Revenue Cycle Management
HOW WE'RE DIFFERENT
Denials management team
Instead of using your case management team to handle denials, you’ll have a full-time team of knowledgeable registered nurses. Our clinical experts have a solid understanding of commercial and government payers and undergo rigorous training on new and changing payment guidelines.
Senior account management
Your engagement is led by a revenue cycle services director—a proven leader with decades of experience. As a single point of information and accountability, this senior leader will set goals, provide regular reports and collaborate with you on improvement strategies.
Regulatory and payer compliance
Conifer Health stays on top of regulatory changes as well as policy and procedure changes that affect the revenue cycle. Our compliance and regulatory teams work with you to support your compliance activities and mitigate the effect of regulatory changes on your reimbursement.
We bring you the benefit of years of knowledge from working with other hospitals. We apply these best practices immediately—from appeal strategies to writing effective appeal letters. As we work your accounts, we’ll identify the cause of denials and work with you to implement effective process improvements.
Our registered nurses undergo rigorous quality management reviews so that they meet or exceed standards. Each clinician must achieve a 95-percent score on their monthly scorecard and 100 percent on quarterly Inter-Rater Reliability (IRR) exams.