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When
accounts receivable problems disrupt revenue flows, Hospitals become less
able to broaden services, expand facilities, employ the latest technology,
and capitalize on emerging opportunities. They find it difficult to compete
effectively in an environment in which financial pressures continue to
increase. This is the reason why The Rybar Group has developed solutions
that address both the short- and long-term needs of your facility.
Click a topic to go to that section:
Accounts
Receivables Analysis, Management, and Processing
(top
of page)
Your outstanding claims can be reduced and receivable days can be lowered
by utilizing our receivable management services. Our consultants can assist
in directing your staff in efficient claims reduction; or utilize our
knowledgeable billing staff to process your unpaid claims in a timely
manner. Your pended and rejected claims will be analyzed and recommendations
will be made to resolve the cause of errors.
Financial
and Revenue Cycle Consulting (top
of page)
Analyses can be made and recommendations provided to improve the billing
process and financial impact from registration to payment. Our experienced
staff will identify opportunities to improve work processes that can result
in reduction of receivable days and prompt pay.
Medicaid
Billing (Michigan Only) (top
of page)
Understanding the complexities of the MSA requirements can be challenging.
Our knowledgeable consultants will review your claim submission process
to ensure accurate and effective billing processes. Our primary focus
is to assist you in improving your compliance and payments due to Medicaid's
billing nuances.
Contract
Payment Management
(top
of page)
Contract payment, high cost case, low reimbursement, denied claims, and
other third-party payor payment management - the goal of these activities
is to assist the Hospital in identifying opportunities to obtain reimbursement
consistent with the terms of payor rules, regulations, and contracts.
Our consultants will work with you in compiling information to adjudicate
the amounts requested for reimbursement. As a result of this review, your
facility may recognize increased revenues from various third-party payors
in excess of those that the Hospital previously received, consistent with
third-party billing regulations.
Credit
Balance Review
(top
of page)
Are you properly reporting your credit balances? Is your staff spending
valuable time reviewing your Provider Credit Balance Reports? Identification
of overpayments from the inpatient and outpatient credit balances, which
should be reported to the Medicaid or Medicare program and refunded to
other third party payors, can be a time-consuming and tedious task. The
Rybar Group recognizes the work involved in such an assignment, and has
developed programs to assist Hospitals like yours in this area. By working
with our consultants, you will ensure compliance with the Medicare and
Medicaid regulations and achieve a greater accuracy in your Accounts Receivables.
Denial
Management (top
of page)
Recognizing that Hospitals are faced with an increase in denials, a decline
in fee schedules, and an increase in managed care plans, our Denial Management
program offers an intense, sophisticated approach to obtaining payment.
Our consultants will suggest ways to get started, as well as to move to
a more advanced level of proactive and positive claims adjudication activity.
The development, implementation and adherence to an integrated compliance
and denials management plan can improve the cash flow process.
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