Healthcare leaders often cite the Affordable Care Act and other regulatory requirements as the major contributors to their financial pains. However, the real cause of declining reimbursements and shrinking profitability often lurks in outdated revenue cycle processes, such as waiting for a revenue-negative event to take action and failing to keep up with changing payer rules and fee schedules.
Greenway Health’s revenue cycle management (RCM) services take a different approach — proactively pursuing every penny owed and streamlining clinical, operational and financial processes for optimal financial performance. It’s time to stop reacting and get proactive.
Greenway Revenue Services isn’t outsourced billing; it’s a partnership. Our revenue cycle management (RCM) services touch every practice function — from the front desk to the back office — to help manage customers’ revenue cycles from initial patient encounter to collection and beyond. Greenway Revenue Services offers the tools and training practices needed to track claims data, ensure accurate and timely claims submission, boost collection rates and optimize billing practices.
Each Greenway Revenue Services customer has a designated account manager and team of certified billers who are familiar with their practice’s unique needs. Greenway Health’s RCM specialists are experts in billing for OB-GYN, neurology, gastroenterology, cardiology, pediatrics, internal medicine, orthopedics, pulmonology and other specialties, which helps them spot payer changes, understand and fix rejection trends, and avoid claim denials.
Adding Greenway Revenue Services doesn’t mean giving up control of billing; through ongoing scheduled calls with your RCM team, practices retain full visibility into their financial standing. In addition, your RCM team will provide you with customizable reports, giving your practice insight into all of your financial metrics.
The Greenway Revenue Services team helps customers update and maintain fee schedules and optimize their clinical workflow for peak financial and clinical performance. Starting with implementation and continuing through ongoing consultation calls, Greenway Health teaches your staff best practices in collections and billing.
Proactive claims management means the Greenway Revenue Services team reaches out to payers to check on claims, tracks changes in payer reimbursement and shares that insight with practices. These activities help improve practices’ net collection ratio, reduce days in accounts receivable and increase per-encounter reimbursement.
*Based on a weighted average for Greenway Health customers with valid benchmark data that had their 36-month anniversary with Greenway Health prior to July 2015.
†For customers on the Greenway Clearinghouse.