Revenue Cycle Management

TCG is focused on improving your entire healthcare services revenue cycle. This cycle starts with scheduling and ends with cash collections. Throughout the revenue cycle breakdowns can occur. Rarely revenue cycle problems stem from a single source; in our experience you find deficiencies in education, training, staffing levels, workflow, or poorly implemented computer software. Each deficiency presents an unacceptable risk and must be addressed as part of a comprehensive solution.

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    Patient Access Care Assessment

    Our experienced Patient Access Consultants gathers information necessary to assess department staffing, skills, processes and system usage.

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    Revenue Integrity Assessment

    Our consultants work closely with your organization’s existing multi-disciplinary teams using a work by exception approach to ensure optimal charge levels and a clean billing environment.

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    Accounts Receivable Assessment

    We will analyze your 837 Electronic Claim Filings and 835 Electronic Remittance Processing transaction activities to assist in determining deficiencies.

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    Optimizing Operations and Financial Results

    TCG will provide a written work plan containing the assessments of your overall revenue cycle operations, and recommendations for the creation, implementation and monitoring of workable solutions.

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    Cash Acceleration

    TCG will zero in on backlogs in accounts receivables.  Most healthcare organizations do not have the staffing needed to follow up on outstanding receivable once the business offices falls behind in billing and collections.

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    Denial Management

    Based on hospitals surveys, managed care claims in a “denied state” range between 10-20% of open A/R.  Therefore at any given time, a hospital with $20 million monthly net revenue will have $2-4 million in an open perpetual status of denial.

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    Interim Management

    Innovations in the financing and delivery of hospital care are occurring at lighting speed.  A skilled interim can play a unique role in positioning the incoming revenue cycle leader for success.

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    MEDITECH Process Improvement Program

    TCG has developed a MEDITECH specific process improvement program for healthcare organizations that have MEDITECH but are still struggling with optimizing performance around billing and accounts receivable.