Full Service Revenue Cycle Management Services
Revenue Cycle Management
Whether your organization needs full service billing or projects to capture missing or overlooked income – TBS has the resources and expertise to handle whatever revenue cycle management needs you have. Our rich industry knowledge and deep payer relationships allow us to do the work efficiently and effectively to increase your bottom line. Read more about our Revenue Cycle
Eligibility Review & Fee for Service Review
Even a small percentage of eligibility misses or errors that slip through the cracks can cost your organization big, so we quickly find these missed opportunities by using our proactive and retroactive scrubbing tools
Accounts Receivable
Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Demographic and charge entry and tracking with regular reporting to manage receivables.
Need an immediate solution? We can purchase your outstanding receivables, allowing you to receive your check now.
Credit Balance Remediation
Timely resolution of credit balances in receivables to meet governmental and internal compliance requirements will likely allow your organization a significant net income pickup because typically only 15% of your credit balances result in refunds to patients/payers.
More info:
DSH
Everyone knows the DPP equation, but few know that every facet of the equation provides opportunities to maximize your payments. Let us ferret out all pertinent information to maximize your DSH payment for not only the years that you did receive, but try to secure DSH payment for years you did not qualify.
RAC Audit Review
Analysis of RAC determinations, preparation of response, and oversight of appeal process.
Big Data Denial Review
Big data can support your most productive and prosperous clinical operations, and it will dramatically improve your bottom line. More information about Big Data:
- Click here for more information about how we use Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause
- Denial Report Sample
Quick Income Pickup
We quickly and easily capture missing or overlooked Net Income with Credit Balance Scrubbing, DSH Payment Validation, Fee-For-Service Review, Technology Transition, Single Payer Negotiations/Issues and more.
Credit Balance Scrubbing
Credit balances usually happen because of errors or the timing of payment. The Business Side has worked with many clients to fix these issues. We have the expertise to effectively and efficiently remediate these credit balances and turn up to 85% of them into net income.
DHS Payment Validation
Everyone knows the DPP equation, but few know that every facet of the equation provides opportunities to maximize your payments. Let us ferret out all pertinent information to maximize your DSH payment for not only the years that you did receive, but try to secure DSH payment for years you did not qualify.
Technology Transition
Is your organization switching from one EHR to another? Our medical billing specialists can help relieve some of the burden by handling your existing A/R in the old system to help avoid mis-postings and other errors. We have experience with a myriad of systems and workflows.
If you need experienced technical services, check out our IT service offerings.
Single Payer Negotiations/Issues
If you have a big problem, we can get involved and advocate for your win – and we have the track record to prove it.