Revenue Cycle Advisory
Expert insights for coding, billing, and charge processing to resolve the root causes of Revenue Cycle Management errors.
Revenue Cycle Advisory Solutions
AQuity’s Revenue Cycle Advisory services provides expert insights on necessary accuracy adjustments with corresponding rules and regulations to support the recommended changes. Our team offers a holistic approach to remediate any coding, billing, or charge processing inaccuracies with targeted education support and workflow calibrations to resolve the root causes of errors.
Best Practices
Looking to improve your financial performance and operational efficiency? AQuity Revenue Integrity team can help with Revenue Cycle Advisory Services.
Understand Each Client’s Unique Needs
AQuity’s Revenue Cycle Advisory engagements begin with a thorough assessment of our client’s revenue cycle operations, financial goals, and defined payer/denial challenges. Each client’s circumstances are unique, so our advisory services are tailored to delivering measurable improvements to what is most important to our customers.
Revenue Cycle Assessment
Comprehensive assessments include detailed review of the full revenue cycle workflow process, from patient registration/insurance verification, coding, billing, and denials management. We identify bottlenecks, inefficiencies, and areas for best practice process improvement to support optimized cash flow and compliance.
Data Analytics
AQuity leverages proprietary data analytics tools to analyze our client’s financial and operational data. We identify legacy process trends, payer denial patterns, and other opportunities for full cycle workflow optimization. Our Revenue Integrity team leverages data-driven insights to make informed process adjustment recommendations followed by solution impact tracking.
Workflow Optimization
Our Revenue Integrity advisory team eliminate unnecessary steps by streamlining our client’s revenue cycle workflow through automating manual processes and helping to implement more efficient technologies. These steps help reduce errors, improve accuracy, and increase the productivity of all team members.
Regulatory Compliance
AQuity helps you stay up to date on all related healthcare coding regulations, coding guidelines, payer policies, and reimbursement rules. We optimize the revenue cycle process while ensuring all efforts support maximized justifiable reimbursements while minimizing any compliance risks.
Coding and Documentation Assessments
In depth guidance on accurate coding and documentation practices ensure proper reimbursement. Our team helps keep healthcare providers up to date on the ever-changing coding guidelines, documentation requirements and clinical documentation improvement CDI discipline best practices.
Denials Management Assessment
We work closely with our clients to develop strategies to reduce claim denials and improve the efficiency and results of appeal efforts. This is achieved by experienced analysis of denial trends, root cause identification, and implementation of proactive measures to prevent future denials. Our approach effectively streamlines the appeals process through staff education and process recalibration for improved denial management results.
Staff Education and Training
AQuity offers industry leading revenue cycle education and training programs to enhance the skills and knowledge levels of all team members involved in the revenue cycle workflow. Our training ensures all team members are familiar with the latest coding guidelines, compliance regulations, and industry best practices.
Performance Metrics and KPI
At the beginning of every assignment, it’s critical to establish measurable key performance indicators KPI’s to confirm current revenue cycle performance and define goals and objectives. The AQuity team monitors these metrics, such as DNFB, days in accounts receivables, clean claim rates, denial rates, and net collection rates. Progress against goals and objectives are regularly communicated to all stakeholders for maximum engagement value visibility.
Continuous Improvement
Ongoing revenue cycle improvement progress should be continuously monitored, evaluated, and improved upon. The AQuity Revenue Integrity team regularly assesses the effectiveness of implemented changes and adjusts strategies as needed to keep up with changing industry trends and stay ahead of the curve.
Speak with a Revenue Cycle Advisory Specialist
AQuity is a nationally recognized leader in RCM Advisory Services. Contact us today to discuss your objectives and learn how we can help.
Effective revenue cycle advisory services require communication, collaboration, and a deep understanding of business goals and how they compare to equivalent practices across the country. By leveraging AQuity’s experience and expertise, we help clients optimize their revenue cycle to improve their overall financial performance.
Key Differentiators
- AQuity advisory services offer a consultative approach, from an investigative assessment to detailed analysis of core issues based on client objectives.
- Our proven methodical approach obtains a complete understanding of issues, exposing improvement opportunity insights, personalized team member feedback, and well documented recommendations for issue resolution and other workflow improvements.
- Continuous feedback is provided to identify upstream workflow adjustments (Improve/update/address challenges) based on changes to regulations and evolving industry best practices.
Coding Team Education and Training
Specialty-specific Coder Training by Specialty/Discipline
- Outpatient
- Inpatient
- Pro-Fee
- Onboarding assessments
- Training Program Implementation
Auditor Training
- Transitioning coders to auditors
- Utilization review tracking and reporting
- Coding Clinic and CPT Assistant Update Education
- Specialized Education
- AHA coding clinic and/or HCPCS/CPT guidelines
- Anatomy and physiology
- Procedure descriptions
- Etc.
Areas of Revenue Cycle Advisory
Total Quality Audits
Examine, identify problematic areas related to coding, documentation, quality;
Targeted Reviews
New physician or targeted physician quality review, physician practice merger/acquisition, System Integration.
Pre-Bill Audits
Pre-bill function, inclusive examination including MSDRG, Hospital Acquired Condition (HAC Indicators), Discharge disposition and Charge capture assessment, performed prior to claims submission.
System Integration Advisory
Consultative services for Go-to-live EPIC implementations.
Speak with a Solution Specialist Today.
AQuity is a nationally recognized leader in Revenue Cycle Advisory Services. Contact us today to discuss your objectives and learn how we can help.
