Payer Denial Management Auditing and Consulting
Struggling with denied claims and other inefficiencies that are dragging down your financial performance? Our revenue cycle strategists have been auditing and optimizing revenue cycles for over two decades to help health systems and practices realize their greatest revenue efficiencies.
Get the right personnel, services, and tools for a comprehensive review of your claims, proration rules, billing groups, and other key areas for denial management.
Identify revenue cycle inefficiencies with hands-on implementation, preliminary and final written assessments, and detailed recommendations for remediation.
Proactively identify the root cause of claim denials, fine-tune procedures, and speed responses to ensure more claims are paid on the first submission.
Security Compliance Auditing
What’s holding you back from achieving your security compliance goals? If you don’t have the time or resources to identify and fix compliance issues or stay on top of the latest standards, experienced healthcare revenue cycle compliance auditing is the answer.
Prove that your organization has the security framework to operate with the highest data security and privacy standards.
PCI DSS Accredited
Meet the stringent laws and compliance guidelines required to accept credit card payments at your healthcare facility.
Complete all of your compliance audits simultaneously to save time and money with our certified HIPAA, HITRUST, and PCI DSS auditing.
Uncover Issues in Your Receivables Management Systems
As one of only two companies in North America with PCI DSS Qualified Security Assessor, FedRAMP/3PAO, and HITRUST CSF Assessor certifications, we can quickly remediate control gaps and eliminate assessment findings with scalable, cost-effective compliance solutions.
- Comprehensive audit strategy with compliance goal setting
- Technology and vendor agnostic
- Audit options ranging from least capital investment to full remediation
- Deep expertise in auditing and RCM consulting to help your organization make the right decisions
- Speedy implementation
- Ongoing compliance management
It’s time to get compliant and stay there.