The Revenue Cycle Ecosystem
Optimize Your Practices’ Financial EnvironmentPRL developed the RevCycle Ecosystem to integrate all revenue touchpoints throughout your practice. Why? Because your revenue cycle is much more than claims and accounts receivable. It’s a complex revenue stream that interacts with every part of your organization. This holistic approach creates interoperability between your patients, clinical and financial systems to deliver seamless and high-performing revenue management. With PRL as your partner, the business of managing your practice becomes easier and more profitable. Because without revenue there is no care.
Revenue Cycle Solutions
End-to-end RCMProvide the Best Patient Experience: Clinically and Financially In today’s healthcare environment, Revenue Cycle Management has become a financial specialty. Managing staff, workflows, technology, regulations, automation, collections, and reporting is a business in itself. Our informed RCM specialists provide a capable approach to practice revenue management. Flexibility – Outsource What You Need We work for your success. Our team maximizes your investments in existing systems and technology, so there’s no need to overhaul your technology systems. You can partner with us for specific services such as coding, accounts receivable, and denial management, or we can manage your entire Revenue Cycle end-to-end. For Us, It’s Personal You will be assigned an account executive who works directly with you. Your financial goals will be met through superior service and strategic alignment. As a result, your collection rate will improve, your days in A/R will be minimized, and your number of denied claims will be significantly lower.
A/R and Denial Management
Our Accounts Receivable team quickly follows-up on insurance claims so that payment shows up in your A/R as soon as possible. PRL works diligently to minimize the number of days a claim is in A/R so you can get paid in a timely manner. On average, our claims spend 38 days on A/R, which means more revenue for your organization. In addition, we quickly resolve denied claims so that revenue isn’t lost. However, we like being proactive by utilizing powerful technology and skilled analysts to identify denial trends, so it doesn’t happen again. We get results for our customers, with a 98% first-time clean claims rate.
Patient Payment Xcelerator
Making the Complexity of Patient Payment Simple for You
More Patients are dealing with high deductible insurance plans, or foregoing insurance altogether, while you are managing increasing regulations and collections; it’s not easy to manage revenue systems, get paid, and keep patients satisfied.
Patient Payment Xcelerator combines mobile technology and superior customer service to maximize patient payment collection. We provide support and outreach through our patient engagement specialists who handle everything from appointment reminders to payment processing. Being proactive with your patient engagement strategy will positively impact the rest of your RCM ecosystem.
Coding & Charge Entry
Coding and charge entry is the backbone of your revenue cycle and essential to a well-managed RCM environment. Effective set-up and management of staff and workflows often determine the velocity of your revenue stream. Our consultants, coders, and rules-based technology optimize workflow to reduce coding backlogs and avoid claims denials. We work together to ensure accurate coding for full reimbursement all while keeping you in compliance.
Our credentialing professionals advocate on your behalf with insurance companies to complete payor enrollment and contracting processes for your healthcare providers. As you already know, completing the “In-Network” credentialing process is a cumbersome and time-consuming process with multiple forms. Just send us your credentialing documentation and let our team manage the enrollment process so you can focus on your practice.
THE PATIENT EXPERIENCE
A Better Experience for Your Patients,
Improved Financial Outcomes for You.