Maximize Profitability with Performance Analysis
Our Accredited Billing and Consulting team utilizes an intelligent performance analysis system to scrutinize your practice’s operations, identifying inefficiencies and areas for improvement. with a focus on revenue cycle management, we help uncover hidden opportunities that can significantly boost your practice’s revenue and operational efficiency.
Through comprehensive RCM support for providers, we deliver custom performance reports across specialties like internal medicine, urgent care, and pain management. These insights help forecast growth, drive strategic improvements, and maintain compliance — setting your practice up for long-term success.
Comprehensive Performance Evaluation
We gather critical metadata from your organization, evaluating your practice’s revenue cycle management performance. This includes:
- Medical records from front office operations
- Billing and coding data, including ICD-10/CPT coding compliance.
- Reimbursement rates from various payers
By analyzing these data points, we can pinpoint any inefficiencies or gaps in your process, with our medical billing services for healthcare providers, we offer actionable recommendations to optimize revenue generation and streamline your practice’s workflow, ensuring improved insurance claims management and HIPAA compliance.
Key Performance Indicators (KPIs) and Statistical Analysis
Accredited Billing & Consulting understands that maintaining a healthy revenue cycle management relies on monitoring and improving Key Performance Indicators (KPIs). By setting benchmarks, such as a 30-35 day claim payment cycle for Accounts Receivable, we ensure your practice maintains a consistent and healthy cash flow.
We also focus on key areas such as:
- Clean Claims Ratio: Ensuring that claims are processed on the first attempt, reducing the time and resources spent on denied claims.
- Denial Management: Analyzing claim denials and uncovering the root causes to prevent future delays.
- Payer Requirements: We monitor fee schedules and contract renewals, ensuring all claims are HIPAA compliant and meet payer requirements.
Our goal is to help you avoid common pitfalls and optimize your revenue cycle performance for maximum profitability.
Reliable Quality Metrics for Long-Term Success
Quality is the cornerstone of a successful medical practice, and Accredited Billing & Consulting offers advanced clinical performance analytics to ensure your practice meets the highest standards. Our team generates detailed reports based on various clinical quality measures, including:
- Meaningful Use (MU)
- Provider Quality Reporting System (PQRS)
- Pay for Performance (P4P)
- Patient-Centered Medical Home (PCMH)
- Accountable Care Organizations (ACOs)
These metrics allow us to assess both the financial and operational performance of your practice, ensuring that quality care is always delivered while improving reimbursement rates and overall operational efficiency.
Provider Productivity Metrics for Improved Outcomes
We compile extensive reports to measure and enhance the productivity of your providers. Through collaboration with healthcare consultants and analysts, we evaluate:
- Individual provider performance and impact on overall practice efficiency
- Benchmarks against other similar practices
- Strengths and weaknesses in provider performance
These reports provide valuable insights that encourage providers to adopt a culture of high-quality care, optimizing service delivery, and increasing overall practice profitability.
We also help providers avoid the misuse of evaluation and management codes, which can lead to revenue loss for the practice. By ensuring that proper codes are used, we help maximize reimbursement and enhance the financial health of your practice.
Partner with Accredited Billing and Consulting for Optimal Practice Performance
With Accredited Billing and Consulting, you gain access to a powerful system of performance analysis that drives profitability, ensures compliance, and positions your practice for long-term success. Our team of experts provides actionable insights and strategies tailored to your practice’s unique needs.
Contact us today to learn how our performance analysis services can help your practice thrive in an increasingly complex healthcare landscape.