Optimizing collections of owed revenue in a timely matter and preventing claim denials is top of mind for any healthcare organization confronted with decreasing payor rates and Medicare cuts.

 

Additionally, system inefficiencies should be carefully considered in an era of shrinking margins and at worst can prop an institution up for low operating cash reserves.  If processing errors are allowed to move through the claims cycle, it negatively impacts your A/R days outstanding and increases the inertia needed to recover lost revenues associated with those errors.  Suffice it to say; the inability to identify front-end errors can result in substantial rework and lost productivity.

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Genesis Medical Consulting brings fresh and relevant expertise to what many consider a mature industry. We not only grasp the importance of technology and data analytics but understand uniquely how many ASO's do not meet their co-fiduciary obligations when it comes to claims processing on behalf of self-funded clientele.

 

Denial Management requires expertise in ERISA and PPACA for any out-of-network provider. It also requires a well crafted strategic approach for in-network providers. 

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Through our proprietary technology app's and AI - we have taken our approach to AR to a whole new level. Sophisticated algorithms designed to reduce human error and transactional speed have afforded us robust claims resolutions rates and outcomes. Your organization is just ripe for the ride. Let us help bring needed revenue to your bottom line. We can assist with:

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• Accounts Receivable

• Payment Posting

• Coding/Audit Support 

• Prior Authorization

• Telehealth

• Virtual Scribe

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