Revenue Cycle Management Services

Services are offered bundled or a la carte customized to the needs of our clients. Our team provides ongoing one-on-one support, as well as 24/7 access to clinical and financial data reporting utilizing SensER, our web-based healthcare data analytics platform.

 

A/R Management

  • Automated patient insurance eligibility and discovery
  • Automated claim edits
  • Denials management
  • Strategic deductible management and claims submission
  • Patient payment strategies
  • Automated payment posting and reconciliation
  • Monthly A/R closeout reporting
  • Lock Box service

CODING AND COMPLIANCE

  • Certified coding (CPT, HCPCS Level II, ICD-10)
  • Compliance program development and audits
  • Automated Machine Coding Assistance System (AMCAS)
  • Claims Loss Recovery (CLR) pre-claim coding auditing process for maximum charge capture
  • Complimentary coding audit and analysis

Certified Medical Coders and Auditors

Coders and coding auditors are certified through RHIA, RHIT, CCS or CPC, and are members of the Emergency Department Practice Management Association (EDPMA), the American Academy of Professional Coders (AAPC), and the American Health Information Management Association (AHIMA)

PAYOR RELATIONS

  • Credentialing
  • Contracting
  • Payor billing performance tracking
  • Physician advocacy
  • MIPS/Alternate Payment Models (APMs)/Pay for Value (PFV) program development
  • Complimentary practice PFV assessment

MIPS

  • Analyze client practice to choose the appropriate quality measures and improvement activities Assist with operational changes to accommodate implementation of quality measures Monitor clinician performance and provide feedback on ways to improve opportunities in documentation to optimize measures
  • Work with the Registry of clients choosing to assure complete and successful MIPS submission for all eligible providers to CMS

10625 West North Avenue, Suite 101
Wauwatosa, WI

(414) 858-2200
contactus@consensiohealth.com

Promoting the health of independent physician group practices.