Medical Billing and Coding Support

Revenue Cycle Management Optimization For Tribal Healthcare

We have recognized the opportunity to improve the way Tribal Nations manage their revenue cycle. Encompass Health Solutions (EHS) specializes in healthcare coding, billing, and collections, and customizes their optimization process to meet the unique needs of independent healthcare practices.

We have partnered with EHS to work with individual Tribal Nations to help optimize their healthcare billing process.

The following Tribal Nations have implemented Revenue Cycle Management (RCM) support including Medical, Dental, Mental Health, Pharmacy and Ambulance services.

  • Passamaquoddy Tribe – Pleasant Point
  • Passamaquoddy Tribe – Indian Township
  • Penobscot Indian Nation
  • Aroostook Band of Micmacs
  • Coushatta Tribe of Louisiana

 

Additional Tribal Nations have used USET/EHS for analysis and audit support.

RCM Program Benefits:

  • Increase total billed and collected third-party dollars
  • Recoup old A/R
  • Increase efficiency in billing, coding and collections
  • Implement best practices
  • Training and education
  • Institute KPI’s and reporting

Revenue Cycle Management includes all aspects of billing, collections and coding including:

  • Onsite workflow analysis of current processes and reporting on opportunity areas
  • Process improvement to reduce percentage of non-collection
  • Process for collecting current non-collectibles
  • Charge posting
  • Payment posting
  • Follow up on unpaid or denied claims
  • Compliance
  • Eligibility verification and enrollment
  • Fee schedule analysis
  • Onsite, quarterly meetings
  • Ongoing oversight of billing and collections
  • KPIs, scorecard, reporting
  • Payer credentialing and enrollment
  • Coding audits
  • Staffing model recommendations
  • Contract review and negotiations
  • Operational dashboards
  • Strategic planning

USET and Encompass are here for you now and for long-term support.

  • First year analysis, implementation and training
  • On-going support, follow up and best practices

For questions or to schedule an on-site assessment and proposal, contact:
John Marshall, President
Encompass Health Solutions
Office: 920-939-3810
jmarshall@goencompasshealth.com