Payer reforms, regulatory compliance issues, rising costs, ever-changing technical support demands, shifts in demand and industry dynamics place enormous reimbursements and billing pressures on health care providers. BAO Medical Billing Group can help. We combine a comprehensive knowledge of Medicare, Medicaid and other third-party reimbursement and health care consulting with practical experience in developing and implementing strategies for your business success. Our work with hundreds of healthcare providers speaks for itself. We encourage you to talk to our clients and to learn how we have helped take them beyond their numbers through some of the solutions described below. Billing, Reimbursement & Finance
- Provide billing, audits, reviews, and compilations in accordance to provider's standards.
- Explore reimbursement alternatives while preparing interim and year - end billing reports.
- Evaluate special designations and other payment exceptions
- Evaluate the benefits of adding new patients and services
- Evaluate reimbursement changes created by new laws and regulations
- Assists providers and supplies in addressing and evaluating compliance with ever - changing regulations.
Revenue & Performance Management
- Streamline the claims revenue cycle process
- Improve documentation and billing realization
- Identify compliance and revenue improvement opportunities through reviews of charge description masters, coding and billing, DRG assignments and concurrent coding
- Identify and implement strategies to decrease accounts receivable and improve collections
- Perform managed care audits
- Provide billing assistance and outsourcing for primary care, home health, physicians, and medical supply organizations
Operations & Clinical Consulting- Improve operational profitability and performance
- Provide clinical training on documentation and case mix issues
- Provide staffing benchmarks
- Evaluate operational contracts
- Evaluate performance managed care arrangements
- Provide Medicare skilled nursing management system training
- Evaluate human resource and employee benefit programs
Compliance & Corporate Integrity- Conduct annual reviews of compliance programs and plans
- Evaluate compliance programs, recommend improvements, design plans and provide training
- Complete compliance plan assessment and risk assessments
- Develop corporate integrity assessments
- Review policies and procedures
- Evaluate internal controls
Information Technology- Strategically evaluate systems based on current and future needs
- Assists in vendor selection and software and hardware implementation
- Provide HIPAA technology, patient confidentiality and education solutions
- Provide data extraction, security and continuity planning services
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