Revenue Cycle Management

Charge Capture Services

The charge capture process is unfortunately a high error-prone process in many healthcare organizations. Missing charges are a chief concern.

Our services include analysis of inpatient and outpatient charges and all clinic charges maintained in the hospital CDM and impacted by CMS PPS.

Our consultants will review all hospital and healthcare CDM line items for accuracy of CPT® codes, HCPCS, UB revenue codes, and modifier assignment for compliance with Federal guidelines and specific MAC rules and regulations.

Compliance

We offer a robust portfolio of compliance and revenue integrity services to include:

Documentation and coding audits
Medical necessity compliance audits
Charge capture audits
Compliance manual creation
Action plan
Policies and procedures
Corporate Integrity Agreement support services

Education Services

Personalized education guides, on-site trainings, and/or webinars developed for your specific specialty to include:

Evaluation and management services
HCPCS
ICD-10-CM
Specialty specific rules and regulations

Lost Revenue Recovery

Are you tired of leaving money on the table due to unpaid claims? Our consultants are here to help you maximize your reimbursement potential by recovering the full value of your services by performing a thorough revenue cycle assessment beginning with the patient pre-registration process through the patient collections process.

Revenue Cycle Management Services

Kennedy Neghan Healthcare Resources, LLC can assist your organization with a variety of services related to your revenue cycle process:

Billing and claims review
CDM updates and/or implementation
Education
Operational assessments
Process improvement plans
Revenue cycle policies and procedures
Software/system implementation

Who We Serve

Ambulatory surgery centers
Billing/coding professionals
Durable Medical Equipment Suppliers
Emergency departments (facility E/M services)
Ground ambulance providers
Hospitals
Independent laboratories
Outpatient walk in clinics
Payers
Practice administrators
Physician practices
Urgent care clinics