Services
Our Services
Discover tailored financial services designed to meet your unique needs. From strategic investments to expert consultations, we provide the tools and guidance to achieve your financial goals.
Educational Services
- Training for healthcare staff on best practices for documentation, coding, and billing.
- Updates on regulatory changes and their impact on reimbursement.
- Workshops and seminars on effective denial management and appeal strategies.
Consulting Services
- Strategic consulting to optimize revenue cycle management processes.
- Assessment of existing revenue cycle practices and implementation of improvements.
- Technology solutions to enhance billing and collection efficiency.
Technology Services
- Automate Healthcare financial process for efficiency and accuracy.
- Streamline revenue cycle management with AI-powered tools.
- Improve financial performance with data-driven insights.
Zero Balance Reviews
- Analysis of accounts with zero balances to identify any missed revenue opportunities.
- Reassessment of claims to detect underpayments or denials that can be appealed.
- Detailed reporting on findings and potential recoveries.
Underpayments Recovery
- Identification and recovery of underpaid claims from insurers.
- Detailed audit of payer contracts to ensure compliance and correct reimbursement rates.
- Negotiation with payers to resolve underpayments.
Clinical Appeals
- Preparation and submission of appeals for denied or downcoded claims.
- Comprehensive review of clinical documentation to support appeal efforts.
- Follow-up with payers to ensure timely resolution of appeals.
Transfer DRG Reviews
- Analysis of discharge records to identify incorrect transfer DRG assignments.
- Review of patient transfer documentation to ensure compliance with Medicare transfer policies.
- Reclassification of DRG codes to recover additional reimbursement where applicable.
Denial Management
- Comprehensive management of denied claims, including tracking and reporting.
- Root cause analysis to identify patterns and reduce future denials.
- Development of strategies to prevent denials and improve initial claim acceptance rates.
Payer Contract Compliance
- Review of payer contracts to ensure compliance with negotiated terms.
- Identification of discrepancies between expected and actual payments.
- Contract negotiation support to improve reimbursement terms.
Revenue Integrity Audits
- Detailed audits of billing and coding practices to ensure compliance with regulations.
- Identification of potential areas for revenue leakage.
- Recommendations for process improvements to enhance revenue capture.
Contact Us
Looking to take your financial strategy to the next level? Reach out to Helix Advisory today. Our expert team is here to provide personalized solutions and guide you toward achieving your business goals.