How does it operate?

Doctors all throughout the country have been finding it difficult to locate an expert who can take on their administrative responsibilities so they may focus on the difficulties of delivering high-quality medical care. While the majority of doctors would much rather have a specialist handle the reimbursement process and optimize their income, they are constantly searching for others to handle their revenue cycle management.

Health Consultancy Services

Regardless of the size of your business, PBC offers completely customized consulting services to healthcare providers in terms of program knowledge, analytical services, and revenue cycle management.

The dynamic healthcare sector has recently undergone profound transformation because to advances in information technology. With regular updates regarding how government rules affect routine healthcare procedures and decisions that affect patients, doctors, and insurers equally; it needs a specialist to assess and ascertain their possible implications on each at both the micro and macro levels.

Why is professional consulting services needed?
Healthcare providers at all levels will probably want expert support to handle these revolutionary developments as the industry works to realign the relationship between key stakeholders in the healthcare system by eliminating the gaps and ambiguities. Healthcare accounts for almost 16% of the GDP of the country, making it a crucial sector to optimize revenue generation. With community hospitals experiencing financial losses and rural healthcare facing unappealing compensation, the industry urgently needs expert professional consultation to boost growth.

The tendency of the Payers to reject claims at The smallest chance exacerbates the problem even more, which is why proactive revenue cycle management requires expert assistance.

PBC offers end-to-end solutions for the achievement of your strategic, operational, and financial goals and is aware of the quickly changing healthcare landscape.

Ensuring adherence to regulations
In what ways can PBC consulting services give you a competitive advantage? We provide our expertise and experience in the healthcare sector to make sure you are equipped to handle its revolutionary advances and get ready for the wide range of accreditations and compliances in the field.

HIPAA 5010, ICD10, PQRI (Physician Quality Reporting Initiative), CPOE (Computerized Physician Order Entry), HIE (Health Information Exchange), and the most recent EHR improvements have all been brought about by the way healthcare services are evolving can assist in integrating and implementing into your system with the fewest possible bumps throughout the changeover. But it can be challenging to implement these compliances with a staff that is resistant. It’s possible that your system needs a skilled motivator with expertise in revenue cycle management.

Our billing and coding specialists are AAPC-certified, experienced, tech-savvy, and have a proven track record of providing error-free and denial-free services across all medical specialties. They are available to support our consulting services. In order to offer a proactive approach and the best skill set possible to guarantee a healthy income return for individual physicians, multispecialty groups, hospitals, and diagnostic centers across the country, these billing and coding professionals continuously update and modify their professional knowledge. With their extensive practical experience on countless projects They offer a wide range of value-added services, including knowledge of current healthcare regulations and expertise in multiple states.

In order to improve patient outcomes, we also prioritize developing norms for interoperability, privacy, data protection, and backup systems.

Through its many stages of deployment, we offer smoothly integrated full EMR solutions that significantly eliminate medical errors in normal operations and enhance the effectiveness and efficiency of patient care.

How might our revenue cycle management solutions help you maximize your returns?
After assessing your position, PBC can provide you with a comprehensive examination of your revenue cycle, identify areas of deficiency, and offer suggestions for possible improvement.

Our specialists in revenue cycle management are able to locate and reveal inefficiencies and revenue leaks using a multifaceted examination of domains like

• Needs for training
• Optimizing Workforce
• Software shortcomings
• antiquated procedure

These frequent problems frequently lead to registration errors, insufficient or no pre-verification of insurance coverage, and a deficiency of a functional program for insurance deductible and co-pay collection.

In a similar vein, thoroughly investigating payer-, patient-, and service-related receivables through the analysis of Account Receivables reports facilitates the identification of cash flow bottlenecks that can be readily fixed.

A expert is always required to prevent RAC audits and to ensure that Medicare is refunded promptly in cases where there has been an overpayment. Our experts in your office will point out these details and assist your team in incorporating them into their routines.

Our knowledgeable Revenue Cycle management consultants increase your revenue, enhance employee productivity, and facilitate seamless integration of new systems with your current procedures. We offer specialized consulting services that include thorough documentation and analysis of all pertinent revenue cycle procedures, including concerns about adhering to HIPAA privacy requirements.