Revenue Cycle Services
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Associated Market Segments
Complex Claims Services
Services focused on assisting provider organizations with complex claims—specifically, claims for workers' compensation, VA,...
Debt Collection Services
Services provided to healthcare organizations to collect the final balance on unpaid patient accounts.
Denials Management Services
Services that help healthcare organizations ensure they get reimbursed correctly for services provided, specifically in...
Eligibility Enrollment Services
Healthcare organizations' cash flow is supported via patient advocacy services that obtain eligibility and enrollment...
End-to-End Revenue Cycle Outsourcing
End-to-end engagements in which a provider organization outsources all or key components of their patient access, HIM, and...
Extended Business Office: Large (>200 Beds)
Ongoing collection services performed by a third-party firm for the business office of a hospital with 200+ beds. Includes...
Extended Business Office: Small (<200 Beds)
Ongoing collection services performed by a third-party firm for the business office of a hospital with less than 200 beds....
Government Reimbursement Services
Services that help healthcare organizations complete Medicare/Medicaid cost reports. Includes adjustments like DSH, IME, wage...
Outsourced Coding
Engagements where a third-party firm is used to help with provider organizations’ inpatient coding, generally on an ongoing basis....
Patient Financing Services
Vendor services offered by provider organizations (through vendor/provider agreement) that give patients additional...
Physician Advisory Services
Services that help organizations with their physician and utilization review.
Release of Information
Service involving release or disclosure of patient record information and all associated tasks such as obtaining patient...
Transcription Services
Services where a provider organization outsources a portion or all of its medical transcription and/or editing to a medical...
Underpayment Recovery Services
Contingency services firms that perform audits and reviews to proactively discover missed revenue opportunity. This includes...
Value-Based Care Managed Services
Ongoing managed services that help hospitals, health systems, payers, and physicians more effectively manage patient...
Virtual Scribing Services
Services that provide remote/virtual scribes who take critical notes during patient visits and document each encounter.