Operation Freedom could be just one phonecall away…
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Credentialing for all payers with all necessary tracking to completion of the process.
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Professional credentialing allow you to concentrate on patient care.
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Proper credentialing to reduce your billing issues.
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Changes in your practice or business status affect your reimbursement.
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Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.
Credentialing and Contracting
$100/hr
Medicare / Medicaid managed care, Blue Cross Blue Shield, Ambetter, Affordable Care Act Plans, Cigna, Aetna, UHC, Multiplan, Scott & White, Humana, Tricare among others.
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Credentialing for all payers with all necessary tracking to completion of the process.
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Professional credentialing allows you to concentrate on patient care.
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Proper credentialing to reduce your billing issues.
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Changes in your practice or business status affect your reimbursement.
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Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.
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We provide services for individual/solo providers, medical groups, clinics, physician assistants, and nurse practitioners.
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First-time submission of credentialing packets correctly reduces rejections.
Medical Coding & Billing
$60/hr
Advantages of outsourcing your medical coding to Resolution Practice Consulting:
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Fast and clean claims submissions and fewer denials.
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All coders covered by company’s privacy policy for HIPAA compliance.
- Reduced Rejections and Denial
- Normalized Cash flow
- Consistent, Reliable Reimbursement
Resolution Practice Consulting specializes in providing effective AR collections and following these old accounts by assigning a dedicated member of our team to analyze the unpaid and underpaid claims.
About our Medical Coding and Billing staff:
Our certified medical coding and billing personnel have undergone AAPC coding training. They are well updated with the latest changes in CPT /HCPCS and ICD-10 codes and use latest coding books and also have access to online medical coding software. Our Medical Coders are proficient with:
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CPT, ICD-10, and HCPCS coding across various specialties.
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Insurance and governmental regulatory requirements.
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Payer-specific coding requirements.
Audit and Recovery
$75/hr
Our audit and recovery program analyzes your accounts receivable for revenue that may have been left behind, but then so does everyone else. Genesis raises the bar by conducting a comprehensive census-based review of provider services on a patient by patient basis. If there is collectable revenue at your facility, we will recover it.
Our A/R services outpace similar consultant services because not only do we help you recover those older accounts, but during the contract period, our support services also assist with any current billing issues at no additional cost.
Your facility, literally, has nothing to lose with our A/R program, because our fee model is an industry best practice: No Recovery, No Fee!
Data Analytics
$100/hr
- Quality Assurance & Performance Improvement Monitoring
- Plan of Correction
- Mock Survey
- Survey Preparation and Remediation
- Pre-Survey Emergency Preparedness
- CAHPS Survey
- Proprietary Software for Data Analytics.
- Start-Up Agency Consulting
Practice Operation Advice
$150/hr
Best Practices: It’s important to follow best practices when it comes to revenue cycle management for your healthcare facility. We can thoroughly evaluate your medical billing, coding, and other processes to find areas for growth, such as automation and technology opportunities.
We provide a fundamental review of processes, including revenue cycle management, referral management, claims generation, and more, with recommendations for achieving best practices. Our mission is to help you maximize resources and gain a competitive edge.
Referral Management: Many home health agencies, skilled nursing facilities, long-term acute care providers, and other healthcare practices suffer from underperforming referral systems. If you’re still relying on paper-based or manual communication systems, or if you’ve identified an increase in referral leakage, we can help.
We will diagnose and improve your organization’s referral management through process standardization and centralization services, allowing for greater accountability, increased revenue, and improved capabilities.
Claims Generation: We can streamline your claims generation process to help you increase your cash flow, reduce A/R, and reduce administrative strain. Ineffective claim generation processes not only cost you money, but also deprive your patients of care. We can help get your claims generation process back on track in a timely, reliable, and compliant manner.
- Claims Generation
Referral Management
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