Patient Financial Services
Services
Let our experts help you navigate rising payor
complexities and out-of-pocket costs.
We will help you understand how and why you’re losing valuable revenue and work together to develop a plan for capturing lost revenue and improving cash flow to support your organization’s strategic growth plans.
Claims Management Services
Streamline the process of claims submission, billing edits, and reconciliation for both professional and hospital billing to reduce billing backlogs and accelerate cash.
A/R Management Services
Track and collect the outstanding revenue that you deserve with greater operational efficiency and improved financial performance through effective denial remediation, as well as identifying and recovering underpayments.
Self-Pay Management
Delivery of patient-friendly statements, collection attempts via outbound calls, and processing of patient payments for consistent and timely patient outreach.
Payment Posting Services
Full transaction services, including payment processing, manual and electronic posting, reporting of unusual adjustments, routing of denied claims, and reconciliation to ensure timely account resolution.
Credit Balance Resolution
Effectively manage liability risks and assist with financial stability by identifying the root causes of overpayments and resolving credit balance.
EDI Enrollment Services
Establish Electronic Remittance Advice (ERA)/Electronic Funds Transfer (EFT) authorization agreements for all providers with multiple clearing houses/payers to enroll for electronic claims, remittance, eligibility, and claims status.
BENEFITS
Unparalleled knowledge and experience
Our highly trained experts are trusted by leading healthcare organizations across the country based on their demonstrated ability to enhance accuracy, reduce reimbursement times, and prevent revenue leakage.
Service and Support
PROVEN RESULTS
Outcomes that drive revenue growth and retainment
Our patient financial services have enabled customers to reduce A/R inventories, resulting in up to $46 million in revenue in less than a year.
- Clear large backlogs of aging A/R within months, resulting in game-changing cash flow improvements ranging between $10 million to $18 million in under a year.
- Reduce denial volumes by 50% or more, preventing as much as $13,500,000 in denials within months.
- Improve initial payer outreach by up to 80% and reduced A/R inventory by as much as 55%, resulting in revenue improvements as high as $46 million in less than a year.
TESTIMONIAL
VP/Other Executive
Expert services supported by advanced technologies to enhance performance and lower costs.
Intelligent RCM Engine
AGS Health’s Intelligent RCM Engine is a proprietary suite of workflow orchestration tools that integrate artificial intelligence, machine learning, analytics, and digital workers to optimize work allocation, automate tasks, and support informed decision-making to enhance our patient financial services.
Pre-Configured Robotic Process Automation
Accelerate your cash flow and unlock the power of your revenue cycle by discovering new insights, optimizing billing processes, preventing denials, and automating tedious, routine tasks.
Analytics Dashboards to Track Business Performance
Understand how your revenue cycle is performing against internal and industry benchmarks. Driven by PowerBI, our automated reporting suite provides valuable insights and historical trends for areas like denials management, allowing you and the AGS Health team to identify opportunities for process improvement at the click of a button.
Employee Performance Reporting
Gain visibility into AGS Health employee performance metrics, including daily and weekly productivity, quality scores, and account resolution percentages. This provides transparency into how our teams work and helps to build trust and confidence with customers.
Patient Access Services
Our experienced team can help you identify missing information and confirm insurance details prior to the visit – ensuring nothing is missed that could hold up your claims.
HIM and Clinical Services
We are experts in the ever-changing complexities of healthcare regulations to ensure your health information is documented and coded correctly, efficiently, and in full compliance.
Revenue Cycle Automation Development Services
Maximize the value of your skilled team with robotic process automation solutions designed and developed by our experienced team of automation engineers.
Resources
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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.
