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Provider : Revenue Cycle Management Solutions
Salient provides a wide range of Revenue Cycle Management services to Hospitals and Medical Billing companies. We leverage people, processes and technology to provide operational and financial solutions to our clients. Our goal is to help you maximize reimbursement and reduce expenses. Our services include Medical Coding, Charge Capture, Payment Posting and Account Receivables follow-up.

Medical Coding
Coding is a critical part of the provider's revenue cycle, since codes are the only documentation accepted by insurance companies for reimbursement. The complex rules for determining the proper E&M Procedure Codes (ICD, CPT, HCPCS) are strictly enforced and often lower level codes are entered to avoid any possible miscommunication. This results in lost revenue.

Our Coding services are available for a wide range of practices and organizations including all types of hospitals, physicians' groups, long term facilities, acute care facilities, billing companies, as well as individual doctors. We have the ability to code Inpatient, Outpatient, and Emergency, Clinical and Laboratory and all type of charts. Our coders work in accordance with updated standards and methodologies laid down by CMS, Medicare contractors, AMA, medical societies, and federal organizations

Salient has a team of certified coders with following skill sets:-
  Specialized in CPT, ICD-9, and HCPCS coding across various specialties
Proficient with latest Insurance and governmental regulatory requirements
Proficient with CCI and LCD guidelines and OIG alerts
Hand on experience in the coding software like Encoderpro, Flashcode, etc
HIPAA Compliant
Expert in HL7 coding standards

Our coders also act as audit and compliance advisors to our billing teams and possess the ability to discuss coding and billing issues with clients towards resolving problems that hold up appropriate reimbursement.

Charge Capture and Payment Posting
Charge Capture should be reviewed on a regular basis to comply with federal reimbursement rules while also ensuring that complete, legitimate patient charges are captured for billing. Salient is skilled in all aspects of medical billing and our experience includes Medicare, Medicaid, HMO, IPA, POS, EPO, PPO, Worker's Compensation and private indemnities.

Our Services Include:
  Patient Registration
Insurance Eligibility Verification
Charge Entry
Electronic Claim generation and Transmission
Payment Posting
Denial Management
Reconciliation
Refunds
Provider Data Updates
Patient Billing

Accounts Receivable
On average, claims take 60-90 days to be processed. Salient's team focuses on accurately gathering patient and insurance details, coding, charges and reimbursement type thereby identifying the gaps, streamlining the billing process, and speeding up the claims posting process. The result is an efficient accounts receivable function with optimized cash flows that can reduce claim processing time by up to 50 percent.

Salient's objective is to improve your cash flow by reducing days in A/R and improving profitability, by increasing your collections ratio. Our skilled staff is trained to identify patient accounts that require follow-up and take the necessary action to collect unpaid/underpaid claims.

Services include:
  Payer/Insurance follow-up
Self-pay follow-up
Receivable Analysis
Denials management

Analytics
Since reporting is an essential part of any RCM application, Salient will provide comprehensive reports which include customizable dashboards, automated alerts, triggers, and charts.

Our expert data capture services are driven by Concorde, a proprietary workflow application engine. . Its healthcare data warehouse integrates numerous data sources for coordinated decision making and performance monitoring. Managers can improve quality of care and financial performance by measuring current and historical performance, planned process changes and subsequent results.

Concorde reviews the responses received from the Insurance companies via different modes, to provide a comprehensive Impact Analysis. Our Artificial Intelligence validates the appropriateness of reimbursements, denials and delays in compensation and delivers a detailed report.

Each Impact Analysis provides valuable information:
  Bucket Trend AR Analysis
Payer Trend AR Analysis
Site to Site AR Analysis
Status and Exception Trend Analysis
Denial Management Analysis
Bad Debt Analysis
Month to Month or Quarterly Trend Analysis
Invalid Denials, Avoidable Denials, Underpayments
Operational Savings
Missed Revenue Opportunities and Positive Edits
 

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