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Capabilities

Revenue Cycle Management

Unleashing Revenue Potential

Revenue is the bottom line of any organization, and by optimizing revenue cycle management, organizations can maximize their revenue potential, increase cash flow, and improve overall financial performance. Insurance companies make it challenging for healthcare organizations to receive full reimbursement for claims, which necessitates organizations to have robust revenue cycle management processes in place. Redefine Management can help your organization effectively navigate the complex healthcare reimbursement landscape while maximizing revenue and delivering a high-quality experience to patients.

Our team stays up-to-date with the latest coding guidelines, regulations, and payer requirements. We will first review your organization’s billing and coding processes to ensure compliance, while also identifying any coding errors, inconsistencies, or missed revenue opportunities. Based on the findings of this audit, Redefine Management will provide recommendations for policies and procedures that align with regulatory requirements as well as process improvements that can help streamline operations in this department. This may include technology solutions that can automate coding processes, facilitate accurate documentation, and enhance billing efficiency. We also offer training programs and educational resources for staff members involved in the billing and coding processes.

Redefine Management will evaluate your organization’s current claims management process, including submission, tracking, and follow-up. We will assess these workflows and identify areas of improvement, which will help expedite claims processing, reduce delays, and enhance revenue efficiency. We can analyze trends in claim denials to minimize future denials and appeal denied claims to increase revenue recovery and reduce revenue leakage. Redefine Management can also review your contracts with payers to ensure they align with negotiated terms and fee schedules, identifying any discrepancies or underpayments.

Unleashing Revenue Potential

Revenue is the bottom line of any organization, and by optimizing revenue cycle management, organizations can maximize their revenue potential, increase cash flow, and improve overall financial performance. Insurance companies make it challenging for healthcare organizations to receive full reimbursement for claims, which necessitates organizations to have robust revenue cycle management processes in place. Redefine Management can help your organization effectively navigate the complex healthcare reimbursement landscape while maximizing revenue and delivering a high-quality experience to patients.

Our team stays up-to-date with the latest coding guidelines, regulations, and payer requirements. We will first review your organization’s billing and coding processes to ensure compliance, while also identifying any coding errors, inconsistencies, or missed revenue opportunities. Based on the findings of this audit, Redefine Management will provide recommendations for policies and procedures that align with regulatory requirements as well as process improvements that can help streamline operations in this department. This may include technology solutions that can automate coding processes, facilitate accurate documentation, and enhance billing efficiency. We also offer training programs and educational resources for staff members involved in the billing and coding processes.

Redefine Management will evaluate your organization’s current claims management process, including submission, tracking, and follow-up. We will assess these workflows and identify areas of improvement, which will help expedite claims processing, reduce delays, and enhance revenue efficiency. We can analyze trends in claim denials to minimize future denials and appeal denied claims to increase revenue recovery and reduce revenue leakage. Redefine Management can also review your contracts with payers to ensure they align with negotiated terms and fee schedules, identifying any discrepancies or underpayments.

  • Join the Team

    Maximize your organization's revenue potential and navigate the complexities of insurance reimbursement with Redefine Management as your trusted partner in revenue cycle management. Our comprehensive services in billing and coding, as well as claims and denial management, are designed to ensure compliance, optimize operations, and increase revenue efficiency. We provide expert guidance, implement process improvements, and offer training programs to enhance the skills of your staff. Schedule a consultation with Redefine Management today.

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