Inpatient Rehabilitation (IRF) Revenue Cycle Maintenance Program

Developed to provide Client with an on-going program that includes all areas of the revenue cycle. Includes a review of all inpatient services, outpatient/ancillary services, and clinic services for compliance with the CMS Prospective Payment System, cost-based payment methodology systems and other third party reimbursement system. We also provide continuing education for staff and physicians on-site at the facility.

The scope of the engagement may include monthly, bi-monthly, or quarterly on-site services with our consultant specialist who will provide technical expertise to include:

• Comprehensive chargemaster departmental reviews 
• Charge screens/order entry reviews corresponding to CDM maintenance 
• Reviews and updates for department charging tools 
• Bill audits for inpatient and outpatient services 
• Medical record reviews for inpatient and outpatient services 
• Continuing education for hospital staff and physicians 
• Implementation and quantification of recommendations 
• Full service physician management services 

Program includes: on-site specialist expertise, management plan developed with assistance of hospital staff outlining the program goals, monthly on-site visits, comprehensive entrance and exit meetings with senior management, and detailed monthly written reports of findings and recommendations along with documentation sources. 

Value Added Benefits for this Service:

• Comprehensive CDM Update 
• Thorough revenue cycle review 
• More knowledgeable staff and physicians 
• Quantifiable Results 

Added Feature:

• Coding and Billing Helpline provided at no additional cost during the term of the contract. Client's staff may take advantage of this helpful service to communicate directly with their on-site consultant specialist when billing and coding questions arise from daily operations.