Revenue Cycle Management

Our revenue cycle management team works hard to make sure you get paid on time, within compliance, all while increasing your bottom line.

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Visit (Time of Service)

Patient registration & demographics entry
Patient co-pay collection
Medical coding & documentation
Patient responsibility calculation & collection (deductible & co-insurance)

Claims Submission

Charge entry
Claim review/”scrubbing”
Claim filing
Clearinghouse management

Claims Management

Payment posting
Claims status
Denial management
Appeals
Ensure full contractual payment is collected

Patient AR Management

Implement / enhance patient collections at time of service
Patient statements
Payment plans / Innovative post-claim adjudication patient collection strategies (credit card on file, Care Credit, etc.)
Dedicated phone line for patient collection questions

Analytics, Benchmarking, & Process Improvement

Daily, weekly, and/or monthly revenue cycle reports
Benchmarking against industry trends and highest performers
Analytic reports to identify areas of improvement (key performance indicators)
Routine status meetings to review reports and progress
Development of action plan to implement & identify areas of improvement

Compliance

Zenith staffed with certified, trained, and experienced RCM team
Robust internal Zenith compliance program (internal & external audits, ongoing staff education, strict adherence to payer policies, etc.)
Updates on changes in payer policies & government payer regulations
Provider coding & billing training & education
Chart documentation audits
Medical coding & billing audits
Development of compliance program(s)

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