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Helios RCM
SERVICES
As the age of population increases, so does the volume of patients cared for, the service conducted and the number of claims billed. Every healthcare provider manages a constant balance between clinical vs. administrative labor spending. The end result being an overburdened administrative staff, managing more processes with fewer resources. With timely filing windows and ever changing rules and regulations, proactively addressing payment barriers is vital in maintaining profitability. Coinciding with these challenges is the increased need for improved cyber security, so providers are forced to invest in more advanced security measures, resulting in detrimental effects in their revenue cycles and cash flow.
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Our Business was developed, in part, from working with clients in the Healthcare Industry to help improve processes around practice management, technology selection, medical billing, patient collections, and payment application. Our goal is to help healthcare providers reduce needless, broken and redundant processes, while organizing the administrative processes to drive cash flow.
PROCESS IMPROVEMENT
Performance Assessment
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Financial analysis and industry benchmark assessment to gauge the overall financial health of the organization.
Process Development & Mapping
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Full process analysis to identify areas of improvement and recommendations to management for key changes to maximize cash flow.
Process Improvement
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Benchmark existing processes against inidustry standards and Helios' library of processes tested and successfully implemented.
Organizational Analysis & Design
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New or expanding healthcare providers need to ensure that all revenue cycle processes are clearly defined and documented to reduce negative impact on cash flow.
Payer Contracting & Reimbursement
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Managed care contracting and provider reimbursement analysis for healthcare providers.
Business Coaching
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Provide mentoring and leadership to new management or a new team to manage businness expansion.
Software Implementation Support
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Software implementation management support to allow internal resources to remain focused on core responsibilities while Helios manages the implementation, ensuring all business rules and requirements are fully understood by the software vendor.
PROCESS MANAGEMENT
Outsource Solutions
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Full service heatlhcare finance solutions, managing all self, commercial and government payers.
Revenue Cycle Assessment
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Audit and indentification of process deficiencies, barriers to payment and system challengers and the impact on the overall reimbursement cycle.
Revenue Cycle Optimization
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Workinig with existing management, Helios will aid in the adjustment and realigment of business processes to achieve maximum cash flow.
Interim Management
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Bringing on additional staff, expanding to multiple locations or making administrative staffing changes, Helios can provide Interim Management to ensure the business reamins on target to meet financial goals and objectives.
Staff Development
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Identification of key skill sets necessary to be effective members of an administrative team and RCM integrated learning programs.
Systems Assessment
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Considering a new EHR or Billing platform requires a full understanding of the systemic business rules and revenue cycle process to ensure a seamless implementation launch.
Healthcare Compliance
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HIPAA compliance audit to identify areas of potential exposure and work with management to implement security safeguards.