Revenue Cycle Management & Consulting

  • Practice fee schedule analysis and negotiation
  • Revenue cycle process improvement
  • Optimization of RCM features within practice’s EMR and/or PM system
  • Evaluation of current and future reimbursement trends with implementation assistance and consulting
  • Monthly Revenue cycle management key performance indicators (KPI) reports with a comparison to industry benchmarks.

Billing & Collections

  • Charge capture and claim submission
  • Payment posting
  • Payment review – compare received payments to insurance contracted fee schedules to identify and request payment on all “underpayments”
  • Denial management
    • -Contact insurance companies
    • -Resubmit claims
    • -Process claim appeals

  • Insurance AR management – pending insurance claims will be worked on a daily basis based on the payer’s average “days to pay” to get the practice paid faster.
  • Patient AR management
    • -Pending patient AR will be worked once insurance claims are posted and worked to completion
    • -Zenith will work with your practice team to improve patient eligibility and benefit verification to increase time of service patient collections .

  • Patient collection and statement management

Professional Coding Services

  • Perform “scrub” on insurance claims to ensure appropriate CPT, HCPCS, and ICD-10 codes are utilized
  • E&M coding audits and feedback reports
  • Ancillary service coding audits and feedback reports (radiology, in-office procedures, in-office diagnostic testing, etc.)
  • Phone and email medical coding support