Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.
Health Information Management
Our team of coding experts, with a deep understanding of the healthcare industry and its specialties, paired with smart technology creates a tangible, positive impact on cash flow.
Extended Business Office
AGS Health provides a comprehensive suite of RCM services that are customized for each customer. Our experienced team of experts serves as an extension of your business office.
Analytics and Reporting
Obtain answers to critical questions related to performance benchmarking, root cause analysis, predictive analytics, and operational improvements.
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Latest CASE STUDIES
By AGS Health
June 15, 2022
As hospitals and healthcare systems evolve to meet the needs of a growing and aging population, they find themselves struggling to remain financially healthy. An effective healthcare revenue cycle ensures patients receive treatment and hospitals can be reimbursed quickly.
The current healthcare revenue cycle evolved from a fee-for-service model to a value-based care model. While this accelerated a significantly more engaging and efficient patient care process, it also made managing and monitoring administrative and clinical functions financially critical tasks.
It is crucial to understand revenue cycle management, its value, and its challenges in healthcare.
A thriving healthcare revenue cycle reduces and prevents errors.. Several factors contribute to errors, but an agile revenue cycle management framework can eliminate these challenges before they occur. To do this, hospitals must enhance specific RCM components and enablers, which include:
Optimizing these factors allow healthcare centers to build solid and efficient and reap tangible benefits, such as:
Maintaining a healthy revenue cycle is daunting, especially in an increasingly over-burdened healthcare sector and during a pandemic. Hurdles that can often cause the most damage to the revenue management cycle include:
The introduction of the ICD-10 guidelines presented a fresh layer of complexity to an already onerous coding process. For hospitals, failure to comply with the guidelines could result in incorrect coding and billing, lost revenue, and harsh penalties for any mishaps. Additionally, not maintaining specialty-specific A/R benchmarks poses additional challenges.
Secondly, documentation errors can further strain the management process. A recent review by a medical liability insurance provider reveals documentation errors make up 72% of all EHR risks. Documentation errors significantly impact the quality of patient care and provider reimbursements, and they affect all other processes on the outpatient chain.
Leveraging cutting-edge technology offerings to simplify processes and streamline revenue is necessary in an increasingly digital world. And this is where AGS Health’s advanced solutions can offer substantial benefits across multiple aspects of the revenue management cycle.
Our Computer-Assisted Coding (CAC) tool uses Artificial Intelligence and Natural Language Processing to maintain coding guidelines and suggest correct codes. This automation reduces coder workloads significantly and mitigates human errors in coding. At the same time, our Clinical Documentation Improvement (CDI) solution automates query suggestions to maintain coding accuracy and improve document quality.
Additionally, AGS Health’s analytics engine provides visibility over the entire coding function and granular insights aid in the continuous improvement of processes and people. With real-time tracking of clinical, CDI, and audit performances, the engine helps providers proactively identify issues and ￼implement fixes.
AGS Health strives to surpass outpatient coding quality and accuracy benchmarks with rapid and consistent CAC and CDI. The objective: help healthcare centers provide the best possible value and receive the best returns on investment in the current value-based healthcare landscape.
AGS Health is more than a revenue cycle management company–we’re a strategic partner for growth. By blending technologies, services, and expert support, AGS Health partners with leading healthcare organizations across the US to deliver tailored solutions that solve the unique needs and challenges of each provider’s revenue cycle operations. The company leverages the latest advancements in automation, process excellence, security, and problem-solving through the use of technology and analytics–all made possible with college-educated, trained RCM experts. AGS Health employs more than 10,000 team members globally and partners with more than 100 clients across a variety of care settings, specialties, and billing systems.