Overview

Radiology and Infusion centers face several key challenges in revenue cycle management (RCM) that can significantly impact their financial performance. The complex billing requirements associated with therapies often involve multifaceted procedures that necessitate precise coding to ensure proper reimbursement, especially when dealing with expensive biologics and drugs. Additionally, many services require prior authorization due to their high costs, making this step crucial to avoid delays in treatment and disruptions to patient care. In Radiology, fast prior authorization across all modalities ensures patients keep their appointments and expensive capital equipment is optimized. Also, coding specificity is paramount, as the use of highly specific CPT and ICD-10 codes, along with appropriate modifiers, is essential to prevent denials and underpayments.

AGS Health can help address these pain points and help optimize RCM processes to improve the overall financial health in your radiology and Infusion centers.

Radiology And Infusion Centers Overview

SERVICES AND SOLUTIONS PROVIDED

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We have a seamless process that follows the patient journey from scheduling and pre-service collections, ensuring benefits/insurance eligibility and prior authorizations are obtained in a timely manner.

Payment Variance And Underpayment

Payment variance and underpayments are silent revenue killers that can represent millions of dollars in unrecognized net revenue. AGS can help identify and review underpaid claims to uncover payer processing issues or identify contract management tool optimization.

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Our team of experienced A/R specialists can help customers pursue full eligible reimbursements and mitigate future denials. Our insightful analytics help identify the root cause of these issues, enabling customers to develop effective strategies for denial prevention and payer contract optimization.

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solutions made for you

Patient Access

Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.

Health Information Management

Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.

Extended Business Office

AGS Health provides a comprehensive suite of RCM services that are customized for each customer. Our experienced team of experts serves as an extension of your business office.

Analytics and Reporting 

Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.

Resources

Dig deeper into Revenue Cycle Management for Radiology and Infusion Centers

Most Improved Services Solution - 2024 Best in KLAS Awards
AGS Health’s Double-Digit Customer Satisfaction Improvement Earns ‘Most Improved Services Solution’ Recognition in 2024 Best in KLAS Awards

TESTIMONIAL 

“The AGS team is easy to work with, and their willingness to develop the technology to align with our growth journey over the last eight years has made for a great partnership. With Intelligent Authorization, we’ve doubled our daily production volumes from 60 to 120 cases. Our staff can also work authorizations further in advance, extending from an average of three days out to as many as nine days out.

This has allowed us to expedite appointments to support patient needs and fill open time slots. I’ve demoed numerous authorization tools in my career, but none have truly automated authorization to this extent.“

US Radiology Specialists

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Let’s transform your revenue cycle today

When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.

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