A facility may occasionally require assistance from professionals in the healthcare industry to review its revenue cycle and ensure specific processes are in place within the business office for optimum functionality. Prelth Consultants will assess current business processes and business staff competencies and provide recommendations to facility management for improving efficiency and productivity. Some areas of focus include but are not limited to the following:
- Billing/posting competencies
- Collection productivity/Claim denials
- Verification, authorization, and precertification
- Patient accounting systems (PAS)
- Benchmark comparisons
- Insurance Contract Reviews
- Policy & Procedure Reviews
- Review the denials and implement corrections