Specialized Consulting

Many practices, (even those who do not choose to engage our billing services) are eager (sometimes desperate) to improve their revenue cycle management.

To this end, we consult with your practice (for a fee) in a variety of ways. Some of the improvement initiatives we do include such projects as:

Effective Patient Recalls

It can be difficult to keep on top of patient recalls for many pediatric practices. As a result, quality of preventive care is reduced and revenue opportunities are lost. PedsOne can conduct your recalls for you. Using a refined system, we identify and contact patients who need flu shots, patients over due for physicals or any other subset of your patient population.

Appointment Reminders

Reduce your no-show rate and free your staff for higher level work. Our customized appointment reminder service contacts your patients with a personalized human voice message.

Chart Audits

For those providers who struggle to document and code their work appropriately, PedsOne offers an educational chart audit. We take a representative sampling of charts from each provider and provide feedback with results and explanations for a variance in findings.

Revenue Cycle Overhaul

On occasion, a practice may find themselves in need of a full scale improvement plan for their billing. There are many signals that indicate the need for such an intervention- a drop or slow down in payments, chronic erosion of your billing processes, internal strife among partners or staff, departure of patients from the practice, a sudden or significant change in the practice such as relocation or the departure of physicians.

Regardless of whether or not you are a client of ours, PedsOne can analyze your billing process and help create an improvement plan to set the practice on course for a more viable future. Focus areas may include:

  • Benchmark all appropriate data
  • Patient Financial Clearance
  • Check in and Check out
  • Charge Capture
  • Coding and Documentation
  • Charge Entry
  • Claims Management
  • Personal Billing
  • Payment and Denial Posting
  • Insurance Follow up
  • Denial Management
  • Credentialing and Fee Structure
  • Insurance tables
  • Fee structure
  • Financial Controls
  • Staffing Capabilities and Responsibilities
  • Practice Internal Structure, Leadership and Management
  • Information Technology- Software, Hardware, Environment
  • Security- HIPAA Compliance, Network/Data