When the revenue cycle team at SMSC partners with your practice, we ensure you’re not leaving money on the table and allow you to focus on your core business: providing excellent patient care.
Being diligent in your organization’s revenue integrity can include both improving overall compliance and identifying revenue opportunities. Staying on track with these processes takes a professional, certified team who closely follows policy trends, laws, and regulations for accurate coding and documentation. This ensures you’re being properly reimbursed for your services.
“In the healthcare industry we understand the comprehensive approach that a person should be taking for their own health. Spectrum Management Services Company takes just as thorough an approach with your organization’s financial health,” explains Patty Frechette, director of revenue cycle at SMSC.
When the revenue cycle team at SMSC partners with your practice, we handle all aspects of revenue integrity, including customizing documentation tools to the needs of your organization. This ensures you’re not leaving money on the table and allows you to focus on your core business: providing excellent patient care.
Our talented team offers a range of services, including executive-level strategy, comprehensive analysis, billing and coding services, day-to-day operations, bookkeeping and support, and everything in between.
Here are four areas where our revenue cycle team can help improve your practice’s financial health:
1. Identifying discrepancies and creating process-simplifying tools
Our dedicated team will help identify any discrepancies in your current revenue process. This review includes physician documentation, payer guideline adherence, charge master setup, and the accuracy of claim preparation and submission.
Proper documentation during a consult is the first step to avoid unnecessary claim denials. When your provider has an easy tool that supports all payor requirements, the continuation of the claims process is going to stay on track.
2. Creating a customized revenue action plan
In reviewing our clients’ coding in their charge capture practices, we often find opportunities for revenue enhancement and recovery. Once we have reviewed your current practices and conducted a comprehensive analysis, SMSC will create a customized plan for your in-house team members to follow.
We can also continue to partner with your organization to implement and manage the process.
3. Tracking every step of the claims process
SMSC’s revenue cycle team can help you eliminate revenue loss or delay by tracking the claims process. This includes pre- and post-claim or billing edits, returns for additional information or addendums to providers, and timely filing of claims.
Our team will identify the trends unique to your organization and create proactive solutions, ensuring you’re taking every possible revenue opportunity.
4. Staying on top of policy trends
Keeping up with ever-changing policy trends and regulations will ensure that you’re being properly reimbursed for your services — and not leaving money on the table.
We can help you understand unique payor rules, such as the correct modifiers or coding bundles. This saves you from regulatory missteps that could lead to compliance circumstances your practice doesn’t have the time to deal with.
5. Customizing staff training
Our team can prepare your in-house staff for achieving professional certifications by customizing education and training for their specific needs. This kind of investment in personnel is key to building an efficient, thriving practice for the long-term.
It’s also one of the facets of comprehensive revenue cycle support that SMSC excels at, thanks to having a highly experienced team dedicated to the revenue cycle aspect of practice management.
“Working in revenue cycle means that I get to focus on the business portion of a medical practice, which ultimately trickles down to a seamless billing process for patients — and financial peace of mind for providers, allowing them to fully focus their time on patient care,” notes Patty.
To speak with Patty Frechette directly, please email her here.
You can read more about SMSC’s revenue integrity services here.
SMSC offers a full suite of practice management services either collectively or on an a la carte basis:
| Credentialing & Payor Enrollment | Payor Contracting |
| Executive Management & Practice Leadership | Physician Recruitment |
| Financial Strategy & Support | Quality, Risk & Patient Experience |
| Human Resources & Employee Development | RCM & Billing Services |
| Information Technology | Revenue Integrity |
| Marketing, Communications & Analytics |