Management Process Outsourcing Services
Receivables Management Services
- Cash Monitoring of all Payor Sources ensuring Payor Source to fully fund the service – Daily & Monthly Reporting
- Ensure optimized billing by monitoring for every facility for all Payor Sources- Daily and Monthly Reporting
- Review and Analysis of AR for month-end billing adjustments- Monthly Reporting
- Ensure appropriate Bad debts Charge-back- Daily and Monthly Reporting
- Maintaining AR Denial Logs; Denial Rate & Days of AR in Denial – Daily and Monthly
- Maintenance of Claims Inquiry Logs – Daily and Monthly
- Rebilling logs for billings after claims enquiry – Daily and Monthly
Vendor Management Services
- Contract Log of Vendors & review of the same as to specs and terms - Monthly
- Analysis of Purchase Transaction & Qualifying the vendors for competitive costs.
Fixed Asset Management Services
Maintain Asset Wise Logs for
- Maintenance, repairs, parts & costs thereof.
- Depreciation ( In sync with BPO Schedules)
- Warranties, Guarantees & Buybacks.
Expense Management Services
- Travel Managements and Cost Analysis
- Cell Phone Usage & Cost Analysis
- Any other reimbursement/ perk usage and Cost Analysis.
Budgeting and Control Services
- Budgeting cost of care for all levels of care(Pareto Analysis) - Weekly and Monthly
- Preparation of Budgets for centers in association with Center & Corp Offices - Monthly
- Resident Share of Cost logs with Reconciliation
- Revenue v/s Cash Reconciliation for All residents – Monthly
- Analysis of New Resident Costs (upon Joining) - Weekly
- Analysis of High Risk (Financial & Clinical ) Admission costs – Weekly
- Revenue and Reconciliation of Trust Accounts – Monthly
Auditing Services
- Create facility wise license logs, alert for state survey due - Audit is done monthly alert is one month prior to expiration or as required.
- Contractual Adjustment Analysis for all residents – Daily and Monthly
- Reporting structure for different services and audit of communications and informational paths – Daily and Monthly
- Rate reviews, Reviews of PPO, HMO, Medicare and Medicaid Agreements – As and when any new agreement is entered into and Monthly review
- Review of provider agreements; to terms and possible enhancements - Monthly.
