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Hospital/Provider Services

	Revenue Cycle Management Services Clinical Analytics Pay 4 Performance

	Revenue Cycle Management Services
	Overview
	Growing service demands, thin operating margins, changing regulatory landscape and intense competition continue to challenge Hospitals, Providers and Health Systems. Ineffective revenue cycle management can cost a hospital up to three percent of annual net revenues. With the current trend of high deductible health plans, the ability for the healthcare provider to accurately estimate the patient portion of billable charges has an impact on receivables. Compliance & Internal controls play a vital part in reducing the risk associated with heightened scrutiny from governmental bodies challenging the Medicare and Medicaid coding and billing practices of health care providers. In this high-pressure environment, managing your bottom line has never been more critical. iSpace's revenue cycle management solution help provider organizations achieve their goals of higher-performance in revenue management while bringing in best practices that impact control and compliance. iSpace’s comprehensive suite of revenue cycle management services are customized to meet our clients needs and deliver immediate bottom line benefits by streamlining the entire revenue flow. To optimize profitability, iSpace brings best practices to all patient interactions — from pre-registration data collection, eligibility, coding, billing to final payment and collections.

	iSpace’s Revenue Cycle Management Services include:
	Consulting & Business Process Analysis: Our revenue cycle consulting service helps analyze your current revenue cycle operations and focus on ways to improve workflow and recover lost revenue. Poor revenue collections stem from multiple root causes including deficiencies in education, training, staffing levels, process workflow, and poorly implemented IT applications. Each deficiency must be addressed as part of a coordinated solution to obtain real improvement. As part of the consulting process, our six sigma consultants establish baseline measurements of a provider's financial and revenue cycle performance and create applicable benchmarks. As part of the Analysis a detailed operational assessment of the current revenue cycle process is created with opportunities identified for improvement. A detailed desired state process is created with recommendations for the creation, and implementation of workable solutions for revenue improvement. CBO Outsourcing: Our revenue cycle solutions integrate the right combination of people, processes, and technology to help our clients optimize revenue, improve cash flow and enhance productivity. Our professionals can help with: Business office and patient access management Patient scheduling Insurance & Eligibility verification Patient registration Third-party billing and follow-up First-party collections Payment posting and adjustment processing Denial Management Customer service & reporting A/R Management: As a non-core business function within most Provider CBO’s, the AR process is neglected leading to ineffective cash collections. iSpace can improve this portion of the healthcare revenue cycle with AR Management services that improve efficiencies, improve collections while lowering costs. Coding: Our certified coders understand that coding is the cornerstone for reimbursements, compliance and outcomes analysis. Our coders are well trained to evaluate and interpret health records, supporting documentation and reports to accurately code diagnoses and procedures according to recognized standards. Our coders are proficient with CPT, ICD-9, and HCPCS coding across various specialties, insurance and governmental regulatory requirements and payer-specific coding requirements. Our coders currently code for individual physicians, physician groups, free standing diagnostic facilities, long term care facilities and Hospitals. Following are some of the specialties we have expertise in: Anesthesiology Cardiovascular Surgery Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice General Surgery Gastroenterology Geriatrics Hematology / Oncology Internal Medicine Neurology Neurosurgery Nuclear Medicine Obstetrics/Gynecology   Orthopedics Pediatrics Plastic Surgery Pain Management Pathology Psychiatry Podiatry Pulmonary Radiology Urology

	Benefits from RCMS:
	By outsourcing the CBO to iSpace, clients can realize measurable and sustainable results and improvements to the bottom line such as: Increased net cash Bad debt reduction Fewer days in A/R Improved relationships with both physicians and patients As the bottom line improves, our revenue cycle solutions indirectly help drive improvements to the quality of the services you provide.

	Technology:
	Technology: As part of our service delivery, iSpace can bring the following technology & services to improve the RCMS process: Document Management System Mail room services E-Billing engine and service E-Eligibility verification engine Workflow automation system Remote coding systems Denial Management system Debt collection software

 

 

	Clinical Analytics
	Summary
	iSpace is dedicated to helping our healthcare clients achieve quality of care, maximize revenues, reduce costs, or gather evidence to implement organizational change through decision support tools, benchmark databases, and research services. Our solutions and expertise provide a powerful view of hospital and health system clinical performance to help your team detect unseen inefficiencies, prioritize opportunities and set improvement goals based on relevant, dependable quantitative information. Our team of technology specialists and healthcare industry experts deliver some of the best-in-class business and clinical intelligence solutions and services for hospital executives and physicians. We have a deep understanding of different facets of the industry and provide solutions spanning different areas - healthcare finance, operations, medical management, quality of care, regulatory compliance and key performance indicators, to name a few.

	Solutions
	iSpace Clinical Analytics and Intelligence System provide quantitative evidence of unique customer performance management which compare and aggregate data and include clinical process, outcomes and cost variables. Our end-to-end services include Strategy, Analysis, Design, Data Migration, and Implementation to Deployment. Hospital Financial Analytics Operational and Financial Improvement Clinical Cost and Quality Management Data Analysis Benchmark Comparisons (DRG, Physicians)

	Features
	Executive Management Dashboards and KPI’s Hospital Value Reporting (Cost Savings/ ROI) Hospital/Physician Scorecard Physician Performance Management System Hospital Performance Benchmark System Clinical Quality Management Reporting Benchmarking clinical & financial performance based on Hospital Profile Case Mix / Severity Adjustment Wage Index Adjustment AHRQ Indicators Charge, Cost, Reimbursement & Profit data By Hospital, MDC, DRG, APC, HCPC, Department DRG Coding Analysis

	Benefits
	Drive operational process efficiencies thru clinical and financial outcomes Provide precise and relevant information to help hospitals lower costs and increase efficiencies Improve care quality, patient safety and outcomes Evaluate outcomes with a dashboard of mission-critical benchmarks, including AHRQ national indicators, complications, risk-adjusted mortality and resource metrics Provide a timely snapshot of performance on individual measures, down to the patient and physician level Gain new ideas based on best practices with qualitative, evidence-based information that complements quantitative and comparative information Evaluate cost performance and FTE utilization to identify factors driving high costs and to build accurate budgets Develop a baseline financial position for planning by analyzing volume, revenue and value based on relevant and reliable, quantitative information

	Technology