Revenue Enhancement

HealthNET will implement a step-by-step revenue cycle review process that integrates operational procedures and information systems. The goals of this process include improving accuracy of the following: 1) insurance eligibility/authorization in patient scheduling, pre-registration, and registration, 2) appropriate charging and coding, 3) billing and claims, and 4) follow-up and collections. HealthNET’s revenue enhancement services include:

  • Organization/education of multi-disciplinary team on integrated approach to revenue enhancement
  • Identify practical changes that consider staffing coverage/skills, information technology, payer capabilities, and patient demographics
  • Assessment of current procedures; measurement of performance in scheduling/registration, insurance eligibility/authorization, charging, coding, billing, and collections
  • Analysis of procedures and related information system configurations
  • Plan process and system changes according to a benefits/effort index
  • Implement key revenue enhancement initiatives resulting in improved patient access functions, more effective coding practices, reduced A/R days and denials, and enhancement of cash collections