Denial Management for a Laboratory Network
A laboratory network faced significant challenges with payer disputes. Our intervention, including denial management strategies and fee analysis, resulted in a 30% decrease in claim rejections within six months.
Compensation Model Development for a Physician Group
We developed an RVU-based compensation model for a physician group, aligning incentives with performance metrics. This project enhanced transparency and motivated the team to deliver high-quality patient care.
OIG Audit Support for an Ambulatory Surgery Center
We provided OIG audit assistance to an ambulatory surgery center, ensuring accurate reporting and documentation. Our support helped the center avoid potential penalties and strengthen their compliance protocols.
Behavioral Health Facility Audit
A behavioral health center approached us for a compliance audit. Through detailed chart reviews and staff education, we identified areas for improvement and implemented strategies to maintain regulatory standards seamlessly.
E&M Training for Physicians and Staff
Our team conducted targeted training for a group of 50 physicians and staff, focusing on accurate documentation and evaluation & management (E&M) coding. The result? Improved compliance and significant reduction in coding errors.
Optimizing Revenue Cycle for a Multi-Specialty Clinic
We worked with a multi-specialty clinic to revamp their revenue cycle management. By conducting a thorough fee schedule review and denial management analysis, the clinic achieved a 20% increase in clean claims submissions and reduced payment delays.