Revenue Cycle Management
Today's economic environment is creating unprecedented levels of insurance and other third-party-payer denials and self-pay account balances for hospitals and other healthcare providers across the country. RSource creates revenue cycle solutions that are tailored to an individual provider's needs, generating immediate cash collections and sustainable long-term improvements to net patient revenue and cash flow.
Insurance Denials, Delays, Underpayments and Rejections
Unlike most companies that refer claims to a "network of attorneys" after they have exhausted their internal efforts, we employ a staff of trained attorneys to collect on our clients' denied, delayed, underpaid and rejected insurance accounts. Our front-end attorney action, combined with our superior coding and support staff and systems, provides our clients with the most effective and intelligent account resolution, returning the most dollars in the least amount of time.
Self-Pay (Early-Out to Bad Debt)
With more than 50 million un-insured individuals in the US today, hospitals see the benefit of outsourcing this payer class because collecting up-front and early in the revenue cycle is critical. RSource provides professional, first-party self-pay follow-up in the name of the provider, and we treat each patient/guarantor with respect, just like the provider's personnel would do if they had the time and resources. If more aggressive collections action is desired, we provide this via our Bad Debt Collection Division, where patients/guarantors are contacted with a firm, but FDCPA compliant, professional approach.
Workers Compensation Accounts
Workers compensation claims present a challenge for many healthcare providers because of the labor-intensive nature of preparing these bills for payment, including providing medical records, itemized bills and injury reports. In addition, many carriers unjustly reduce payments based on "usual and customary" reimbursement levels or other cost-containment methods. RSource has extensive expertise with this payer class, and can cost-effectively work these accounts and obtain maximum reimbursement.
Motor Vehicle Accident Accounts
Motor vehicle accident accounts can eat up a disproportionate amount of collector follow-up time due to their complexity and the multiple parties involved, including the patient's attorney. RSource provides a systematic and comprehensive approach to handling these accounts, utilizing our attorney staff to protect the provider's interest. In many cases, our attorneys can obtain prompt reimbursement via the patient's own auto or health coverage, with or without a subrogation agreement. If no such recovery is possible, RSource's attorneys work with the patient's attorney to ensure the provider is paid, either by lien or enforceable letter of protection.
Clean-ups & Special Projects
Between ever-changing systems issues, staffing challenges, payer contract terms, and regulatory requirements, managing the full spectrum of patient financial services can pose an overwhelming and very dynamic management challenge. Occasionally, our clients require assistance to keep up (or get caught up) with a specific group of accounts on a one-time basis. Our technology and experience offer clients a cost-saving, organized and efficient solution to address those receivables challenges that crop up from time to time.
4 Point Revenue Cycle Analysis
To identify a hospital's needs and recommend the best solutions, we offer a complimentary 4 Point Revenue Cycle Analysis, with results provided in writing that include an Aged Trial Balance Analysis, Detailed Account Review, Staffing Analysis, and Key Performance Indicators Analysis.
Hospital Reimbursement and Denial Prevention Workshop
RSource also offers hospitals a complimentary Hospital Reimbursement and Denial Prevention Workshop tailored to the issues most important to a hospital's payer mix and geography. The workshop is conducted by one of our staff attorneys and includes discussion of relevant statutes, regulations, and case law.
Debt Purchasing
With our debt purchase solution, clients have the option to sell receivables in a one-time transaction or on a recurring basis according to predetermined criteria. Using our clients’ own metrics and RSource's proprietary analytics system, our clients not only get the best value but also a strategy that makes the most sense for their business and capital needs.