Revenue Cycle Management 1 ensure accurate and efficient payment services 2 minimize denied claims Improve revenue collection

What is Revenue Cycle Management?

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According to RevenueXL, Revenue Cycle Management (RCM) is a financial process used by healthcare practices to maximize the total patient service revenue generated by the practice as quickly as possible. This is achieved by managing and optimizing all the administrative and clinical functions contained in the revenue cycle. The RCM services for your facility will ensure accuracy and a results-oriented approach. The primary goals are to ensure accurate and efficient payment for healthcare services, minimize denied claims, and improve revenue collection. When your claims are handled accurately, and the bills are paid in full and on time, we have maximized your revenue and cash flow.

Solving Your RCM Issues

Do you need help identifying missing information and confirming insurance details before patient visits? Integrity Billing addresses these variables to minimize the likelihood of claim hold-ups.

Integrity makes informed, data-driven decisions to improve documentation and coding quality. Our comprehensive suite of RCM services is customized for each client. Integrity’s experienced team of experts serves as an extension of your business office, providing a specialized approach tailored to your needs.

We will study your performance benchmarking, root cause analysis, predictive analytics, and review operational improvements in a timely manner. We provide you with the insightful data that will help you understand your revenue cycle performance more clearly. We will identify underpaid claims and work towards recovering lost revenue. You will notice that we aggressively follow-up on unpaid claims. Once your facility begins working with Integrity, you will see a decrease in claim errors and denials.

Enhanced Compliance

RCM helps medical practices like yours stay compliant with the numerous healthcare regulations. This reduces the risk of financial penalties and legal issues. Integrity understands the importance of protecting your behavioral health or mental health facility and your patients’ data. We wholeheartedly comply with every regulation to ensure compliance.

Your Reporting Package

Integrity provides you with a standard package of monthly reports that cover various aspects of your facility’s performance. These comprehensive reports include both high-level summaries and itemized details on charges, payments, and aging receivables. By analyzing these reports, you can gain a clear understanding of your revenue cycle performance and make informed decisions to improve your facility’s financial health.

From insurance verification and prior authorization to the final payment of a balance, we can help you simplify your revenue cycle management processes. Let’s set you up for success. Contact Integrity Billing today at 561-355-5640.

integrity billing logo handshake logo solutions of north texas logo

A Testimonial We Are Proud Of

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We work with substance use disorder facilities that provide drug and alcohol treatment services.  SONTX is a non-profit center, certified as a 501(c)(3) organization. Integrity Billing has a long-standing history of partnering with SUD and Mental Health (MH) facilities which proves to be an invaluable asset when working with SONTX. Chrisina Nichols of Solutions of North Texas located in Denton, TX  tells us about her experience changing to services with Integrity Billing. “In 2018 we needed to find another Third-Party Vendor for the Insurance Claims Billing/Utilization Management portion of our Substance Abuse Outpatient Clinical Services and were referred to Integrity Billing Co. After speaking with Eric and Denise and a couple of other facilities that use their services-we contracted with them.”

 

Christina feels confident she made the right decision switching the substance use treatment facility to Integrity. She states, “From the beginning Integrity Billing has worked diligently for us through effective and timely communication. Integrity Billing Co. goes out of their way to help answer questions and resolve issues we may have with insurance providers. Even being a small facility, they make us feel just as important as a large volume client.” That is our way of working; you will see our attention to detail and leaving no stone unturned.

 

She concluded her review with the following, “Everyone at Integrity Billing has been amazing to work with and we hope to continue our working relationship with them for years to come.” We are happy to work with our clients long term.

 

Our COO Denise Corbisiero says, “It is almost impossible to find someone within a 100-mile radius that hasn’t heard of Solutions of North Texas, SONTX for short, and the amazing work they do in their community.  Collaborating with SONTX feels like working with a close family friend that you’ve known for years.”

Integrity works so closely with its clients which are deeply rooted Substance Use Disorder (SUD) centers.  Speaking of SONTX, Corbisiero states, “We highly doubt anyone has ever been turned away because they couldn’t afford the services. The owners, Scott and Leslie Wisenbaker along with the Operations Manager, Christina, make sure to supplement their insurance revenue with generous grants and donations.”

Expert Addiction Treatment Billing 

 

The team at Integrity advocates for you with a deep understanding of the behavioral health and addiction treatment industries. Our work goes far beyond billing with on demand reports and collections. We are your partner. We support your facility with comprehensive, end-to-end billing services. How does that sound?

 

Integrity is proud to be fully immersed in the behavioral health community as our team members understand its unique billing and reimbursement complexities. Taking care of your account is done with expertise, ingenuity and integrity.

 

Expect More- You Can Count On Us

 

We want to work with your facility next. Don’t hesitate to reach out and see what it is like to have a diligent team working for you and taking care of the issues with insurance providers. We can be reached at 561-355-5640.

the importance of accuracy in urology coding

Urology Coding the Importance of Accuracy

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Coding is the process of identifying descriptive terms and codes for diagnoses and medical services. These are generated from interacting with patients and other healthcare providers.  This information is gathered and then organized in alpha and/or numeric order that can then be used for charge submission, performance measurements, and data collection for emerging technology, services, and procedures.  Under the Health Insurance Portability and Accountability Act, The Department of Health and Human Services designated the International classification of Diseases and Current Procedural Terminology as the national standard code sets for healthcare professional services and procedures.

Although daunting medical billing methods are one of the most critical functions of your Urology practice.  Urology Medical coding and Urology medical billing both are terms used to refer to a set of standards and guidelines that are used to characterize what has been treated and how it was handled.  Among the many aspects of your medical practice documentation is key.  Accurately recording then transcribing that documentation into the proper codes, modifiers, and extensions help create a seamless function of proper revenue stream for the practice by reducing claim rejections and denials.  Denials however can be one of the many issues Urology practices face and failing to take safeguards to prevent denials can be costly to your practice.

Stay on top of Urology coding updates

Yearly the American Medical Association (AMA) makes new changes to the Current Procedural Terminology (CPT) codes, and it is vital to make sure your practice stays current on the most advanced coding updates.  Coding is an integral business skill that an Urology must develop and cannot be reiterated enough.  Coding is the systematic way you transcribe what you treated and how you treated in order to be paid.

Urology documentation

Documentation is critical to your Urology practice and correctly interpreting this information and transcribing it into proper codes cannot be stressed enough.  We will begin with Evaluation and Management(E&M) services new and established patient visits and consultations.  Remember moving forward coding is rule based.  Therefore, E&M documentation has strict and specific criteria that determine the level of visit performed, including the location that the service is performed.  E&M service has three key components: history, physical examine, and medical decision making.  The guidelines for each of these areas are found in the Current Procedural Terminology (CPT) codebook.  The detail included in the note needs to match the level of E&M service reported.  The physical examination must be performed and documented by the individual recording the visit.  It is recommended at this time labs and tests are documented in the medical decision-making portion.  Lastly, the assessment and plan should be thoroughly summarized.  This area of CPT coding is most complex.

Urology Modifiers

A modifier is a 2-digit code that furthers defines a CPT code.  Modifiers are used to communicate additional information to the payer and are applied for many reasons including but not limited to a return to the operating room for a related procedure or an E&M service that includes the decision for surgery.  Modifiers are designed to be used with either an E&M or a procedure code.  Memorizing all the possible modifiers is difficult, but you should be aware of all the different reasons that a modifier may be needed to complete a code.  When put to use properly, modifiers can bring accuracy and detail to the record of the transaction.