Revenue Cycle Management (RCM)

• Aides in streamlining reporting
• Ensures procedure code guidelines align with AMA/ADA
• Electronic remittance advise (ERA) posting
• Post capitation payments and WRAP payments
• Denial management and analysis
• Patient revenue chart of accounts mapping in POMIS
• Daily closings / month-end closing
• Billing format maintenance for compliant 5010X12 HIPPA
• Medicare and Medicaid encounter rate system maintenance
• Prepare and transmit 837I / 837P / 837D
• Maintain poverty guidelines and slide fee scales
• A/R Analysis

Additional Services

• Accounting operations assessment
• Month-end closing and financial statement preparation
• Preparation and on-site external monitoring support
• Additional external reports preparation
• Audit and HRSA operational site visit (OSV) preparation assistance
• On-site audit field work support
• Accounting policy and procedures development
• Budget preparation
• Custom report development

Primary Financial and Accounting Services

• State and National representation
• Financial report at FQHC board finance committee meetings and board of directors' meetings
• Group purchasing discounts
• Center finance staff support and training
• Review and analysis of financial statements
• Review financial reports with management
• Greenway Intergy software and GL assistance/support to include a standard chart of accounts
• SAGE 300 software assistance/support
• Review of external reports (Audits, UDS, (Financial tables), FFR, and Cost Reports)