Revenue Cycle Operations Services

The BESLER Consulting Revenue Cycle practice encompasses a complete line of services covering the core operational areas as well as other unique strategies. BESLER Consulting offers client specific solutions to restructure or improve Revenue Cycle functions, and our team of dedicated consultants work from an exclusive “hands-on” approach of supporting healthcare institutions.  We provide the following Revenue Cycle Services:

Comprehensive Revenue Cycle Assessment
BESLER Consulting takes the Traditional Revenue Cycle Assessment one step further by providing your organization with institutional specific strategies as well as a hands-on implementation approach. Besler Consultants will take ownership in realigning your Revenue Cycle from a project management perspective and work side by side with your organization developing and implementing a process improvement initiative.

Focused Rapid Revenue Cycle Review 
The Rapid Revenue Cycle Assessment is a complete Revenue Cycle review that will provide your institution with a snapshot of performance all in a 1-2 day audit. This assessment reviews Key Performance Indicators as well as departmental policies and procedures to determine how aligned your organization is with best practices.

Policy and Procedure Development
BESLER Consulting can provide a full review of your institutions policies and procedures as it relates to the Revenue Cycle with the intention of identifying ambiguous language, improving operational procedures and developing methodologies to increase staff efficiency, productivity and bottom line profitability.

Charity Care and Bad Debt Process Review
BESLER Consulting can help you assess your Charity Care and Bad Debt process to ensure your success. You know you are providing the care, but if you cannot qualify the patients and submit the claims efficiently you are losing out.  Regardless of whether you use an outsource vendor or not, let us show you how you can: streamline the process for qualifying patients for Charity Care, Use computerized matching to “mine” your data for approved cases, Establish proven checks and balances for insurance verification to maximize your opportunities for self pay to insurance conversions and Streamline your Charity Care audit preparation process.

Managed Care Contract Review 
As Managed Care Organizations (MCOs) continue to expand and enforce new administrative policies and regulations, hospitals must adopt and implement strategies to continuously monitor the performance of their managed care contracts across all points of the revenue cycle in order to achieve optimal reimbursement.  BESLER Consulting’s extensive experience in the managed care arena coupled with its knowledge of the HMO regulatory environment brings parity to our clients’ relationships with managed care orga¬nizations. The firm’s highly experienced managed care specialists have assessed and negotiated the full gamut of contract terms, from capitation to inpatient to risk sharing. The firm maintains a reputation for quality combined with a team approach to provide the following categories of services: contract evaluation, contract negotiation, as¬sessment of payer performance and operational Improvement

Dialysis Revenue Cycle Assessment 
BESLER Consulting assists facilities to bridge the communication and workflow gaps that occur within its operation. These gaps lead to unnecessary duplication of efforts resulting in delays in billing and collections. Our extensive audits include a comprehensive examination of the revenue cycle through one-on-one and group interviews of key staff members within each of the relevant departments. In addition, BESLER Consulting staff will implement audit techniques that will assist in identifying inefficiencies that cause bottlenecks within the revenue cycle. After collecting and evaluating pertinent information, BESLER Consulting will report its findings and present customized recommendations and process improvement ideas that address the issues that impacted the revenue cycle. By successfully implementing these recommendations, the renal center will improve its overall operational efficiency. Eventually, the renal center will realize its return on investment for this audit with increased overall net patient revenue.

Dialysis Billing Support and Recovery
BESLER Consulting ensures that coding and charges for provided services are properly recorded and accurately flow from the Medical Record and Chargemaster to the final bill, based on Medicare and third-party payer regulatory requirements. Our team identifies inaccurate and vague charges that decrease the department’s ability to maximize revenue and reveal areas of the revenue cycle that are inefficient and costly. With strategies designed to improve revenue and decrease costs, BESLER Consulting can help improve the renal center’s overall net patient service revenue. BESLER Consulting has the experience and resources necessary to assist facilities in collecting receivables that have been delayed and remain open. The cash acceleration initiative can reflect a return on investment within 60 to 90 days.

