HOSPITAL SERVICES

Struggling to keep your hospital's revenue cycle management in check? Let HealthRecon Connect help you take control.

Our team of experts can help optimize your revenue cycle, increase efficiency and increase cashflow, so you can focus on what you do best: providing exceptional care to your patients.

Benchmarking Assessment

Take the first step towards optimizing your revenue cycle management with our complimentary benchmarking assessment.

Our Platform

Discover the power of our advanced platform that combines automation and analytics with a white-glove service to drive accuracy, efficiency, and speed.

Our Services

From eligibility checks to credit balance resolution, our comprehensive range of services is tailored to meet your unique revenue cycle management needs.

Partner With Us

We’re helping Hospital Providers to recover, despite regulatory issues, and they’ve won back:

reduction in
AR Days
0 %
improvement
in revenue
0 %
reimbursement in
90 days or less
0 %

Comprehensive Hospital Revenue Cycle Management Services

We offer a complete suite of revenue cycle management services designed to optimize revenue, increase efficiency, and reduce costs for hospitals of all sizes. Explore our services and see how we can help your hospital thrive.

Eligibility and Benefits Check

We ensure that every patient’s insurance coverage is properly verified before testing is conducted, reducing the number of rejected claims and minimizing administrative errors. This helps hospitals avoid delays in payments and improve their revenue cycle management.

Preauthorization Management

We take care of obtaining pre-authorization for lab services, saving you time and effort, and ensuring timely reimbursements.

Test Qualification / Scrubbing (pre-testing)

We thoroughly check each test order to ensure accurate coding and billing, minimizing claim rejections and delays.

Coding

Our experienced coders accurately code each test and procedure, optimizing reimbursements and compliance.

Charge Entry and Submission

We enter and submit each charge promptly and accurately, reducing payment delays and ensuring maximum revenue.

Rejections/ Exclusions

We monitor and manage rejections and exclusions, ensuring claims are resubmitted and processed promptly for timely reimbursements.

Payment and Denials Posting

We track and manage each payment and denial, ensuring accurate posting and reducing claim denials.

Secondary and Tertiary Payer Billing

We handle the complex process of submitting claims to secondary and tertiary payers, ensuring prompt and accurate reimbursements.

Denial Management

We work to prevent claim denials and manage those that occur, identifying and resolving the underlying issues to maximize revenue.

Insurance Collections

We specialize in efficient and effective insurance collections to ensure timely payments for our lab partners, so they can focus on providing exceptional care.

Level 1, 2 & 3 Appeals

We provide comprehensive appeals management services, leveraging our industry expertise to ensure labs receive the maximum reimbursement allowed.

Patient Billing

Our patient billing services include streamlined and accurate invoicing, minimizing errors and reducing the time spent on billing, so labs can focus on their core operations.

Custom Report Creation and Implementation

We offer customized reporting services to our lab partners, providing them with valuable insights into their financial performance and helping them make informed business decisions.

Payment Integrity Reviews

Our payment integrity review services help our lab partners identify and prevent improper payments, ensuring compliance and reducing the risk of financial loss.

AR Recovery

Our accounts receivable (AR) recovery services help labs collect outstanding payments and reduce their AR backlog, ensuring consistent cash flow and increased profitability.

Small Balance Projects

We specialize in managing small balance projects for labs, allowing them to efficiently collect payments and reduce their administrative burden.

Cash Acceleration Programs

Our cash acceleration programs help labs increase their revenue cycle velocity, enabling them to receive payments faster and improve their cash flow.

Credit Balance Resolution Projects

We provide credit balance resolution services to help labs identify and resolve over-payments, ensuring compliance and reducing financial risk.

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