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Revenue Cycle Management

Revenue Cycle Management

Making an impact through innovative solutions

The healthcare industry for many of us today is like looking through a black hole with limited visibility. We’re not sure what to expect due to the increasingly complex payer requirements. From quality measurements to medical records, healthplans are requesting more and more data at speeds faster than light, so at least it feels this way.  Providers struggle with serving patients while maintaining efficient business workflows to meet the demand of their patients and payers. Furthermore, to step away to enjoy clinical conferences or engage expertise in training the office staff on industry technological innovations to assist with the day-to-day affairs are at the bottom of a bucket list. Why? Where are the time and resources?

At Senergene, we recognize that reimbursement is arguably one of the most challenging components of providing healthcare services due to new quality measures, payer policies, restricted networks, and declining fee schedules. As denial rates soar, an effective revenue cycle management plan is critical to an organization’s financial health.

Senergene’s expert consultants use their knowledge and skills to resolve the most complex clinical reimbursement and denial issues. Unlike other firms, we’ll clear your denial backlog and apply best practices that will reduce denial rates over the long term.

We believe success begins at conception and is NOT an afterthought. Senergene collaborates with you to develop the most efficient frontend and backend workflows. Utilizing our expert project managers, Senergene provides solutions to improve your metrics and efficiencies.  We help our clients optimize their financial performance through data analytics and advanced solution.

Our services include:

  • Accounts Receivable Management
  • Billing and Claims Management
  • Collections Management
  • Denial Management
  • Financial Analysis
  • Executive Financial Dashboards
  • Payer ScoreCards
  • Revenue Cycle Management Tools
  • SOP Development
  • Training

Compliance

Our team of compliance experts support the enhancement and compliance of your revenue cycle management processes through analysis, workflow interventions, to increase efficiency and effectiveness.  Whether we are serving as your remote or on-site team, Senergene the strategies to mitigate potential fines, chargebacks, and recoupments.

Denial and Appeals Management

Our team of denial and appeal professionals understand the “why” for your denials and appeals, and the “how” in getting them overturned to grow your percent of collections.

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