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Revenue Cycle Services

Our combined approach of revenue cycle solutions and web-based software applications is focused on getting superior financial and operational results for today's health care organizations.

Count on us to meet the needs of your health care organization with these resources:

Accounts Receivable Management

Cutting-edge technology and knowledgeable industry professionals come together to help you convert collections challenges into revenue opportunity.

  • Aged AR collection/reduction projects (hospitals & clinics)
  • Hospital and physician billing services
  • Revenue recovery projects
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Denial Trending

Report of denials, non-covered codes and other coding issues. Data can be used to make process improvements or implement new front-end edits.

Extended Business Office

Partnering with GAFFEY Healthcare means improved billing and accounts receivable collections, access to revenue cycle experts and a range of services that include:

  • Billing Services
  • Insurance Collections
  • Insurance Verification
  • Retroactive Medicaid Eligibility
  • Revenue Recovery Projects
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Retroactive Medicaid Search Service

Review of all self-pay patient accounts to determine opportunities for retroactive Medicaid reimbursements.

  • Contingency-based fee, applies only if eligible accounts are recovered
  • Monthly service provides list of eligible accounts to bill
  • Fast results - less than a day after submission
  • IT assistance with data extract when needed
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Managed Care Contract Analysis

Review of managed care contracts with creation of user-friendly matrix to interpret contract reimbursement.

  • 12-18 month zero account balance review
  • Pinpoints areas of lost revenue and/or contractual underpayments
  • Cost based on percent of collections

Post Acute Care Transfer Recovery

Analysis of all applicable Medicare discharges to identify all accounts that have potential for revenue recovery; then work with the facility to validate all information, correct and re-file all applicable claims.

Revenue Cycle Performance Analysis

Identification of opportunities for improvement and recommend solutions for resolution.

  • Increases opportunities for increased cash flow and reimbursements
  • On-site Business Office assessments with plan of action for resolution of identified issues
  • Interim Business Office Directors also available at a contracted rate.