We offer the following services in our revenue cycle solutions suite
With the private health insurance industry handling nearly $900 billion a year in medical billings, the challenges of accurate processing and timely payment receipts can provide reliable revenue streams for healthcare providers. Quality revenue cycle management (RCM) and insurance billing solutions are critical drivers to the financial success of healthcare organizations.
This is precisely the time to engage with a partner who brings a deep understanding of the revenue cycle. SVKPristine Health provides tailored revenue cycle management solutions that cut through the complexity with expertise, operational excellence, and a sophisticated approach. We deliver RCM coding solutions specific to the client’s need working with a client’s host system using its tools. We build efficient workflow processes with higher output through usage of hybrid of automated and manual solutions.
SVKPristine Health provides a comprehensive range of revenue cycle management solutions, serving thousands of hospitals and healthcare organizations nationwide. This diverse portfolio includes the following:
Are you having trouble keeping your Accounts Receivable (A/R) days under control? Is a lack of skilled resources leading to a backlog of claims that need to be processed? With ICD-10, the potential for the number of denials is certain to go up if you are not prepared. It is critical to success to have access to a large pool of qualified resources that work in any Practice Management System and understand how to quickly and correctly analyze account history, appeal denied claims, and get timely turnaround to recover on and close out A/R. Analysts who trend denials and look for patterns of deficiency will increase cash flow and reduce aging A/R.
Are you having trouble keeping your Accounts Receivable (A/R) days under control? Is a lack of skilled resources leading to a backlog of claims that need to be processed? With ICD-10, the potential for the number of denials is certain to go up if you are not prepared. It is critical to success to have access to a large pool of qualified resources that work in any Practice Management System and understand how to quickly and correctly analyze account history, appeal denied claims, and get timely turnaround to recover on and close out A/R. Analysts who trend denials and look for patterns of deficiency will increase cash flow and reduce aging A/R.
SVKPristine Health provides access to a scalable and large pool of resources experienced in multiple Practice Management Systems to increase your collections ratio. Our sophisticated A/R workflow tool seamlessly performs skill-based routing. It also generates customized intelligent reports that help quickly identify and resolve unpaid accounts. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims.
Don’t leave money on the table. Up to 70% of your denied claims can be recovered. Our A/R team can see your denied claims are recovered.
We are known for high performance in the following:
SVKPristine Health provides end-to-end, comprehensive Revenue Cycle Management solutions from payor credentialing to complete billing and collections services. With 12+ years of RCM experience, our billing experts are well versed in all Medicaid state plans, managed care plans, government-funded programs, third-party insurance, and Medicare billing rules. We follow industry-standard key performance metrics to measure success and integrate best practices, so that you get the value of our proven experience and expertise.
The healthcare environment is changing. The Affordable Care Act and the transition to ICD-10 put an added layer of expense and complexity on our already burdened system. Patient volumes are on the rise with the newly insured, and high-deductible plans are putting added pressure on revenue cycle operations and their drive to collect. The key to success is access to a large pool of qualified denial management resources that work in any Practice Management System and understand how to quickly and correctly analyze account history, appeal denied claims, and get timely turnaround to recover on and close out A/R. Analysts adept at trending denials and looking for patterns of deficiency will increase cash flow and reduce aging A/R.
SVK provides the access to a large and scalable pool of resources experienced in multiple Practice Management Systems.
The healthcare revenue cycle management (RCM) industry generates over five billion transactions annually. A large percentage of these transactions are done manually on paper. While there is a gradual transition to electronic, paper processing is not going to disappear anytime soon. According to the 2014 CAQH Index™, U.S. healthcare could save $8 billion annually by transitioning six routine business transactions from manual to electronic: claim submission, eligibility and benefit verification, prior authorization, claim status inquiries, claim payment, and remittance advice transactions.
With patient volumes on the rise, the greater volumes of transactions in the face of limited resources mean backlogs, data entry errors, and increased days in A/R. Your staff is overworked, and the paper is piling up. Now is the time to get expert help!
SVK offers comprehensive extended business office (data entry) solutions that take the worry out of the process by improving your efficiency and collections while reducing costs. With improved first-pass rate, a 97% accuracy level, and guaranteed turnaround times, you can focus on growing your business and keeping your patients healthy. This is accomplished with a combination of advanced technology resources along with qualified and knowledgeable onshore or offshore medical billing professionals.
Patient collections are on the rise with many newly insured participants in Affordable Care coverage. High-deductible plans are putting added pressure on revenue cycle operations and the drive to collect patient payments. Having access to a large pool of qualified resources to process payments timely, correctly and provide full-service bank-to-book reconciliation, which are critical to your operations.
SVK has experience in working with all the leading practice management systems, including but not limited to Cerner, Epic, McKesson, NextGen, Allscripts, MEDITECH GE/IDX, Siemens, Athena Health, and Medical Manager.
Our expert data capture services are driven by iP2P (Intelligent Paper to Payment), our proprietary workflow application engine. This solution automates the receipt, processing and posting of all RCM paper documents including charges, demographics, insurance payments, patient payments and correspondence.
The iP2P Client Portal provides full visibility into real-time production status, exception management and auditing, along with an image repository for easy retrieval and viewing of the scanned documents.
We offer Physician/Facility credentialing services that helps them to recover their revenues without any hurdles. We help them complete the credentialing process either through online or paper in short period of time to smoothen the revenue collection process.
Being the most critical information for medical billing process we confirm the patient’s eligibility of the claim based on the policy and health plans provided by the insurance companies. This helps us process the claim without any denials and delays. We also guide and follow-up with the office/hospital staffs on updating the details for the ongoing or future patients and insist on the importance of same.
We index the scanned patient records based on the date, insurance details, treatment undertaken and patient demographics for easy reference through the thousands of records received for a patient. This will help manage piles of records and pull out data with minimal effort. These records can then be transferred onto your data management software as well for future references.