Manage the Revenue Cycle

Theseareuncertaintimesforindependentpractices.Butonethingisclear.Ifyou’reprovidingexcellentpatientcareandrunningapracticethatfunctionslikeasuccessfulbusiness,you’llbeinastrongerpositiontochartyourowncourse–nomatterhowthefutureunfolds. ALNcanhelpimprovethebusinesssideofyourpracticetogiveyouthefinancialresultsnecessarytostayindependent.WeoffercomprehensiveRevenueCycleManagement(RCM)services,unliketraditionalbillingcompaniesandsoftwarevendorswhosefocusismorenarrow.Withourbroadrangeofcapabilities,wecanhelpyoumanagetheentirerevenuecycleandturnyourgoodpracticeintoagreatbusiness.Bringingtogetherthebestpeople,processes,technologyanddata,we’llhelpyourealizemorerevenue–moreefficiently–soyou’llhavetheabilitytocontrolyourfuture.

Manage the Revenue Cycle

©2009ALNMedicalManagement,Inc.Allrightsreserved.1109

Control Your Practice, and Your Future

Choose Your Level of Service

ALN’sRCMservicescanbeconfiguredtomeettheneedsofanypractice.SowhetheryouwantafulloutsourcingpartnerorsomeonewhohandlesjustselectedRCMactivities,wecandothejob.Nomatterhowyouchoosetouseourcapabilities,thegoalswillalwaysbethesame:helpyougetmoreperformancefromyourrevenuecyclesoyoucancontrolyourfuture.

Four Performance Drivers

People Behindanyhighperformingbusinessprocess isa teamofexceptionalpeople.TheALNstaff includeshealthcareveteranswithfront-lineexperienceincoding,compliance,contractmanagement,credentialing,billing,collections,denialmanagementandmore.Combinetheseskillswiththetalentinyourpractice,andyou’llhaveateamthatwilloptimizeyourrevenue.

Technology Across the entire revenue cycle more automation is being used every day. Technology enables every activity in the revenueprocesstobeperformedquickly,accuratelyandconsistently.Weoffertwofullyintegratedapplications:Centricity®fromGEHealthcareandCareTracker®byIngenix.Bothincludepracticemanagementandelectronicmedicalrecordsystems,andbothareCCHIT-certified.We’llimplementeithersolutionandprovidetraining,hosting,maintenance,support,andintegrationwithotherapplications.

Processes Theprocessproducestheresults.Andbyprocesswemeanhowclaimsdataareinitiallycollected,howclaimsgetsubmitted,howaccountsreceivablegetworked,whichstepsareautomated,whichtasksrequireaspecialist,andhowimprovementsgetidentifiedandimplemented–alloftheworkofturningclaimsintocash.Deployingefficientprocesses–andexecutingthemconsistentlywithstructureanddiscipline–that’swhatdrivesapracticetoahigherperformancelevel.

Data Ittakesgooddatatomakethedecisionsabouthowtoimproveyourrevenuecycle.WhenyouworkwithALN,you’llhaveaccesstocriticaldataaboutthekeyaspectsofthispartofyourbusiness.Deliveredtoyouinsimplereportsanddirectconversations,thisinformationwillhelpusworkwithyoutocompareyourperformancetobenchmarks,pinpointproblemsandidentifyopportunitiesforimprovement.Asaresult,you’llhavethebusinessintelligenceyouneedtoimprovethedecisionsaboutyourbusiness.

The traditional billing and collections model is changing and expanding. Today’s revenue cycle process encompasses almost every aspect of your practice. It’s complex, regulated and rapidly becoming more automated. The difference between typical and exceptional performance often makes the difference between staying independent or not. Performance depends on four factors.

Revenue Cycle Management

Revenue Cycle Management Support

Transaction ProcessingFront End Back End

Pre-Adjudication

ChargeEntry

ClaimScrubbing

ClaimSubmission

Co-Pay andDeductibleCollection

Request forInformation

DenialsAnalysis

ClaimStatusing

Appeals andResolution

Conveyance,Small Balance

Write-Off

PatientRefunds

CollectionLetters

Inbound andOutbound Calls

PatientStatements

Transition toCollections

BankingSet-Up

EDI/ERAEnrollment

ProviderCredentialing

FeeSchedule

ContractNegotiations

Scheduling/Registration

EligibilityVerification

AppointmentReminders

PatientCheck-In

PatientPayment

Arrangements

EncounterDocumentation

Coding andChargeCapture

EDIManagement

RevenueAllocation

PaymentPosting

EFT, ERAProcessing

BankDeposits

Scanning/Indexing

MailProcessing

• Daily/month-end balance• Month-end reporting

• Open issues tracking• Key metrics tracking• Non-collectible adjustments• Ad hoc reporting/analysis• Root cause analysis

• Regulation monitoring• Coding and chart audits• Coding support for billing process

• Practice management system• EMR integration• Other application integration• Interfaces/data exchange• Hosting and support

• Process measures and audits• Employee performance audits• External audits

Ask ALN clients why they work with us and you’ll get a variety of answers, but they all point to helping their practices stay independent. Choosing ALN means you:

Gain IT flexibility. Investinasolutionthatcanaccommodatechangesandputyouonaflexiblepathtowardthetechnology-basedfuture.

Increase profitability.Eliminatecommonmistakesthateroderevenueanddriveupcostsduetorework.

Get Results

Focus on patient care.Eliminatedistractions,dotheworkyoulove.

Streamline workflow.Makeyourwholeofficerunmoreefficiently.

Make better decisions. Usefactsanddataasthebasisforaction.

Recover more revenue. Getrightfullypaidfortheservicesyou’veprovided.

Control your destiny. Achievethefinancialstrengthnecessarytostayindependent.

Reduce risk. Protectyourpracticefromfraud,systemsdowntime,technologyobsolescenceandotherrisks.

Take Charge of Your Future

Theworldofhealthcareischangingrapidly,butyouhavethepowertocontrolyourfuture–ifyouturnyourpracticeintoagreatbusiness.Weunderstandthatinvitingathirdpartytoshareresponsibilityforyourrevenuecycleisabigstep.Apersonaldiscussionisthebestwaytobeginaddressingyourquestionsandconcerns.Contactustodayandlet’sgetstarted.Itwillbeourprivilegetoserveyou.

Today’s revenue cycle encompasses countless activities in your practice.ALN can help you manage the entire revenue cycle and turn your practice into a great business.

www.alnmm.com 1-866-611-51321221W.MineralAvenue,Suite201,Littleton,Colorado80120