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In order to increase the financial confidence of your practice, our appointment scheduling service is dedicated to providing accurate billing and coding. We optimize appointment scheduling, reduce errors, and streamline financial workflows with simple and straightforward procedures. You can focus on providing high-quality care with confidence knowing that your practice's financial health will be given priority thanks to our dependable service.

Inaccurate patient demographic data collection results in claim rejections, which postpones payment. Research indicates that mistakes made in the collection of demographic data can cost healthcare organizations up to 7% of their yearly income. Having a defined and uniform procedure in place for gathering patient demographic data helps prevent important errors from occurring early on. Precise demographic data collection lowers payment delays and denials while raising the percentage of clean claim submissions.

DEMOGRAPHIC ENTRY AND VERIFICATION

We validate and update the following patient information on the practice management system:

• Legal name, gender, address, and phone numbers (work, home, or mobile)
• Social security numbers for identification
• Health insurance information and policy details
• Medicaid or Medicare policy
• Contact information for the person who is responsible for payments
• Special requirements (interpreter, stretcher access, etc.)

By guaranteeing correct billing and coding, our charge entry service is intended to increase the financial confidence of your practice. We expedite the entry of charges, reducing errors and streamlining financial workflows with simple and clear procedures. Put your faith in our dedication to accuracy so you can concentrate on providing high-quality patient care. Select us as your dependable partner, committed to putting your practice's financial health first. Our knowledge makes handling the intricacies of coding and billing a confident and effective process.

We take an analytical approach to:

• Validate written orders for the level of care, and all treatments rendered
• Necessary modifiers are appended, and the exact number of units are billed
• Comparing charges by patient’s accounts
• Verifying charges against updated fee schedule
• Identifying undercharges, duplicate posting, and overcharges
• Verifying the charges with various department billers and coders

Each hospital and health system has distinct needs that make them unique. Improve your current CDI program with adaptable and customized CDI services led by passionate and highly qualified medical professionals. Our qualified experts have years of experience checking medical records and alerting doctors to incomplete information. In addition to improving performance and ROI, UCA clinical documentation integrity services offer a number of additional advantages.

• Offsite or onsite
• Global or domestic
• Flexible staffing model
• Improved ROI
• DRG maximization
• Improved ICD-10 code assignment
• Increased physician communication
• Improved clinical performance

Due to revenue leakage, hospitals and healthcare systems can lose as much as 4-5 percent of their total revenue. The results that your revenue processes produce should be a concern for you as a hospital executive. Turn your attention to increasing net revenue, better coding, and compliance. Then, develop a scalable, error-free revenue cycle process that will enable you to surpass your financial targets.

Some sources of revenue leakage are:

• Coding Issues including unbilled procedures and errors in coding leading to high DNFB Rate (Discharges Not Fully Billed)
• UB-04 form has 81 fields and even more subcategories that create a high probability of errors in claims submitted
• Issues in the set up on Charge Description Master (CDM) files
• Lack of staff training on causes of revenue leakage and clinical documentation
• Lack of a structured data-driven revenue integrity program
• Lack of structured payer contracting processes.

Our Revenue Integrity Solutions include:

Our analytics knowledge helps us identify problems and put long-term fixes in place. We use our services expertise and technology to enhance coding accuracy, enhance clinical documentation, lower DNFB, improve charge accuracy, and apply our quality assurance procedures & methods to enhance compliance.

We focus on improving the quality of clinical documentation and enable clinicians to represent the healthcare services they provide accurately. Our CDI services include:

• Trends of specific diagnosis and procedures
• Gaps in clinical documentation for each diagnosis/procedure
• Sensitize clinicians to issues in clinical documentation
• Creating an ongoing dialogue between clinicians and team members