Data Assessment Services

In today’s Ambulatory Payment Classification (APC) environment, it’s hard to know if you’re getting all the reimbursements that are rightfully yours.

The Rybar Group’s Data Assessment program provides you with a clear, true picture of your revenue situation and how to improve it. Utilizing data collected from your electronic remittance advice, we will provide you with reports highlighting your Hospital’s opportunities. Our consultants will work with you, focusing on the most strategic identified areas of opportunity and working to achieve reconciliation.

The information represents an invaluable tool for assisting you in remittance management, allowing you to see how your facility was paid under APCs, thus closing the loop on your revenue cycle. It will check the reasonableness of write-offs, assist you in understanding and identifying high and low areas of profitability, reduce rebilling costs, improve management of accounts receivable, coding compliance, and provide an understanding of outpatient reimbursement issues.

Benefits to the Hospital:

Front Line Tool for Managing Your Denials
APC Management for OPPS
Identification of Low Reimbursement by Revenue Center
Outpatient Claims Denial Management
Payment Sampling Analysis
Outlier Analysis
Profitability Analysis
Identification of Compliance Issues
Managing the Financial Impact of APCs
Identification of Rebilling Opportunities

Assessments can be performed utilizing your Medicare, Medicaid and Blue Cross Remittance Advice.

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