REVENUE CYCLE ANALYTICS AND READMISSION MANAGEMENT

Advis takes a wholistic approach to delivering actionable insights which optimize your revenue cycle and financial performance. The Advis teams focuses on key areas like reimbursement and payer performance, KPI reporting, billing efficiency, industry benchmarking, and trending historical data. Using predictive modeling techniques, Advis can help determine the key drivers of insurance claim denials by developing a tool to flag high risk claims. Additionally, Advis focuses on charge capture and entry timing, duplicate charge, and payment auditing as well as other Medicare and Medicaid Claims requirements. Those requirements include Place of Service Coding, Modifier Utilization, 855A “Exact Matching”, and 3 Day Window Payment testing.

Similarly, Advis can help with Readmission Management by developing a predictive model to identify at risk patients for 30 Day readmissions, Same Day readmissions, and Value Based Contract specifications. Using analytics modeling, Advis can help you optimize Medicare payment incentives and avoid penalties.