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Patient Financial Services Analysis
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Jennifer Wilbur
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The purpose of a billing office analysis is to assess your workflow processes for maximum efficiency, to determine any compliance or regulatory risks, and to ascertain your specific technological, personnel, training or process needs.

Initially the analysis will include an evaluation of the following: cash controls with checks and balances, workflow processes from intake to claims processing to resolution of accounts, staffing needs or deficits, evaluation of high risk billing practice areas for compliance, technological needs or deficits, staff competencies or training needs and evaluation of your aged receivables. Any other areas of concern that were apparent would also be evaluated, along with any areas of particular concern to the facility. You will receive a thorough gap analysis, risk assessment and documentation of these areas of concern.

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Specific recommendations to improve cash collections will be identified and reported to Administration. Standardized policies and procedures, work flow processes, staffing levels and competency requirements based upon best practice will also be determined. Training is available to educate staff on the revised processes and protocol. We can develop a billing Computer Based Training ("CBT") course which summarizes the training material distributed. The CBT course has a testing option you can use to track staff competency and continuing education requirements. If requested we can provide your facility with interim management needs for this department while you transition, redesign or search for a permanent manager. We can also help you satisfy recruitment and qualification needs for a permanent manager or director.