REVENUE CYCLE MANAGEMENT

Stirling Global Solutions

We provide a strategic assessment focusing strictly on the people, process, and payment systems that surround the accounts receivable and reimbursement process. The goal is to ensure your practice has the right team, the right systems, and the right accountability standards to:

  • Achieve Successful Reimbursement
  • Maximizing Correct Coding Opportunities
  • Reduce Lost Revenue
  • Educate and Train Staff
  • Streamline Authorizations and Referrals
  • Strengthen Denial Management and Appeals
  • Submit Claims Efficiently

The Medical Group Management Association (MGMA) reported in 2014 that, 50% to 65% of denials are never worked, according to industry sources, who attribute that to lack of time or knowledge.

The success of your practice rests largely upon effective management of your revenue cycle.  A comprehensive review of your current billing processes, policies and procedures can help you discover where your practice is missing revenue opportunities and mitigate future lost revenue.

TRAINING

Stirling Global Solutions

Training and Education is a foundation of our company. We offer live, in-person training on site, we also have a proprietary web-based platform for continuing education courses. We have topics on a variety of subjects and customize in-services and training for your organization. AAPC continuing education units (CEUs) are available with prior request to for clients who staff those who are already certified coders.

Popular Speaking Topics:

  • “Incident-to” Billing Guidelines
  • Achieving ICD-10-CM Specificity
  • Annual Coding Updates
  • Annual Wellness Visits and Preventive Services
  • Certified Coder Bootcamp
  • Chronic Care Management (Transitional Care and Principal Care Management)
  • COVID Updates for Billing and Coding
  • Healthcare Compliance (Antikickback, False Claims and Stark)
  • How to Conduct an Internal Audit.
  • Implementing a Strong Revenue Cycle Management (RCM) Program
  • Maximizing Portable Diagnostic Services
  • Optimizing Risk Adjustment (HCC) Coding and Compliance
  • Specialty Coding
  • Target, Probe & Educate (TPE) Avoiding Round Two
  • Telehealth (and telehealth during the Public Health Emergency (PHE))
  • Understanding CPT® Evaluation and Management Coding

SUBJECT MATTER EXPERT

Stirling Global Solutions

Expert assistance in these healthcare issues and more:

  • Compliance Planning
  • Due Diligence Audits for Mergers and Acquisitions
  • Fraud and Abuse Claims Assistance
  • Independent Review Organization for Corporate Integrity Agreements
  • Legal Expert Witness
  • Overpayment Request Assistance
  • Payor Audit Assistance
  • Pharmacy Reviews
  • Program Integrity Audit Assistance
  • Target, Probe and Educate (Medicare Program Integrity Review) Assistance