Revenue Cycle and Revenue Integrity

A summary of services provided:

 

  1. Enable cash payment accuracy prior to service rendered based on GHS' software
  2. Proprietary algorithm establishes the right cash payment amount for each account
  3. Minimizes refunds
  4. Right size CDM to improve efficiency, compliance and better reflect service cost
  5. Streamline CDM maintenance effort
  6. Improve service estimates accuracy
  7. Maintain regulatory compliance
  8. Emergency Department Charge Capture Improvement (Annual net revenue enhancement in excess of $10M for Hospital Services)
  9. Development of Epic related Charge Description Master (CDM) and Charge Capture improvement for various Physician and Hospital departments
  10. CDM management and annual updates
  11. Financial modeling to determine CDM changes and its net revenue impact
  12. Revenue Integrity Department Strategic Planning
  13. Optimization and Automation for the following high impact areas
  14. Claim Edits logic and owning areas redesign
  15. Automation of Follow Up workflow
  16. Denial Management optimization
  17. Physician productivity and dashboard reporting

 

GHS has access to a broad range of SMRs in the healthcare industry to provide the following consulting services: 
  • Revenue Cycle
  • Supply Chain Management
  • Physician Practice Optimization.  
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