Welcome to Solutions Healthcare Management - People. Technology. Solutions.

Revenue Cycle

Solutions Healthcare Management can provide consulting services as well as a full service medical billing and collections service.

Keeping up with the changing rules and regulations related to medical billing and reimbursement is a full time job! Our experts provide the resources needed to keep on top of these ever changing rules.

Your accounts receivable are one of your greatest assets. We currently manage more than $100 million in physician practice collections.

Solutions Healthcare Management clients meet or exceed all national benchmarks for billing office operations. Our experienced billing staff works with our clients to develop custom billing methods, including fee schedule review and managed care contract pricing, efficient and accurate posting, electronic claims filing, follow-up through conclusion, and detailed accounts receivable reporting and monitoring - all in an effort to ensure faster and more accurate reimbursement. Individual services include:

Billing & Accounts Receivable
- Initial assessment
- Forms review
- Management reporting
- Days in A/R
- Work plan development
- Billing cycle review

Claims Submission
- Paper claims assessment
- Electronic claims submission

Payment Posting & Follow-Up
- Process review
- Work plan development
- Electronic remittance

Collections
- Upfront collections review and planning
- Payor mix review and illustration
- Collection percentage (gross and net) analysis and illustration

A/R Analysis
- Payor mix review and illustration
- Days in A/R
- Billing cycle review
- Development of daily/weekly/monthly reporting processes

Structure & Process Analysis
- Charge capture
- Co-pay collection
- Forms review
- Process review
- Scheduling
- Patient flow
- Paper flow
- Data tracking
- Management reporting
- Report presentation and analysis

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