Revenue Cycle Management

Whether your organization is seeking to enhance revenue realization or maximize cash flow, Prism’s healthcare revenue cycle management consultants provide experienced “boots-on-the-ground” implementation support backed by rigorous analytics to drive actionable and sustainable improvements across the entire revenue cycle continuum. We leverage decades of revenue cycle experience to deliver customized solutions for hospitals, health systems, and academic medical centers.

Patient Access. Navigating patients efficiently and effectively through the administrative process is a critical component of patient satisfaction and data accuracy. Prism has substantive experience helping organizations improve patient registration, financial counselling, cash at point of service, and other front-end revenue cycle functions to ensure the smooth flow of patients and related financial information.

Revenue Enhancement. For healthcare providers looking to grow top and bottom-line revenues and achieve price transparency, Prism’s healthcare revenue cycle management experts offer chargemaster pricing services to ensure you have defensible prices and are charging appropriately to qualify for optimal episodic reimbursement. We also assist with compliant charge capture and Clinical Documentation Improvement to further boost episodic and risk-based reimbursement by ensuring the integrity of provider documentation.

Revenue Realization. For hospitals and health systems seeking to maximize revenues on specific services and improve their yields, Prism’s healthcare revenue cycle management consultants can identify areas of opportunity to drive additional cash from operations on a sustained basis. We work with you to reduce denials, identify alternate payors for coverage, and reduce cost to collect through process improvements. Using information gathered from payor denials, we help your team build appropriate front-end controls and edits to drive accountability. Additionally, we align with our clinical performance team to reduce clinical denials at the source.

Cash Acceleration and Cash Flow Optimization. Prism’s healthcare revenue cycle management experts use proven cash acceleration methodologies to help organizations quickly liquidate aging and at-risk accounts receivables into much-needed cash. We utilize lessons learned from cash acceleration initiatives to provide “Redesign in Effect” solutions to real-time challenges and barriers. Working closely with your leadership team, we will identify the optimal blend of in-sourcing and outsourcing to maximize results in the most cost-effective manner.

Organizational Optimization. We can help you develop and implement a customized revenue cycle strategy and operating model that ensures patient satisfaction and internal span of control while boosting net revenues. Leveraging existing synergies and building bridges over previous barriers, we implement process improvements to drive net income from operations and define performance metrics to sustain results and build accountability throughout your organization. We also assist you in balancing internal resources and outsourced vendor relationships that are integrated into your workflows for superior operational/coverage metrics and outcomes reporting.

 

MEET THE EXPERTS

Mukesh Gangwal

President & CEO

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Laura Jacquin, RN

Partner

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John Storino

Managing Director

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