Revenue Cycle Services for Laboratories, Specialty physician, Hospitals

Revenue Cycle Services

Revenue cycle management is essential to any business’s strategy. These processes are only growing in importance in healthcare as every dollar is expected to stretch further than before.

You can rely on the BrightDrive HCS team to help translate market and regulatory changes into actionable intelligence and solutions. We’ll provide resources, education solutions and disciplined focus in areas where we have demonstrated expertise, with industry thought-leaders who are plugged into what’s going on in the marketplace.

Here are just some of the ways BrightDrive HCS can help your organization today:

Specialized coders work side-by-side with your organization to secure appropriate coverage and payment
Our patient-centered front office team clarifies your patient’s obligation and provides effective account resolution
Our coders and reimbursement specialist build customized reimbursement strategies that are specialty-specific
We concentrate heavily on workflow evaluations and redesigns for efficiency
Claim Denials are handled concurrently and/or retrospectively with a full complement of technical, legal and clinical expertise
The backbone of our program centered around the latest technologies in artificial intelligence for predictive financial forecasting and robotic process automation for quality assurance guarantees, we are the right partner for the long term

Services For Every Client

Dedicated Account Executive
Scrubbing of each claim
Eligibility of benefits
Prior Authorization
Patient Financial counseling
Specialty-specific Coding for all modalities and specialties
Financial and test mapping for fee enhancements
Billing and claims submission for primary and secondary payers
AR follow up for payers and patients
Appeals and denial management
Legal engagement as needed for denied payment

Reimbursement review and audits
Credentialing
Enrollment
Insurance contracting
Compliance and legal backing to navigate the tougher payer landscapes to ensure all collections for the client
Workers comp and disability
HFMA based KPI driven outcomes for financial health

Payer Contracting

BrightDrive HCS understands that Payer relationships are vitally important. Opening the dialog and making payers a part of your success instead of a barrier is key.

Develop a Strategy
BrightDrive will help you develop a strategy to understand if you are getting the best rate. Rates can vary from city to city, and our specialists have the knowledge of each area that’s needed to negotiate the best rate for each facility.

Charge Master Analysis
BrightDrive’s reimbursement specialists also offer charge master analysis to ensure that charges are being set appropriately based on each contract, and the prevailing rates to make sure that there is no money being left on the table.

Free Business Office Audit
BrightDrive will also complete a free, full business office audit to determine strengths and opportunities by examining contracts and reimbursements to determine any breakdowns in the revenue.