Comprehensive Insurance Consulting
Over the last year, changes in reimbursement policies at major payers have left behavioral health providers struggling for new solutions to maximize revenue. Often, the solution lies in faulty processes and procedures the organization has developed. AVA will perform a full analysis of policies and procedures from admission throughout the billing cycle. From this analysis, AVA will present the facility or provider with a measurable plan of action for the facility and assist the facility in developing procedures to support a healthy revenue cycle.
Staff training and development
They key to proper revenue cycle management often lies in the proper training and development of company staff. Admissions, Intake, and Clinical departments are often un-trained or under trained in processes that effect the insurance billing cycle. AVA offers trainings and presentations to assist your staff in better understanding the impact of the revenue cycle on their departments. Some of the trainings that we offer include:
- Insurance Basics for Admissions
- Utilization Review Training
- Documenting for Medical Necessity
These trainings seek to assist the facility in improving quality of care and increase profitability. After the initial training, AVA is available to continue to consult and further develop staff to continue these processes.
Many third-party audits are spawned by failure to properly document service received and collect patient responsibility appropriately. AVA offers the opportunity for providers to have an onsite audit that evaluates the current risk the facility poses is at if faced with an audit.
Tired of outsourcing?
AVA has the ability to assist providers in bringing the insurance billing process in-house. Having an insurance department at your facility allows you to control the process more diligently than outsourcing. If this in an option that you wish to pursue, AVA can create processes and systems to ensure proper claims processing.