Extended Business Office
EBO Programs Designed to Relieve Your Points of Pain
HFS understands the pressures of your central business office and your RCM points of pain. Our Extended Business Office (EBO) team focuses on delivering the best revenue cycle outsourcing experience, helping our healthcare clients gain insight and control over billing and relieving pressure on their CBO. Our EBO service is centered around customization, not cookie-cutter claims processing. We believe that a tailor-designed revenue cycle program is a program that returns the most value to you.
Extended Business Office Features
EBO Support
World-class customer service and a dedicated supervisor liaison.
Projects and Claims
Project management and claims management including oversight, coordination of activities, on-site support, quality control and regular reporting.
Access
Access to HFS’ sophisticated BIS technology suite.
Proactivity
Proactive monitoring of denials with rapid resolution.
Denials & Appeals
Denial and appeals management.
Follow-Up
Timely and thorough account follow-up with payers and patients.
Reporting
Management reporting, including periodic assessments of key performance indicators and recommendations for improvement.
Work Distribution System
HFS’ powerful back office Work Distribution System (WDS) – Always In Motion – in tandem with HFS’ core RCM services, is designed to work collaboratively with your existing billing system to provide a consistent view of any project management outsource initiative.
- Correct Clearinghouse Edits
- Correct & Resubmit Claims
- Verify & Update Insurance Eligibility
- List Verify & Re-File Secondary Insurance
- Verify & Transfer Balances to Guarantor
- Manage Billing Inquiries
- Prepare Analysis for Issue Resolution
- Record Notes & Updates in System
- Escalate Trends Affecting A/R Performance
- Prepare Issue Logs
- Write-Offs and Adjustments
- Conduct Onsite QBRs
Our Proprietary Outsource Technology
HFS uses a dual-system approach to manage EBO. HFS works on your office system to record notes, refile claims, update insurances, and pull records. Additionally, HFS utilizes our proprietary AIM (Always In Motion) back office system and HFS BIS to increase efficiency. This allows us to customize your EBO program. Our technology helps us:
- Manage staff work queues, productivity, and other tools to deliver maximum performance and shorten turnaround time.
- Support specific project objectives (by payer, special projects, such as credit balance or underpayments, isolate troubled A/R, route secondary EOB’s, automate W/O files, etc.)
- Provide detailed reporting with performance metrics for scheduled delivery and also web access of live dashboards (for both parties to review progress, trends, and even drill-down to see specific claims affected)
- Provide a live website (AIM Expedite) to assist users on both sides for coding changes, w/o approvals, and eliminates the use of spreadsheets
- Value claims based on payer & denial and escalate claims approaching payer timely-appeal limitations.
- Provide customizable follow-up templates to ensure all action steps are taken, and training tips for special scenarios is provided.
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!