Services

Chart Reconciliation

Chart Reconciliation is a key part of our process. Missing charts and chart deficiencies cause payment delays and a direct income loss when they can’t be located, or they are held. Our interface team can integrate with all hospital registration systems. Our experience gives us a leg up on our competition.

Deficient charts are flagged with the appropriate reason by physician and each physician/ practice administrator can track and view their own data on our secure valued portal.

Throughout physician education process, we educate individuals on

Physician Education

We provide 1-to-1 online training or onsite group training sessions. Our team will review and identify deficiencies and will schedule time with the provider(s). We also review benchmarks and discuss opportunities to maximize your revenue.

Documentation improvement areas include:

• Wound care
• Fracture care
• Critical care
• Observation care
• Differential diagnoses
• Diagnosis reporting
• MIPS measures
• History and physicals
• And many more

Coding and Compliance

We focus on improving all services; however, Coding compliance is as important as our many services. Each of our coders are assigned to specific client and are familiar with their EMR to build consistency and accuracy. Our quality control and compliance program are designed to adhere to all relevant standards, ensure staff is properly trained, monitor the constantly changing regulatory environment, and implement timely changes to maintain compliance. Contact us today for your complimentary practice analysis.

MIPS Reporting

We have an in-depth understanding of the shifting landscape of reimbursement. As MIPS pushes providers to meet quality measures, VHP helps you understand what is needed to get bonuses, not penalties. We work with patients to collect all benefits due, appeal claims when needed, and keep collections steady.

Revenue Cycle Management

In the complex world of emergency medicine revenue cycle management, the most challenging aspect of the field is effective billing and coding. At Valued Healthcare Partners, our proprietary software is built to highlight exceptions. We manage by exception. We are committed to helping your practice identify missing revenue, increase efficiencies, mitigate compliance risk, and experience growth. This commitment, along with our proprietary software solution allows us collect at a high rate.

Our Denial Management Program entails of multiple steps:
Analyze, Prioritize and report

• We analyze your 835 remittances
• We categorize and prioritize denials into key areas, including the number of claims and corresponding review opportunities
• We discover the root causes behind denied claims with detailed review of our current workflow, from patient registration through payment posting.

Exceptions are identified and workflow solutions are implemented

Denial Management

Meticulous charting and coding practices are the first defense against denials. We provide extensive education and training for physicians and front-end staff, and our processes and workflows are proven to reduce denials for our clients. We believe in the value of the service you provide. Therefore, in the event of an appeal, we pursue the maximum payout and the quickest possible turnaround, even if that means litigation. Additionally, we identify reason(s) claims are denied. Our process improves cash flow by speeding up your collection process. We are dedicated to h helping you get every dollar you are owed. Contact us to hear more about our denial management process.

NSA Follow-up

No Surprises Act (NSA) was a surprise to us all. NSA imposes limits and confers some rights on physicians caring for patients in these situations, it is important for physicians to understand how the law will affect them. Our team are equipped with the latest toolkits to support and defend and fight for our clients.

Deposit Bank Reconciliation

We simplify this routine task and save time, again and again. Matching remits and deposits are automatically reconciled, and any mismatches immediately flow into customized work queues for resolution. Improved efficiencies mean less time spent on tedious work and more time available for new initiatives.

Managed Care Negotiations

VHP works with your organization to determine best strategies for Managed Care. The process starts with an in-depth analysis of your current contract portfolio, identifying key contracts to re-negotiate and areas of potential growth and new patient throughput with new contracts. We’ll formulate a value proposition that gives a clear outline of the results of our analysis and goals for your contract portfolio. Once we have agreed on a strategy, we begin the work of negotiating or renegotiating with payors, requesting new contracts, escalating when receiving denials, and counter-proposing. We will keep you updated throughout this process and have you review and sign new contract terms when they are accepted by the payor. You get regular check-ins with our team to discuss progress and to keep everyone aligned with your goals and our deliverables. Each quarter, we’ll also have a comprehensive report on the results and progress of our strategy, which can shift as the landscape of your payor marketplace evolves.

Reporting

Our reporting package provide you the tools you need to help you make better and more informed decisions. Our report package includes Rolling AR which includes Charges, Gross Collections, Refunds, Adjustments and Bad Debt. We also capture and report KPI such as Log volume, Billed Volume, Held Volume, Average Daily Volume, Collection per Visit, Practice Performance indicators, Payor Statistics along with Aged AR. If we capture it, we can report it.

Practice Strategy

Do you need a practice checkup? VHP offers solutions for independent physicians, Physician staffing companies and hospital-employed physicians who want to improve practice efficiency while controlling costs.  Our team can review and regularly monitor your office operations and procedures and provide the solutions that ensure your practice runs efficiently.