Healthcare Consulting Services | Revenue Cycle Coding Strategies

Healthcare Consulting

Our nationally recognized team of medical consultants with 20+ years of experience in both clinical and non-clinical settings offer their expertise to help medical facilities reach their goals. RCCS offers consulting services to multiple areas of healthcare and several specialties including revenue cycle management, radiation and medical oncology, diagnostic and interventional radiology, and cardiology compliance. Our consultants will organize your data in a way that is easier to understand, helping you make confident decisions and allowing you to focus on projects that matter to your organization. We will help you optimize your current medical processes and lower future risk factors, making this a long-term investment in your business. Whatever your future goals, RCCS can help you reach your next milestone contact us to learn more about our consulting services.

Our Consulting Services

Revenue Cycle Consulting

Our revenue cycle consultants can help you find opportunities to regain lost revenue in your current processes and identify unnoticed factors that may be delaying or preventing timely reimbursement.

Some benefits of utilizing our expert RCM services include:
  • Receiving Appropriate Reimbursements
  • Locating lost revenue
  • Efficient claim turnaround times
  • Competitive advantage in the industry
  • And more!
Using Key Performance Indicators (KPIs), we will help you find opportunities to increase your revenue in just 60 days and provide the insights needed for you to make the best financial decision for your organization.

Customized Charge Capture Training

Our nationally certified medical consultants can determine the experience level of your team and provide them with customized specialty training.

With specialty-focused training, tailored to the experience level of your team, we can help maximize reimbursement without sacrificing compliance. Healthcare providers have the options for onsite or remote customized specialty training. Investing in your team has the biggest return on investment that could save you money. The training Includes:
  • In-depth training for staff on reviewing and validating the charges captured
  • Review of workflows related to charge capture to ensure compliance and efficiency

Electronic Health Record Assessment & Optimization Health Information Management

The medical specialty experts at RCCS will analyze documentation, coding, and charge capture within your Electronic Health Record (EHR) platform to help ensure coding accuracy, compliance, and efficiency.

During this process, our goal is to seek out repeated mistakes from previous patient encounters within your current coding and documentation. Our consultants will provide ways to optimize the use of features available within your EHR system while keeping an eye on compliance and efficiency. To ensure our recommendations are working as expected we will collect, track, report, and measure improvement, guaranteeing the success of your organization. Need help getting started? The medical specialty experts at RCCS can also assist in the transition from paper to electronic health records.

Medical Legal Consulting

RCCS offers legal consulting services to medical organizations all over the United States. We’ll help you determine areas of potential liability and the steps to take during the audit process and future appeals.

Our consultants will work with you and your legal counsel to provide guidance on the best steps to address your specific concerns and deliver the results you need with a focus on efficiency and cost-effectiveness. Whether you’re seeking to implement a proactive auditing program or are defending yourself against an external audit, you need a partner you can trust. As the experts, RCCS consultants are available to assist with a variety of legal support services, including:
  • Expert testimony
  • Audit defense services
  • Medical coding and reimbursement matters
  • Medicare and Medicaid compliance plans
  • Fraud and abuse
*Revenue Cycle Coding Strategies is not a law firm; it does not offer, and is not authorized to provide, legal advice or counseling in any jurisdiction.

Operational Assessment

Our operations team has developed benchmarks based on more than a thousand engagements that allow us to look at operations critically and provide unique recommendations.

Our operational review provides our clients with an in-depth and independent analysis of their current operations, uncovering potential opportunities to bring the practice or facility up to “best practice” standards. The operational review analyzes front-end and back-end operations that can determine staffing needs by the hour of the day, equipment capacity, replacement needs, scheduling, and call center optimization. It also reviews your revenue cycle and your overall financial performance, providing you with an in-depth review to help you determine physician compensation based on productivity, patience, and technologist workflows.

Market Assessment

Our Healthcare Market Assessment provides our clients with detailed and actionable market intelligence that can help growing facilities identify desirable market areas where outpatient services are in greatest demand and have the greatest opportunity for financial success.

The assessment takes into consideration these metrics:

  • Volume demand by modality and zip code
  • Competition density
  • Drive time analyses
  • Demographic details
  • Insurance coverage
  • Market growth.

We can also perform a detailed market Capture Analysis to estimate the projected volume estimates for a new or expanded service. The Capture Analysis considers competition saturation, drive times, pricing, and marketability to help build a financial proforma that will satisfy your partners or lenders.

Our Healthcare Market Assessment provides our clients with detailed and actionable market intelligence around volume demand by modality and zip code, competition density, drive time analyses, demographic details, insurance coverage, and market growth. The assessment can help growing facilities identify desirable market areas where outpatient services are in greatest demand and providing the greatest opportunity for financial success.

We can also perform a detailed market Capture Analysis to determine projected volume estimates for a new or expanded service. The Capture Analysis considers competition saturation, drive times, pricing, and marketability to help build a financial proforma that will satisfy your partners or lenders.

Healthcare Valuation

Healthcare valuations establish a baseline value for medical practices, joint ventures, or outpatient centers to assist with a contemplated transaction.

Using our expertise and operational knowledge we can provide unique insights into the financial performance and revenue drivers of the business with the buyer or seller. We can assist practices in preparation for sales, mergers, joint ventures, and many more. Our expertise extends to uncommon scenarios such as Fair Market valuations. Fair Market Valuations (FMV) are often required in healthcare transactions when any sort of referral-based business is involved or when one party or the other may have tax-exempt status. Whatever your stance is in the contemplated transaction, RCCS will provide the information needed to make the best decision for your practice.

Featured Articles

Add Your Heading Text Here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Add Your Heading Text Here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Add Your Heading Text Here

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Our Customers

What Our Customers Say

“The seminar was and always is informative. The updates and continuing education help me in applying coding and compliance in my job.”

  — This Guy, Probably

Our People

Melody Mulaik
Melody Mulaik

President

Tamara Syverson

Executive Director, Client Services

Cameron Dejong
Cameron Dejong

Stock Photo

Want to learn more?

Send us a message!

What We Do

Coding+

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Navigator Coding Guides

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

Coding Resources

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.