revenue cycle
Unifying Financial and Clinical Aspects of Healthcare
At Strategic Solutions, we focus on unifying the financial and clinical aspects of healthcare by coupling business data with the patient’s plan of care. We understand that the execution of precise revenue cycle management is key to your company’s success.
Expertise in Revenue Cycle Management
Our fully staffed team of revenue cycle specialists brings over 120 years of combined healthcare billing and coding experience. Our specialists work directly with each client to maximize cash flow, ensure accurate and efficient coding, and oversee the timely management of all claims.
Comprehensive Revenue Cycle Services
We offer a wide range of services to streamline and optimize your revenue cycle management:
- Credentialing: Ensuring your providers are credentialed with all necessary payers.
- Payer Source Management: Managing relationships and contracts with insurance payers.
- Facility Management: Overseeing the financial operations of healthcare facilities.
- Claims Submission: Efficient and accurate submission of claims to payers.
- Charge Entry: Precise entry of all patient charges.
- Medical Coding: Expert coding to ensure proper reimbursement.
- Timely Claim Submission: Ensuring all claims are submitted promptly to avoid delays.
- A/R Management: Managing accounts receivable to maintain cash flow.
- A/R Follow-Up: Regular follow-up on unpaid claims to ensure timely payments.
- Patient Collections: Managing patient billing and collections.
- Patient Statements: Generating and sending accurate patient statements.
- Claims Management: Comprehensive management of the entire claims process.
- Prior Authorization: Obtaining necessary prior authorizations for services.
- Payment Posting: Accurately posting payments to patient accounts.
- Denials Management: Handling claim denials efficiently to secure payments.
- Appeals: Managing appeals to challenge denied claims.
- Analytics and Key Indicator Metrics: Providing detailed analytics and tracking key performance metrics.
Cutting-Edge Billing Software
Our state-of-the-art billing software provides a seamless integration with any EMR system, maximizing effectiveness and efficiency from claims submission to analytics. This ensures a streamlined process and improved financial performance for your practice.