Services

Operational services for post-acute revenue cycle.

Each service below is delivered by post-acute–experienced staff inside your existing EMR and billing system. We integrate with your operation; we do not replace it.

Intake & Eligibility

Eligibility verification, benefits, and intake coordination within two hours of referral receipt to protect downstream timing.

→Faster starts of care
→Reduced front-end denials
→Cleaner downstream documentation

Prior Authorization

Payer- and therapy-specific prior auth workflows with proactive renewal tracking to prevent therapy gaps.

→Fewer authorization-related denials
→Reduced therapy interruption
→Predictable utilization billing

Billing & Coding

PDGM, OASIS, HCPCS, J-codes, and per-diem billing executed by post-acute–experienced staff inside your EMR.

→Higher clean-claim rate
→Reduced rework
→Audit-ready documentation

Denial Management

Segmented denial workflows by payer and reason, with root-cause feedback into intake, coding, and documentation.

→Higher overturn rate
→Lower preventable denials over time
→Recovered revenue inside the appeal window

Accounts Receivable Follow-Up

Worklist-driven A/R follow-up segmented by aging, payer, and balance with measured daily throughput.

→Lower Days in A/R
→Smaller >90-day buckets
→Reduced small-balance write-offs

Revenue Cycle Operations

End-to-end RCM operations management for organizations that need a partner, not a vendor.

→Operational consistency across locations
→Predictable monthly close
→Improved revenue visibility

Documentation Review Support

Pre-bill clinical documentation review aligned to payer policy and audit expectations.

→Reduced clinical denials
→Lower audit recoupment exposure
→Higher first-pass acceptance

Operational Revenue Reporting

Throughput, denial, and aging reporting at every step of the lifecycle — not just month-end summaries.

→Visibility into where leakage occurs
→Operational KPIs leadership can act on
→Trended performance, not snapshots

Staffing Augmentation

Post-acute–experienced intake, coding, billing, and A/R staff who plug into your existing systems and workflows.

→Capacity through clinical hiring cycles
→Reduced backlog during expansion
→Throughput that does not depend on internal turnover

Not sure which service to start with?

Most engagements begin with an operational assessment. We evaluate your current intake-to-cash workflow and recommend where the highest-yield work lives.

Request an Operational Assessment

Confidential Operational Reviews · Post-Acute Specialists Only