WHO WE SERVE
Radiology and Infusion Centers
Overview
Radiology and Infusion centers face several key challenges in revenue cycle management (RCM) that can significantly impact their financial performance. The complex billing requirements associated with therapies often involve multifaceted procedures that necessitate precise coding to ensure proper reimbursement, especially when dealing with expensive biologics and drugs. Additionally, many services require prior authorization due to their high costs, making this step crucial to avoid delays in treatment and disruptions to patient care. In Radiology, fast prior authorization across all modalities ensures patients keep their appointments and expensive capital equipment is optimized. Also, coding specificity is paramount, as the use of highly specific CPT and ICD-10 codes, along with appropriate modifiers, is essential to prevent denials and underpayments.
AGS Health can help address these pain points and help optimize RCM processes to improve the overall financial health in your radiology and Infusion centers.
SERVICES AND SOLUTIONS PROVIDED
Integrated Financial Clearance Services
Underpayment Recovery Services
Payment variance and underpayments are silent revenue killers that can represent millions of dollars in unrecognized net revenue. AGS can help identify and review underpaid claims to uncover payer processing issues or identify contract management tool optimization.
Accounts Receivable (A/R) Management Services
Our team of experienced A/R specialists can help customers pursue full eligible reimbursements and mitigate future denials. Our insightful analytics help identify the root cause of these issues, enabling customers to develop effective strategies for denial prevention and payer contract optimization.
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solutions made for you
We also have experience and expertise in a wide range of
RCM services and solutions
Patient Access
Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.
Health Information Management