Billing Assessments and Compliance Consulting in Taxes' (2024)

Revenue Cycle Compliance Plan

HealthQuest RCM Consulting arose from our 15 years of expertise in successfully adapting to over 300 health institutions and businesses, handling all areas of the revenue cycle. There’s no need to switch billing teams; instead, receive a thorough evaluation of your practice’s billing environment and overall financial health.

Our HealthQuest RCM consultants connect with and share your billing platform and clearinghouse, work with your billing team to coordinate, evaluate all financial data, and provide you with a full analysis of all essential data, pain areas, and bad debt reports. With the beginning of optimization solutions

Review cycle analysis and identification process

Our assessments are tailored to the demands of each customer and their unique scenario throughout time. The goal of this report is to provide a comprehensive overview and analysis of medical billing compliance programs.

The information will be used by the company’s in-house team to improve their work accordingly, with an eye towards increased revenue generation from collection efforts that align more closely with customer expectations. This includes:

• A review process for coding guidelines;
• An assessment comparing current practices against industry best standards (i e., “Best Practice”);
• CPT Code Listing & Definition

Review cycle optimization and operations evaluation

Your practice is about finding out how much money you are missing. Our team will calculate the cost of your operational inefficiencies and recommend ways for it to become more efficient, as well as what other services might help turn those losses around!

We are confident that our detailed evaluation and follow-up recommendations will turn into major cost savings and revenue recovery opportunities for your practice.

Do You Have Backlogs or Aged AR?

The aging process affects every practicing, laboratory, and healthcare organization. Aged AR or stuck claims are those where the insurance company declines your claim because they lack the necessary information to process it; this may be due to either staffing limitations (you’re underworked) or a lack of resources allocated for billing activities by your organization’s management team.

In addition, there is too much admin work associated with filing these types of cases which can lead billers to become overwhelmed. This is the money you have lost. Money that could be collected and developed from your bottom line, if only for a change in the system!

A simple solution to accomplish just this – do not fire or lay off any of your billers or billing team members; instead, hand over those old AR’s (which may contain denied invoices) without firing anyone else at all–we’ll take care of collecting on them when they are rejected by customers as unworkable goods/services due to poor quality etcetera., it will save companies time because we allow new accounts into our network rather than needing multiple layers including collections staff.

Our Backlog Recovery and Aging Experts

15 years of RCM expertise and more than 500 practices across the country have taught us everything we need to know about Denial management. Every time a team goes into that situation, they set an achievable target for reducing percentage denials by 15-18%.

They are proud when it is achieved once in a while but never fail as well! This credibility led them on their journey from being just another company that does this job like any other with poor success rates at best…to becoming known throughout all types of healthcare organizations because there’s no one better qualified or ready if something popped up unexpectedly.