The advent of value-based payment has brought on a multitude of clinical documentation complexities. CMS is increasing scrutiny, as evidenced by Targeted Probe and Education (TPE) reviews. This can be a very time-consuming process to manage.
Few provider organizations have the internal resources needed to keep pace with continuous changes in requirements and guidelines. That’s where Medicor Group comes in.
> Learn how Medicor Group helps hospitalsPhysicians are required to provide timely and accurate documentation for billing and must demonstrate compliance with the Centers for Medicare & Medicaid Services’ (CMS) ever-expanding quality reporting system.
On average, most physicians dedicate one day per week on administrative tasks. Reassigning revenue cycle management by outsourcing frees up that time to treat patients.
> Learn how Medicor Group helps physicians
Payers can find many reasons to deny a claim. Medicor Group created a review process to ensure that claims are processed and paid. Denials have become the norm for both facility and professional claims. Our Denials Director identifies payer trends by analyzing A/R and works with the client to mitigate both avoidable and unavoidable denials.
Inaccurate documentation often leads to inappropriate or unsubstantiated coding. Medicor Group provides a thorough review of documentation and queries physicians/clinics to ensure an adherence to national and local coverage determinations.
Medicor Group functions as back office support to help collect small balances that would either become bad debts or be written off. Wound care accounts are small balances in nature. Without intentional follow-up those small balances can begin to age and accumulate into a significant balance. Medicor works those accounts on your behalf on a contingency. We don’t get paid if you don’t get paid!
Payer contracts, chargemaster, point of service collections, and third party vendors all have an impact on revenue cycle. Medicor Group will review your internal team’s process to ensure maximum reimbursement.
Vanessa monitors industry trends as well as payment and denial patterns in state and federal healthcare markets. She oversees denials reporting, recovery efforts, payor audits, and revenue integrity.
“Payor denials have not changed, however, managing them has become a great challenge. At Medicor Group, we feel it’s important to proactively identify root causes, reduce denials, and help our partners transition from denials management to denials avoidance.”
Rylan works with all clients to find the best revenue cycle solutions for their needs. With over 20 years of healthcare experience, He oversees the operations and business development of the company.
