REVENUE CYCLE MANAGEMENT

Our services will allow “The Client” to accelerate cash, improve net revenue, reduce accounts receivables and reduce the overall risk and cost to collect. We will apply proven support processes currently deployed with existing clients and will assign talented individuals to support business transition process and provide operational improvements to enhance the entire experience.

  Processmed offers quality tools, methodology, and experienced and trained professionals to efficiently collect the outstanding A/R, help ensure claim data accuracy throughout the revenue cycle, and simply help to ensure proper reimbursement for services.  The revenue cycle we support:

Each solution is custom-fit to the hospital’s culture and processes.  Processmed revenue cycle improvement solutions span the entire spectrum of the revenue cycle process from scheduling to full adjudication of the AR. Processmed scope of services, range of expertise and commitment to operational excellence is evidenced daily in the work we perform. Processmed full line of service offerings are as follows:

Processmed solution-focused partnership enhances “THE CLIENT”’s resources every day. From pre-registration to resubmission, PROCESSMED collaborative approach delivers long-term, sustainable results to “THE CLIENT” bottom line and our speed to value is unsurpassed in the industry

Processmed will quickly diagnose and fix specific processes that impact cash collections, allowing “THE CLIENT” to maintain control of the most sensitive parts of the revenue cycle. Processmed works on the more labor-intensive elements, such as the outpatient AR, billing platform management, or credit balance resolution allowing “THE CLIENT” to focus on issues closer to the core mission.

With extensive experience in all major billing platforms and information systems, PROCESSMED uses smart technology to work all third party accounts to completion. Our process-driven staff ensures the best use of tools and effective, comprehensive follow-up of accounts. Most importantly, PROCESSMED never loses sight of the goal – increased cash collections and reduced days in AR.

Utilizing proprietary workflow software, we retrieve and interpret denial information, review HIM documentation, and prepare compelling appeal packages for review by the payer. Our skilled clinicians review medical records on clinical denials to complete appeals, confirm receipt of the appeal, and demand claim disposition as quickly as possible. PROCESSMED forwards technical denials to the clinical appeal team for medical necessity review and appeal when warranted.

PROCESSMED develops information technology solutions that streamline the complexities of healthcare today.  We understand the information systems that run today’s hospitals – every solution. PROCESSMED develops and implements puts the everyday needs of the clinicians, physicians, and hospital operators first. This work is more than a combination of healthcare domain knowledge, information technology expertise, and global network of resources – it is tested and used by the healthcare industry every day.  From developing and implementing electronic medical record systems to providing around-the-clock technology support, PROCESSMED is able to address healthcare’s information technology needs.   Key areas of focus within the Information Technology Solutions team include:  systems development, systems maintenance, quality assurance, support services, application delivery, outsourcing services, conversion assistance and consulting services

Our comprehensive Medical Coding meets the essential needs of hospitals, medical practices, and freestanding ambulatory surgical centers so that Healthcare organizations are able to focus on their core mission of quality patient care. PROCESSMED fills the gap, whether that is working the backlog, coding ED accounts, pitching in for vacations, or outsourcing the entire coding department.

Simple Business Solutions helps businesses differentiate from competitors and make a lasting impression on prospects and customers. Simple dissects the ‘decision journey’ and gains insight into customer perceptions about your business and your competitors. Armed with this insight, Simple builds a powerful, memorable brand to establish your identity in a crowded marketplace.

PROCESSMED created solutions to help clients reach the pinnacle of financial and operational excellence, generating billions of dollars / AED in benefits while simultaneously improving patient, employee, and physician satisfaction. Processmed solutions are proven and have a history of delivering sustainable results representing the highest return-on-investment in the industry while helping provider organizations advance their missions.

PROCESSMED brings recognized leadership in the healthcare revenue cycle domain and is one of the largest and most experienced provider of revenue cycle solutions in the industry.  We have a proven