REVVSOURCE

RHC CLINICS

It is estimated Every day, Rural Health Clinics (RHCs) encounter issues such as declining payment rates, rising uninsured rates, and limited to no access to specialty treatment in vulnerable or underserved areas of the country. Despite what some may consider as insurmountable challenges, your RHC clinic makes a difference in your community every day. We want to help you take that difference to the next level by improving your clinic's ability to not only offer care, but also to boost income and efficiency.

With years of medical experience, our team of experts understands that Rural Health Clinics require a revenue solution that is not only affordable, but also streamlined to focus on the issues that are most important to your providers and patients, such as a greater emphasis on Medicare and Medicaid compliance and reimbursement, provider enrollment, collections, and billing. At REVVSOURCE, we make certain that nothing falls through the cracks. When we collaborate with you, we prioritise your revenue so you can focus on making your patients yours.

CAH HOSPITALS

Because of its Critical Access classification, your facility is subject to a unique set of standards and reimbursement restrictions as a uniquely licenced hospital. Critical Access Hospitals provide critical services to remote and sometimes underserved areas of the country, and as a result, they must comply to tight and complex billing and reporting protocols while caring for their community members. At REVVSOURCE, we understand that rural hospitals have different demands than urban facilities, and we prioritise your organisation because we feel that Critical Access Hospitals are an important component of rural American life.

When you collaborate with REVVSOURCE, your Critical Access Hospital will have access to our top revenue performance solutions. Our team of RCM experts understands that Critical Access Hospitals and other rural medical organisations require a revenue solution that is not only affordable, but also streamlined to focus on the issues that are most important to your providers and patients, such as a greater emphasis on Medicare and Medicaid compliance and reimbursement, provider enrolment, collections, and billing.

Our business office workers at REVVSOURCE receive extensive training thorough our training and onboarding programme. This enables clients to receive a "off the shelf" solution to persistent staffing shortages.

The project start-up team: our expert team dedicated to serving our clients

Our Project Start-up Teams ensures that every new outsourcing project gets off to a strong start. This group is normally made up of four subject matter experts that are in charge of onboarding each new client. While we consider all of our billing personnel to be subject matter experts, this team has been carefully trained to identify and resolve issues, blockages, and trends that may be affecting billing processes and outcomes.

For example, the start-up team may discover that some payments are being posted twice (leading in credit balances) or that payments are not being posted at all (resulting in artificially open A/R) as they analyse a client's payment posting procedure. They would utilise this information to ensure an efficient payment posting process.

The Project Start-up Team also specialises in identifying billing and rejection concerns.

They systematically check existing revisions, examine how claims are processed, and scrutinise denials. If a payer denies a claim for a specific reason, an edit can be applied to stop the claim from being processed. If a denial cannot be resolved with a simple adjustment, the start-up team is experienced in modifying billing processes to avoid revenue leak.

All of their new finding and patterns are presented to the client and resolved in order to create an optimal environment for productive billing. We transition in a long-term staff to the client account once the Project Start-up staff has everything set up and working properly. That long-term team will work with our customer with the same zeal and expectations as the startup team.

Our Full-Service Outsourcing Model

REVVSOURCE offer everything from demo entry to Patient financial services, the team usually takes over after an 837 file is generated. From then on, our personnel will handle:

Billing: Includes claim changes, account overlap checks, and anything else that happens before the claim is forwarded to the payer.

Insurance & Denials follow-up: Work denials and/or insurance company follow-up.

Payment posting: After obtaining remittance advice, we can post straight into clients' systems to resolve the A/R.

Follow-up on Customer Service/Self-Pay: Sending out patient statements, following up on delinquent accounts, and so on.

RHC CLINICS

CAH HOSPITALS

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