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Maximizing revenue, ensuring compliance

At Orizon Consulting, our billing assessment and compliance services are designed to help your agency optimize its revenue cycle management (RCM) processes and ensure compliance with regulatory agencies. With plenty of experience in the industry, our team has managed all facets of the revenue cycle for numerous home healthcare institutions.

Our billing assessment and compliance services begin with a detailed assessment of your practice’s billing environment and overall financial health. Our team will review your billing platform and clearinghouse, coordinate with your team, and review all financial data to provide you with a comprehensive analysis of your key factors, pain points, and areas for improvement.

What You Can Expect from Our Billing Assessments

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In-House Compliance Program Review

We’ll review your in-house compliance program to ensure that you’re meeting all regulatory requirements. Our team will identify areas for improvement and recommend changes to help you achieve greater compliance.

CPT Coding Review

We’ll analyze your billing procedures and CPT coding to ensure that you’re maximizing reimbursement for services provided. Our team will identify areas of revenue loss and recommend changes to improve billing procedures.

Billing and Collection History Analysis

We’ll conduct a detailed analysis of your billing and collection history to pinpoint areas of opportunities for improvement. Our team will recommend changes to help you address situations where claims are denied or inadequately paid.

Fee Schedule and Provider Arrangement Review

We’ll review your fee schedules and provider arrangements to ensure that they’re aligned with industry standards and regulations. Our team will recommend changes to help you avoid claims denials and ensure adequate reimbursement for services provided.

Operational Reviews of Billing Functions

We’ll examine your billing functions to determine whether they’re appropriate and whether you have the necessary resources to perform activities. Our team will recommend changes to help you streamline patient registration, correct missing information, and improve bill collection efforts.

FAQs

What is a billing assessment, and why is it important?
A billing assessment is an analysis of your home healthcare business’s revenue cycle management processes to ensure compliance with regulatory agencies and maximize reimbursement for services provided. It’s important because it helps identify areas of opportunity for improvement and ensures that your business is meeting all regulatory requirements.
What does the billing assessment process involve?
The billing assessment process involves a comprehensive review of your billing and collection history, fee schedules, provider arrangements, and operational processes. Our team will identify areas of opportunity for improvement and recommend changes to help you optimize revenue cycle management and ensure compliance.
How long does a billing assessment take?
The length of a billing assessment depends on the size and complexity of your home healthcare business. Our team will work with you to develop a timeline that fits your needs.
What types of compliance issues do you address in a billing assessment?
We address a variety of compliance issues in a billing assessment, including HIPAA compliance, Medicare and Medicaid regulations, and other regulatory requirements that apply to home healthcare businesses.
Will you provide recommendations for improving our revenue cycle management?
Yes, we’ll provide detailed recommendations for improving your revenue cycle management based on our analysis of your billing and collection history, fee schedules, provider arrangements, and operational processes.
How can Orizon Consulting help my agency improve compliance?
We can help your agency improve compliance by conducting a billing assessment and providing detailed recommendations for improving revenue cycle management processes. Our team can also provide educate your staff to ensure they are up-to-date on the latest regulatory requirements.

Get in Touch

Send us a message today to learn more about how we can help you.