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WHAT SERVICES CAN WE OFFER YOU?

Denials Recovery and Management

Claim denials can eat up 10-15% of revenues. RMG attacks the problem in 2 ways via our proprietary HFMA MAPkey compliant software; identifying faulty processes that cause the denials in the first place and accelerated resubmission. Our software matches claim with its remittance thereby eliminating duplicate efforts, and manual research and rework. There are no new fixed costs and RMG only gets paid after the rebilled claim is paid.

Revenue Cycle Management

RMG Central Business Office is an end-to-end revenue cycle solution that manages your entire billing operation, claim creation, quick submission, aggressive follow up, appeals and payment posting. We will increase your cash collections and over 98% of our claims are paid on the first submission.

Chronic Care & Annual Wellness Program

Medicare is committed to changing the face of healthcare by implementing preventative healthcare initiatives. Chronic Care Management and Annual Wellness Visits will improve patient care, work within your existing workflow to minimize disruption to your practice and add more than $800 per patient per year in new revenue. RMG provides an end to end turnkey solution by providing all staffing, technology and documentation including billing reporting.

MACRA & MIPS

The new Medicare alphabet soup is confusing, but RMG can help. We will analyze your practice compared to these new rules and position your practice to achieve the maximum reimbursement from Medicare for 2018 and beyond.

Consulting Services

RMG provides innovative consulting to our hospital and medical group clients. We provide big company expertise at small company cost and service. A sampling of services includes Practice Management, IT system selection, Payor contracting and regulatory support.

While most physicians surveyed recently saw a need for chronic care management services, barriers to adoption include patient skepticism, doctor unfamiliarity with Medicare reimbursement, and physician concern over complicated coding.

Most primary care physicians would like to offer chronic care management (CCM) services to their Medicare-eligible patients, but there are several barriers to adoption, a recent survey found.

Chronic conditions include hypertension, cancer, arthritis, and diabetes. These kinds of conditions are not only associated with long-term impairment, but also 71% of healthcare costs, according to the Quest Diagnostics survey, “Hidden Hazards: Closing the Care Gap Between Physicians and Patients with Multiple Chronic Conditions.”

“Three in four Americans over the age of 65 have two or more

chronic health conditions. These patients are generally sicker, more likely to use hospitals and emergency rooms, have greater limitations

in their daily living, and experience accelerated decline in their quality of life,” the survey authors wrote.

CCM services are designed to guide and support patients who have multiple chronic conditions (MCCs). CCM services include electronic and phone consultation, medication management, and 24-hour access to care providers. Medicare Part B pays for CCM, with average reimbursement ranging from $42 to $62.

Physicians see a need for CCM, according to the survey, which polled 801 primary care physicians and patients over 65 with MCCs:

  • 93% of the physicians wished they had help ensuring MCC patients were adhering to their care plans
  • 92% reported MCC patients struggled with adhering to their care plans
  • 85% said they lacked the time to provide adequate care for MCC patients
  • Only 9% said their MCC patients were getting the care and attention they needed

There are several barriers to CCM adoption, the survey found:

  • MCC patients surveyed said they were largely satisfied with the care provided at their primary care physician office, with 92% reporting they were getting all the attention they needed at their PCP
  • Only 51% of physicians surveyed knew that the Centers for Medicare & Medicaid Services pay separately for CCM under the Physicians Fee Schedule for qualified patients with MCCs
  • 77% of the physicians said they had not implemented CCM, with 43% citing complicated coding, 37% citing burdensome paperwork, and 25% citing low Medicare reimbursement

There are three strategies to overcome the barriers to CCM adoption, according to the survey:

  • To address the perception of CCM complexity among primary care physicians, adoption solutions should include simplifying the process such as providing coding expertise.
  • PCPs can make convincing arguments to patients to use CCM services, including medication adherence and reassuring patients that CCM has only modest copays under Medicare.
  • Physicians can explain to patients that CCM helps address health concerns before they become major medical problems. In the survey, the Number One worry among patients was “getting another medical condition” (43%).

ARE YOU READY TO MAXIMIZE YOUR REVENUE?

Revenue Maximization Group is composed of seasoned professionals with years of expertise in the business of healthcare. We are uniquely equipped with the best tools and services to optimize your entire healthcare business platform. Whether it is reducing costs, increasing revenues, streamlining workflow or adding new incremental revenue generating solutions, RMG will ensure you meet and exceed your corporate objectives

If you are ready to discuss how we can maximize your healthcare revenues for continued and increased success give us a call or reach out online to schedule a free initial consultation today

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