AR System Conversion Assistance and Solutions
Significant planning, training and preparation is required in making the transition to a new AR System Conversion or AR System Implementation smooth. Without appropriate focus on managing receivables throughout a conversion or upgrade, there may be a negative financial impact on the expected outcomes. With the focus on new systems and procedures, maintenance of many legacy AR systems are neglected.  Subsequently, receivables residing on the outdated system are often forgotten, until it is too late.  This is where BESLER can help!

BESLER Consulting will provide a temporary AR Reduction staff and management, assuming responsibility for effective and efficient resolution of all remaining receivables on your legacy system.

Point of Service Collections Review
As patients pay more of their healthcare costs out-of-pocket in the form of increasing co-pays and deductibles, hospitals must focus on improving their point-of-service (POS) collections. BESLER Consulting will assess your hospital’s readiness to increase POS collections. We will recommend process improvements to boost performance at the point-of-service and help standardize these practices across the organization. Then facilitate critical employee buy-in with custom designed education and training for registration staff.

Revenue Cycle Process Improvement Implementation
Organizations are realizing the benefits of streamlined operations, the best way to increase back end collections is to integrate the entire Revenue Cycle Department. Integration of the Revenue Cycle leads to increased productivity and a healthier bottom line. Besler Consulting has assisted numerous hospitals in aligning themselves with benchmarked standards of success.

The Revenue Cycle snapshot will give your organization a brief overview of the areas for improvement. Hospitals continually loose about 13% in revenue due to billing errors, underpayments and uncollected self pay debt. The back end staff spends about 80% of their time reworking unclean claims. Besler Consulting will assist your organization with implementation of procedures that will increase the bottom line, leading to increased revenue enhancement and more efficient allocation of employee time.

Interim Management Support
What Revenue Cycle Executive doesn’t need project help?  Typically every Revenue Cycle Executive has at any given time 4-6 projects waiting implementation, but with management vacancies those projects rarely become a reality.  Besler Consulting will come in and fill the void in management to successfully implement corporate strategies and visions.  Our industry professionals have the experience and dedication to become and active members in your revenue cycle.
 
Whether your organization is trying to implement back burned projects or fill management vacancies, Besler Consulting can assist your organization to build a more efficient revenue cycle.

Physician Billing and Practice Analysis
Encompasses a full audit of operational processes, computer system efficiencies and/or inefficiencies, staff and resource allocation, and revenue cycle trends to improve overall financial performance. This assessment evaluates the full scope of the revenue cycle with the purpose of identifying immediate opportunities to increase cash flow and reduce receivables. 

Automated Revenue Integrity Application
The average Hospital is losing 1%-3% of net patient service revenue due to revenue integrity issues.  Complex federal and commercial payer rules make it difficult to obtain 100% of the reimbursement to which a provider is entitled.  A clean claim does not equal an optimal claim; claim editors don't detect all revenue integrity issues (compliance and potential missed revenue).  Further, RACs and other auditors put even collected revenue in peril.
 
BESLER's Revenue Integrity Auditor™ 
The average Hospital is losing 1%-3% of net patient service revenue due to revenue integrity issues.  Complex federal and commercial payer rules make it difficult to obtain 100% of the reimbursement to which a provider is entitled.  A clean claim does not equal an optimal claim; claim editors don't detect all revenue integrity issues (compliance and potential missed revenue).  Further, RACs and other auditors put even collected revenue in peril.

BESLER's Revenue Integrity Auditor TM combines the revenue cycle and reimbursement expertise built by BESLER in almost 25 years of consulting to hospitals.  This expertise built into Revenue Integrity Auditor TM identifies issues and opportunities, quantifies them and provides an action plan to address and qualify them.  The easy to use web based service provides an easy to justify ROI and includes full reporting of uncovered revenue opportunities.