Revenue Cycle Management

Managing revenue is critical to the financial health of the medical practice, and is a job which has become enormously complicated.   Engagements typically begin with a diagnosis of the problem areas.  Potential solutions include policy and procedure development of items in the revenue cycle which includes accurate patient registration, proper coding and documentation, using electronic billing whenever possible, and implementing effective reporting and follow-up.

Practices consistently request assistance in the area of Billing and coding.  A billing and coding engagement typically involves a chart review of 5 to 10 charts from each clinician on the staff.  A trained and certified coder evaluates these charts and compares them to the billing records.  A customized on-site training program is delivered based on the results of the audit to highlight for the physicians and staff any areas for improvement.  A written compliance plan, consistent with guidelines from the Office of the Inspector General, will also be created.  After helping you become compliant, our team will help you stay compliant -- which will reduce your stress.  During this process, our consultants are always looking for  opportunities to achieve additional practice revenue through accurate coding and documenting the work which is already performed.

While billing and coding are common problem areas, the best financial results are only possible with attention to the entire revenue cycle.  Very often it is the initial steps taken with the first patient encounter which prove to be important to avoid later problems.  An effective financial policy, agreed in writing by the patient, is the foundation.  Securing accurate information at the beginning of the patient relationship, and having reinforcing the financial policy with conversation by the staff will allow for accurate billing to the proper 3rd party payer.

Other problem areas arise from the mechanics of billing, with attention to the different requirements of every 3rd party payer.  Effective use of computer systems plays a vital role in this process.  Eagle can help with staff training and a continuing education program to keep your staff up-to-speed on the constantly changing billing procedures.

Effective reporting, combined Staff incentive programs are frequently recommended to align their paycheck with the objectives of the practice.  Eagle can design an incentive program that works for your unique practice situation.

In summary, Eagle Consulting can assist with a comprehensive review of the entire revenue cycle, identify any problem areas, and provide the expertise, training, and coaching necessary to help you maximize your revenue.