The value that clinicians bring to the treatment they offer to patients, not the number of patients they see, determines how much Medicare and payers pay physicians.
In order to obtain proper payment, our highly qualified personnel examines the documentation to confirm the medical need of the procedures. The Recovery Audit Contractor (RAC) and Zone Program Integrity Contractor (ZPIC) prevent recoupments, penalties, and sanctions as a result of this review, which also improves reimbursement from the employers.
Physician Quality Reporting System (PQRS), Meaningful Use (MU)-EHR Stage-II, Value-Based Modifier, and Medicare Access and CHIP Reauthorization Act (MACRA)-Mercitory Based Incentive Payment System (MIPS) are examples of star ratings and quality data submission requirements. These services are the new requirements for providers to meet in order to stay in compliance with the industry. To ensure compliance and on-time payment, we assist providers in navigating these important areas.
We handle medical billing, coding, accounts receivable follow-up, and prepayment/postpayment audit compliance for hospitals and traditional providers. Dynamic Information Technology in Healthcare Services include charge capture, Electronic Clearing Service (ECS), Explanation Of Benefits (EOB) posting, demographic entry (CMS-1500/UB-04), accounts receivable follow-up, and compliance support.
For a clinical laboratory to maximize its financial performance, revenue cycle management (RCM) auditing and consultancy are essential. In addition to maximizing reimbursements and maintaining regulatory compliance, these services aid in ensuring correct billing.
Conducting quality, regulatory, and compliance audits is a crucial procedure to guarantee that clinical laboratories maintain high-quality operations, comply with regulatory requirements, and follow industry standards. These audits aid in pinpointing areas in need of development, guaranteeing adherence to pertinent regulations, and improving overall laboratory performance.
A laboratory information system, or LIS, is a software program made to process, store, and manage data and workflows in a clinical laboratory. A clinical laboratory's operational efficiency, accuracy, and compliance can all be greatly improved by implementing a Laboratory Information System (LIS).
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