Kim Stevens, PESC, Director of Sales and Marketing, Health Revenue 360, LLC
Technological advancements have changed the course of almost every business sector. For instance, in the healthcare domain, the evolution of telemedicine has allowed care providers to overcome geographical barriers and increase the efficiency of care delivery. Particularly during the ongoing COVID-19 pandemic, where social distancing is the norm, telemedicine is acting as a boon for health workers and patients alike to provide and receive care from home, thereby minimizing the risk of people contracting the virus. However, the healthcare providers who are not yet ready to upend their standard model for care delivery right now are most likely to experience a significant drop in their business. “Owing to the current pandemic alone, there has already been a 50-70 percent decline in physical clinic visits,” says Kimberly Stevens, CPC, CCS-P, president of Health Revenue 360, LLC.
That being said, it’s not just about thoughtlessly riding the technological bandwagon and digitalizing the healthcare delivery model. Kimberly states that the burgeoning feat of telemedicine is also bringing forth newer kinds of compliance and billing challenges for healthcare providers. Confusion around accepting payments after a consultation or conforming to diverse regulations of different states are some of the major growth barriers for telemedicine. On that front, Health Revenue 360, LLC—a leading healthcare revenue cycle management (RCM) company—is fast emerging as one of the frontrunners in terms of understanding the changing compliance landscape of telemedicine and its nuanced billing and regulation aspects.
However, telemedicine is but one of the areas of expertise for Health Revenue 360, where it provides robust revenue management services. True to its name, Health Revenue 360, LLC, offers end-to-end RCM services, including medical billing and coding, credentialing and contracting, denial management, medical record auditing, and healthcare practice management, to help its clients thrive financially. Whether the client is a telemedicine only practice or a traditional healthcare provider, Health Revenue 360, LLC caters to its clients’ every RCM need. One of the company’s strong suits is if the client already has functioning software, Health Revenue 360, LLC comes in and perfects its capabilities. In case a client doesn’t have a working software, Health Revenue 360 implements its EHR and medical billing software to help grow their practice and optimize revenue. At the core of this diversified expertise is the company’s personnel, with 30+ years of combined experience in the front office, clinical ability, and practice management, creating a perfect ecosystem for its clients to increase and sustain their revenue. These proficiencies are the linchpin of Health Revenue 360, LLC’s success. “We don’t believe in a universal approach when it comes to RCM.
We strive to work one-on-one with each client and offer customized services,” underscores Kimberly. To that end, when Health Revenue 360, LLC starts working with a client, its team performs a ‘Practice Efficiency Assessment’ to understand the client’s unique RCM process. Along with the assessment, the team has a dialogue with the staff to understand how they are handling the operations. Based on the evaluation, Health Revenue 360, LLC tailors its RCM services for the credentialing process, maximizing the staff’s efficiency to manage an insurance claim from its filing through to the end of the billing process. And the partnership does not end there. Health Revenue 360’s team constantly supports practices to help them maximize revenue and improve operational efficiency. And, in doing so, Health Revenue 360, LLC becomes a seamless extension of its client’s practice.
From the healthcare compliance perspective, Health Revenue 360, LLC is always on the constant lookout for the ever-changing regulations and guidelines to help its clients stay one step ahead of the compliance curve. “We teach healthcare providers about the evolving guidelines,” says Kimberly. Additionally, the company is proud of its American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA) certifications enabling it to cover every aspect of its clients’ compliance needs.
While implementing these solutions and services, Health Revenue 360, LLC also ensures a disruption-free environment for its clients as they are customized (by Health Revenue 360, LLC’s experts) keeping healthcare providers’ needs in mind. “Our motto is to make our solution fit for our clients versus them having to fit into our processes,” says Kimberly.
To explain how this approach helps Health Revenue 360, LLC optimize its client’s revenue cycle, Kimberly shares an instance. A healthcare provider was struggling explicitly with denial management. The approvals were not getting processed by the payer due to the error in the medical coding process resulting in incorrect enrollment of the claims. Kimberly says, “They needed a different approach for their medical coding process.” With its medical billing and coding know-how, Health Revenue 360, LLC improved their claim filing and management process. In doing so, Health Revenue 360, LLC helped the client re-open the rejected claims, and within 30 days, 25 percent of the outstanding denials were collected, some of the claims were almost a year old—“which is huge,” comments Kimberly. “And we are still guiding them with their claims and denial management.”
Such success stories are a testament to Health Revenue 360, LLC’s expertise in the RCM space. Even on the technological front, Health Revenue 360 is always pushing its limits and thinking outside the box. “We want to reach our maximum potential,” says Kim Stevens, Director of Sales and Marketing at Health Revenue 360, LLC. Recently, the company collaborated with a partner to work on a robotic process automation (RPA) project. The partner needed Health Revenue 360, LLC’s expertise in the RCM space to create a program designed to gather claims status quickly. Although it was Health Revenue 360, LLC’s first endeavor to leverage RPA for claims processing, the collaboration bore impressive outcomes within a matter of two weeks. The result: a robot was built that could help its user pull out specific claims data in a matter of seconds with no calls or contact with the Payer.
These proven capabilities have made Health Revenue 360, LLC an RCM market leader today. The company is all geared up to learn new things and plan ahead for what’s coming in the future. “For us, the sky's the limit,” concludes Kim.