Our Services
Expert Solutions
We are confident that with the wealth of extensive financial expertise and firsthand commercial expertise, we have the knowledge, skills and resources to deliver powerful solutions that add real, tangible value to every stage of your business development. In providing effective solutions, we offer you a high level of Partner contact. In all areas of the accountancy practice, we provide clients with pragmatic, personalised advice and insights that help them succeed.
Professional Services
Our core strategy utilizes a unique transitional outsourcing model designed to improve your denial recovery and prevention process within 18-24 months.
HBS will make available real-time, secure, web-based reports as well as provide standard monthly denial and performance reporting. Access to our software "Dashboards” will provide additional reporting from KPIs to individual performance matrices that can be customized to suit each specific user’s preferences.
Reporting packages are based on the level of data included in the reports. We also have the ability to use our in-house analysts to create the actual data feeds if needed, thereby eliminating the burden on your IT team. Our experts are familiar with Siemens, Meditech, EPIC, GE IDX, Eclipsys, and many others.
Listed below are examples of the types of data files that will be utilized in the creation of our reports:
- • 835s
- • 837s
- • Transactions files (payments, adjustments, transfers, etc.)
- • Placement Files
- • Aged Trial Balance Reports
- • Service Area Files
Health Business Solutions also provides A/R Management services with a focus on revenue cycle reviews, interim patient accounting, patient access management services, and customized revenue related projects. Our strategy is to offer creative and cost-effective solutions to problems related to charge capture, billing and collection of healthcare revenue. The results to our clients are a clear understanding of how to improve operational efficiency, a roadmap to Best Practice Standards, improved patient satisfaction, reduction in overall A/R and increase in cash collections.
Reporting packages are based on the level of data included in the reports. We also have the ability to use our in-house analysts to create the actual data feeds if needed, thereby eliminating the burden on your IT team. Our experts are familiar with Siemens, Meditech, EPIC, GE IDX, Eclipsys, and many others.
Our standard A/R Management services package includes:
- • Comprehensive PFS Assessment with findings and recommendations
- • Interim Management Services, Interim Patient Access & Collections Staff
- • Payer specific Billing & Collection projects
- • A/R Transition Projects
- • Liquidations/Wind Down
- • System Implementation assistance / System Application training
- • Managed Care contract performance reviews
Extended Business Office (“EBO” or “Early Out”):
With full transparency, HBS becomes an extension of your business office in early-stage accounts receivable management. HBS staff members represent you, our client, in various aspects of revenue cycle including registration, billing and claim resolution. Our EBO services can be custom tailored to suit your needs whether it involves “clean-up” projects or ongoing EBO services related to specific payers. Our services are geared to increase cash flow and reduce the work-load of your current staff.
Health Business Solutions is a full-service revenue cycle consulting firm. Our model consists of on-site, off-site or a mix of trained personnel who are certified and continually educated to accomplish the specific revenue cycle tasks required for your hospital utilizing the best-in-breed technology.
Our expertise spans the entire revenue cycle spectrum, and our team of Subject Matter Experts is capable of assessing revenue cycle processes and technology to identify gaps and make recommendations for sustainable growth.
Areas of specialty include, but are not limited to, the following:
- • Education
- • Patient Access
- • Patient Accounting
- • HIM
- • Managed Care Contracting
- • Utilization Review
HBS is your interim solution during new system implementations. We will timeline the entire project with your team to meet your performance deadlines and operate with complete transparency with our on-demand performance reporting package.
We have experience in liquidating most systems, including the following:
HBS conducts retrospective case reviews to address quality concerns and submit clinical appeals to payers. HBS utilizes a team of healthcare specialists including physicians and registered nurses to review denied services related to medical necessity, appropriate level of care, length of stay, delays in service/discharge, appropriateness of admission and pre-existing reviews. Medical records are thoroughly examined and individualized appeals are prepared for each and every case. Our feedback assists healthcare providers in identifying documentation issues, addressing reduced level of care authorizations and preventing denied days.