Services

Operational Assessments

Conducting an operational assessment of your revenue cycle process allows PMG to identify areas of strength, weakness, opportunity and threat for your CHC. We can also determine whether your CHC-centric key performance indicators (e.g. days of AR, FTE encounters, billing expense as percentage of payment, cost per claim) are within range.

Together, our SWOT approach and KPI analysis provide a basis from which improvement may begin and a prioritized list of items with which to start.

The following are some key factors our experts examine in evaluating your billing department:

• Flow of patient data (from demographic capture to payment posting)
• Charge entry processes
• Claim transmission (EDI vs. paper)
• Unpaid and denied claims management
• Staffing levels and tasks

With nearly 15 years of work in nonprofit health care, PMG offers a perspective that is pragmatic and profitable. PMG can help your CHC by redirecting staff and processes to optimize revenue cycle management performance.