With revenue cycle processes, there’s always room for improvement.

Whether from end-to-end or with a more targeted solution, Crowe can work with you to develop and implement revenue cycle best practices that match your culture and needs. Then we can help you monitor success to sustain cost savings and net revenue gains.

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A proven approach to help you maximize outpatient charge capture.

Our team of experienced clinicians and process specialists can collaborate with your clinicians and revenue integrity team members to create sound, sustainable documentation, charge capture, and coding practices that can lead to more revenue for your organization.

Outpatient charge capture services

 

 

Get revenue cycle best practices from current market data.

Crowe revenue cycle intelligence tools analyze data from more than 1,850 hospitals and 250,000 physicians.1 This gives us unique insight into revenue cycle best practices for every type of healthcare organization – including yours.

We start with data-driven best practices. Then we help get you where you want to be.

We’re able to compare hospitals to active market performance based on how payors are behaving. Using this information, we support your change management to get you to a realistic, normalized best-practice state.

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You can get custom revenue cycle solutions designed with you, for you.

Our clinical revenue cycle management solutions are rooted in collaboration. We’ll work closely with your teams to create a meaningful focus on revenue cycle opportunities.

Your existing culture as the foundation

The success or failure of process improvements depends on sticking power. When new processes are based in your existing culture, they are more likely to be sustained.

Bridge-building by our experienced clinicians

Our expertise is built on the experienced clinicians on our team who know what it’s like to be on the floor. They’re able to bridge the gap between your clinicians and your other teams, enabling the buy-in that helps drive long-term success.

18 months of monitoring and active mitigation

Change management is hard. By tracking and monitoring your new systems over 18 months and making real-time corrections, we can help you create sticking power. Revenue cycle monitoring tools are also available for long-term program success.

We can help you implement best practices across the revenue cycle.

Our revenue cycle specialists can help you fix issues across the revenue cycle, including:

Patient access

  • Scheduling
  • Insurance eligibility
  • Authorization/pre-certification
  • Registration
  • Financial counseling
  • Medicaid enrollment

Middle revenue cycle

  • Charge description master maintenance
  • Charge capture and entry
  • Coding
  • Charge reconciliation
  • Visit-level calculations
  • Utilization and case management

Patient financial services

  • Claims billing and editing
  • Unadjudicated claims follow-up
  • Denied claims resolution
  • Cash reconciliation
  • Vendor management
  • Automation

Patient access

  • Scheduling
  • Insurance eligibility
  • Authorization/pre-certification
  • Registration
  • Financial counseling
  • Medicaid enrollment

Middle revenue cycle

  • Charge description master maintenance
  • Charge capture and entry
  • Coding
  • Charge reconciliation
  • Visit-level calculations
  • Utilization and case management

Patient financial services

  • Claims billing and editing
  • Unadjudicated claims follow-up
  • Denied claims resolution
  • Cash reconciliation
  • Vendor management
  • Automation

Our team works with you.

I want to maximize clinical revenue.

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1 Source: Definitive Healthcare, September 2022