we provide on-site and remote coders for ongoing work, special projects, coding audits, and more. Our certified coders are here to help save you money and provide the resources you need to bill quickly and accurately.
- Coding denial review, revenue opportunity and appeals
- Accuracy and compliance reviews
- Operational assessment and performance improvement
- Utilization of HFS’ AQP audit tool for precise audits
- Education and training programs
- All services include live dashboards and business intelligence tools
Experience the unparalleled excellence of Healthcare Financial Systems in the RCM technology market. Partner with us today and elevate your revenue cycle management to new heights!