Revenue Cycle Management is not a cookie cutter
“Best Practices” approach

Stren Consulting Services has 21 years of Revenue Cycle Management experience.  We have developed data, workflow, best practices for multiple healthcare providers in multiple systems.  We know that best practices means tailoring workflow to meet your data, system, outsourcing, and staff’s needs.  This is not a cookie cutter best practices approach, it is an approach that identifies and combines the best attributes of your data, your systems, and your staff to maximize your Revenue Cycle Processes.

RCM-features

Successful Revenue Cycle Management (RCM) starts with a good strong fundamental understanding of the Revenue Cycle Management (RCM) Software.  

Stren Consulting Services has experience in a dozen healthcare systems, including
Epic, Cerner, Series, SMS, STAR, Meditech, Medhost, NaviHealth, Allscripts, Affinity, NextGen

Stren Consulting services has completed 500+ workflow systems in multiple clients throughout the United States.  We have covered all facets of the Revenue Cycle.  

A solid scheduling system and Pre-Authorization is key to determining  Medical Necessity.  Medical Necessity is one of the largest preventative denials in Healthcare today.

IV&A is a time consuming process, using a combination of technology and refined processes will help ensure that missing authorization denials are significantly reduced.

Timely coding and submission are keys to driving down DNFB days and accelerating cash collections.

Using technology and 835 data allows your teams to focus your adjudication teams into performing the proper work at the proper time.  Workflow can identify the following variables using combined data from the HIS and 835;
  • next insurance
  • allowed amount
  • copay
  • deductible
  • remaining balance

    These variables will allow for the worklists to be segmented into a more focused set of worklists; 

  • secondary insurance bills
  • move to Self Pay
  • Self Pay discrepancies
  • partial payments
  • payment review worklists 

    This allows your staff to know exactly where to concentrate their efforts and get the biggest bang for the buck.

    • Combining the data of 835/837 allows for the proper identification of denied amounts, denial reasons, and DRG classifications allows for quicker and more accurate denial analysis.  This allows the denial management team to properly identify, document, and correctly appeal the denials which directly improves Denial Management collections.

    Using technology and data Stren Consulting can lead your staff to followup the highest priority accounts at the best time.  Identifying a mix priority of balance, age, and payor will prevent accounts from being lost in the process.

    By maximizing your Revenue Cycle processes using technology.  Reporting then becomes the tool used by management to measure their successful A/R and the great accomplishments of their staff.  A successful RCM process allows the manager to truly report and analyze their A/R and not just scramble putting out fires.