Services
Clinical Administrative Services
Overview
Delivering an exceptional patient experience requires comprehensive coordination between your clinical and administrative teams. This entails having administrative personnel who are skilled not only in managing daily operational tasks but also have extensive clinical expertise to facilitate effective communication with physicians, nurses, and other clinical staff. Unfortunately, recruiting additional staff with these skills and qualifications in today’s labor market can be a highly challenging and costly endeavor.
AGS Health’s Clinical Administrative Services can accelerate your journey towards clinical operational excellence. Our clinically trained experts augment the capabilities of your revenue cycle management (RCM) team to ensure prompt and precise processing of clinical documentation, authorizations, and other burdensome tasks. Our services can scale rapidly to meet changing demands, guaranteeing that each patient's engagement receives consistent care and attention.
SERVICES PROVIDED
Our comprehensive clinical administrative services
Clinical Documentation Integrity Services
A combination of retrospective, prospective, and concurrent reviews of clinical documentation provides precision and specificity in clinical documentation tailored to inpatient and ambulatory settings.
Utilization Management Services
Provide appropriate, efficient, and cost-effective care consistent with current medical standards, preventing unnecessary procedures and optimizing treatment plans to enhance patient outcomes, streamline resource utilization, and drive healthcare excellence.
Clinical Prior Authorization Services
Secure clinical authorizations for complex medical cases, including prior authorizations (prospective) and concurrent authorizations, to ensure proper reimbursement and timely delivery of care aligned to payer contracts.
Clinical Denials and Appeals
Review denied claims to identify root causes, and craft compelling appeals supported by comprehensive clinical evidence to maximize revenue and minimize financial losses.
Physician Advisory Services
Skilled physicians and healthcare professionals provide customized solutions to optimize clinical documentation, coding accuracy, and revenue integrity.
BENEFITS
Unlocking the benefits of clinical administrative services
Improved Patient Care
Deliver timely and appropriate patient care aligned with current medical standards.
Enhanced Revenue Cycle Management
Maximize revenue and minimize financial losses with clinical documentation, coding accuracy, and proper reimbursement.
Compliance and Efficiency
Maintain compliance with healthcare regulations and improve operational efficiency by reducing unnecessary procedures and optimizing treatment plans.
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Additional HIM services to streamline your revenue cycle
Medical Coding Services
Ensure accurate coding of medical services by experienced coders to prevent billing errors, reduce claim denials, and maximize reimbursement with improved compliance.
Medical Coding Auditing Services
Complete coding compliance audits performed by our auditing team, including revenue impact analysis and lost revenue recovery.
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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.
