1. REVENUE CYCLE
SCOPE OF SERVICES
HealthTech Solutions Group provides a comprehensive mix of revenue cycle services and technology
solutions focused on improving hospitals’ financial and operational performance. HealthTech’s
solutions are designed to meet the needs of Critical Access and small, community hospitals.
An innovative Revenue Cycle Management
approach to
Accounts Receivable Management: Follow-up on insurance claims for all financial classes
hospital revenue
at any aging bracket to assist with special projects or supplement staffing
cycle services:
• AR Liquidation
Typical results • Hospital and physician billing services
show 1-3% • Revenue Recovery projects
increase in net • Cost based on a percent of collections
revenue
Denial Trending: Report of denials, non-covered codes and other coding issues. Data can
be used to make process improvements or implement new front end edits
Correct cash
focused Retroactive Medicaid Eligibility Services: Review of all self pay patient claims for
retroactive eligibility by utilizing EMR data
Efficient and • Contingency-based fee, applies only if eligible accounts are recovered
effective • Monthly service provides list of eligible accounts to bill
technology • Fast results - less than a day after submission
• IT assistance with data extract when needed
Centralized and
scalable Managed Care Contract Analysis: Review of managed care contracts with creation of user-
friendly matrix to interpret contract reimbursement.
Highly specialized • 12-18 month zero account balance review
functions • Pinpoints areas of lost revenue and/or contractual underpayments
• Cost based on percent of collections
Post Acute Care Transfer Recovery: Analysis of all applicable Medicare discharges to
identify all accounts that have potential for revenue recovery; then work with the facility
to validate all information, correct and re-file all applicable claims.
Revenue Cycle Performance Analysis: Identification of opportunities for improvement and
recommend solutions for resolution.
• Increases opportunities for increased cash flow and reimbursements
• On-site Business Office assessments with plan of action for resolution of
identified issues
• Interim Business Office Directors also available at a contracted rate
Continued on next page
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2. Technology-Based Solutions
MyClaimIQ Genie: Reviews claims from your desktop prior to submission and checks for
charge capture errors, coding omissions, claim data integrity losses and compliance issues.
• Web-based, desktop application
• Downloads from Web in minutes
• Works with any billing system/no IT integration Find out what
• Typical net revenue increase of 1-3% additional
opportunities
ClaimIQ AutoStatus: Software automatically searches online payor websites for claim status
are available for
updates to be integrated into the hospital’s patient accounting system.
your healthcare
• 75% savings on generating claim status reports
• Reporting capabilities improve denials management
organization.
• Reduces A/R days
• Improves CBO productivity Call or email us
today.
ClaimIQ ProFee: Physicians claims analysis tool to improve cash results and productivity.
• Web-based software
sales@ht-llc.com
• Works with any billing system
• E&M coding review 800.228.0647
• ICD-9 to ICD-10 Procedure Coding System
• RVU calculation tool
EHR & Practice Management Technology: Allscripts physician Electronic Health Record (EHR)
and practice management software.
• Leading EHR technology for $0 upfront
• Approved technology for HITECH stimulus funds/Meaningful Use
• Improve documentation & connectivity with other healthcare providers
• Increase productivity, efficiency & revenue
ICD-10 Procedure Coding System (PCS): As a training application ICD-10 PCS will help prepare
patient accounting staff for the transition from ICD-9 to ICD-10 diagnosis and inpatient
procedure codes effective October 1, 2013.
• Provides education and training on complex code translation
• Produces General Equivalence Mappings (GEMs) for ICD-9-CM to ICD-10-CM &
ICD-10-CM to ICD-9-CM
• Generates 7-digit ICD-10 code possibilities using user-friendly, step-by-step
application
HealthTech is a gold-
• Creates lists of ICD-10 codes frequently used at a facility level sponsor of the
National Rural Health
Association
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