Our revenue maximisation program is available across a multitude of funding streams and contracts. We apply a structured, data-driven approach to help organisations capture missed revenue, reduce errors, and improve financial sustainability.
Our process:
• Integrations and data flows – review between ALL systems; internal and external
• Contracts and coding - check all agreements are being utilised correctly, and cases coded accurately
• Missing or incorrect claims - ensure all treatments and services have been billed appropriately
• Returned claims - can they be corrected and resubmitted
• Expiring claims - ensure claiming has been maximised in advance of expiry
• Consumables pricing – check all prices are up to date and being billed correctly
• Remittance advice – ensure claiming is completed, with money to the bank
Services provided:
• Processing claiming on your behalf – This process is an effective wash-up to ensure revenue is efficiently identified and processed before expiring and being lost forever. Our billing is based on money to the bank which means you can feel safe in the knowledge that the processing work will be cashflow positive and there will be no charge unless unrealised revenue has been found.
• On-going audit reporting – Once wash-up has been completed, we recommend an on-going engagement with audit reporting. This allows your team to quickly identify and capture any gaps in internal processing and continue to maximise revenue for your organisation. It is also a great tool to help with training and a safety net when key employees may be away on leave, or you have new staff members starting.
• One-off audit reporting – Sometimes, all that’s needed is a one-off, ad-hoc report. These can be very useful for spot checks or when you are needing to look at a very specific area. They can also be of benefit when there have been variations to contracts or new contracts added.
Current contracts supported:
• ACC – Urgent Care Contract, Rural General Practice
• General Medical Services
• Immunisations
Further contracts are in development.
Want to find out more? Contact Us.
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