Medical Billing Services
Revenue Management Cycle
BKM Health has partners that specialize in enhancing the financial performance of our clients by seamlessly supporting Revenue Cycle Management (RCM) and related processes. As a Partner to our clients, it serves as a direct RCM extension to Hospitals and Faculty Practices by leveraging healthcare expertise, technology and qualified resources.
Document Management Services
Our partners address organizations’ document processing challenges through a unique combination of next-generation platforms powered by artificial intelligence & fuzzy logic. Their Smart Document Processing solutions go beyond mere capture and archival, into the realm of intelligent interpretation, helping customers automate their end-to-end document lifecycle, optimize business processes, and intelligently validate and route business information to the right persons at the right time in the right format. Smart features of critical information and encoded break-down and regrouping of information help ensure high levels of security of the information being processed. With the ability to process both, structured and unstructured documents covering handwritten, typewritten, bar-coded and check-marked information, smart document processing solutions offer unmatched versatility to the client’s varying organizational document processing requirements.
Coding and Auditing
Our partners offer a full complement of Medical Auditing Services to help you optimize your reimbursement while maintaining compliance with regulations. We will identify the strengths and weaknesses of your coding, documentation, billing and reimbursement practices to identify and report opportunities for performance improvement. Once areas are identified, we can customize coder and physician education and training to boost your compliance rate. Our auditors are AHIMA credentialed, and each auditor has more than 15 years of experience.
Whether you need on-site or remote services, flexibility in scheduling or assistance with a long-term or short-term special project, our highly trained and credentialed staff is here to help. Our expertise spans all types of healthcare organizations from Academic Medical Centers to Long Term Care Facilities and Physician Groups. See why so many of our clients return time and time again.
A/R Analytics
At BKM Health, we know the importance of proper analysis and timely following up on Accounts Receivable which is most significant asset of all healthcare providers. Our aim is increase collections and reduce AR days by submitting clean claims, analyzing denied claims, and following up on each claim over 60+ days every month.
Credit Balance Resolution
Our partners specialize in enhancing the financial performance of our clients by seamlessly supporting Revenue Cycle Management (RCM) and related processes. As a Partner to our clients, they serve as a direct RCM extension to Hospitals and Faculty Practices by leveraging healthcare expertise, technology and qualified resources.
Pharmacy Services
Our partners provide best practice pharmacy services that reduce costs, increase drug safety and improve clinical outcomes. They work in focused teams with national support. They work to ensure optimal drug cost savings solutions and services for our clients. Their expertise, proprietary processes and pharmacy technology enable our teams to keep drug costs below inflation rate while maintaining excellence in pharmacy compliance.
PROVIDER ENROLLMENT & CREDENTIALING
We know that time is money. Accurate, rapid credentialing is key to profitability. Working across the healthcare industry spectrum, we ensure that credentials are correctly submitted and verified.
Time-consuming. Critical to upholding the highest standards of patient care. Negative impact on the bottom line. According to industry sources, delays in provider credentialing can cost a hospital over $900,000 in as few as six months, while the cost to verify each providers' credentials can exceed $250 in out of pocket costs alone, not to mention the cost of valuable administrative time.
Duplicative. Ongoing. Expensive. With constantly evolving industry standards, privileging has become a headache that results in average internal costs per provider in excess of $1200, according to industry sources, directly impacting practice profitability. And with average privileging cycles lasting as few as two to three years, the cost of maintaining relationships with the right secondary and tertiary care facilities is a fast-growing growing indirect practice cost.
Inefficient. Lengthy. Costly. Keeping credentials up to date with the right network of payers is key to maximizing revenue. Staying on top of ever-changing network and Medicare/Medicaid requirements is critical.