Healthcare is under unprecedented pressure to manage and sustain as the industry transforms from conventional fee-for-service (FFS) reimbursement model to value-based care, a reimbursement methodology that challenges healthcare providers to deliver the best quality care at the most reasonable cost, improving the overall value of care. In addition, constantly changing regulations, complex clinical documentation requirements, decreasing reimbursements, rising patient payment responsibilities, increased patient expectations and rising G&A costs add to the challenge. Navigating through this complexity can hinder your ability to provide sustainable service and grow your business. Allyhealth can be the right partner to provide expertise in end-to-end support for your business, while you focus on what you do best.
Professional Coding
Experienced medical coders
accuracy increases claim success and
reduces denials.
Facility Coding
Coding to address specific hospital or facility areas for total transparency.
Coding Audits
Maximize coding efficiency and quality of care with our support for coding audits.
Coding Denials
Thorough coding of denials and processing of coding denials for effective denial management.
Diligent enrollment/credentialing provides critical information to insurance companies for accurate adjudication.
Meticulous verification of a patient’s insurance coverage and benefits avoids errors that can delay claims.
Improve revenue through accurate charge capture and claim scrubbing that optimizes provider collections.
Consolidate all claims submission whether electronic or paper with streamlined & speedy processes.
Maximize claim submission success and improve revenue by minimizing rejections due to data errors.
Accurate and efficient payment posting with analysis of each patient’s EOB (Explanation of Benefits) expedites revenue.
Provider support through accurate reconciliation refunds or credit balances with complete clarity.
Denial Management
Effective denial management minimizes denials, increasing revenue and patient satisfaction.
Correspondence & Appeals
All the necessary correspondence and appeals are taken care of by our motivated team.
Insurance & Self-pay Follow-up
Our follow-up expertise resolves any issues and drives prompt payments of claims.
Analytics
Custom analytics provide actionable insights that fuel process improvements.