Healthcare Revenue Optimation Solutions

Mail :  contact@thebusinessside.com

HOSPITAL AND HEALTH SYSTEMS

ABOUT US

The Business Side has been around for 20 years serving those in the medical field allowing them to get back to doing what they love, not the nagging chores. We can provide short term or long term help, using your systems or helping you get the next level in efficiency. We can help get your money for you and manage the Business Side of things.

RESOURCES

HOW WE HELP/SERVICES

The Business Side, Inc., specializes in high-value, high-touch project work such as credit balance clean-up, A/R catch-up, and pre-visit eligibility verification, and we’re glad to fill in or catch you up in a pinch or take the burden off of you longer term.

We work with your existing staff and systems to deliver the results you need. Now. Have multiple systems or a complex workflow process? No problem. We’re expert at interfacing with a myriad of systems and workflows in order to tackle the challenge so you don’t have to. We’ve been doing it for 20 years. No matter how big or small the project, we’re here to help. Really.

CREDIT BALANCE

CASE STUDY

BIG DATA

WHITE PAPER

CREDIT BALANCE REMEDIATION

RCM SERVICES OVERVIEW

  • + Revenue Cycle Management

    We work to get your revenue up and keep it up.

     

    Click here to see our Revenue Cycle.

  • + Eligibility Review & Fee for Service Review

    Eligibility verification done prior to patient arrival to assure insurance payment for services rendered.

  • + Accounts Receivable

    Aggressive, yet professional, pursuit of payment from insurance companies and patients to resolve aging A/R. Demographic and charge entry and tracking with regular reporting to manage receivables.

     

  • + Credit Balance Remediation

    We can turn up to 85% of your existing Credit Balances into Net Income.  Most Credits are not actually money you owe someone else.  Credit Balances usually occur as a result of honest mistakes, errors in processes, or simply due to the timing of payment. It takes expertise to effectively and efficiently move the correct Credits from your Balance Sheet to your P&L as Net Income.

    Click here for a case study.

    Click here for more info.

  • + DSH

    Pursuit of full payment on claims, resolution of underpaid claims,

    and submission of secondary claims.

     

    Click here for more info.

  • + RAC Audit Review

    Analysis of RAC determinations, preparation of response, and oversight of appeal process.

  • + Big Data Denial Review

    Big Data analytics to determine trends and patterns in denials in order to resolve them at their root cause.

     

    Click here for more information

     

    Denial Sample Report

  • + Quick Pickup Services

    We quickly and easily capture missing or overlooked Net Income with Credit Balance Scrubbing, DSH Payment Validation, Fee-For-Service Review, Technology Transition, Single Payer Negotiations/Issues and more.

     

    Net Income PDF

    • Credit Balance Scrubbing

      We can turn up to 85% of your existing Credit Balances into Net Income.  Most Credits are not actually money you owe someone else.  Credit Balances usually occur as a result of honest mistakes, errors in processes, or simply due to the timing of payment. It takes expertise to effectively and efficiently move the correct Credits from your Balance Sheet to your P&L as Net Income.

    • DHS Payment Validation

      Everyone knows the DPP equation, but few know that every facet of the equation provides opportunities to maximize your payments.  Let us ferret out all pertinent information to maximize your DSH payment for not only the years that you did receive, but  try to secure DSH payment for years you did not qualify.

    • Fee-For-Service Review

      Every hospital we’ve worked with has left money on the table that we have been able to help them recover.  We will analyze your patient population in order to find those self-pay patients falling within Timely Filing Limits that have insurance coverage not yet identified.

    • Technology Transition

      Moving from Cerner to Epic or MEDITECH to McKesson?  It’s always a challenge for billing staff to learn a new system while working out the existing AR in the old – mispostings and other mistakes often multiply during this process.  Our team is experienced in working out old AR in every major system and we can take that burden off your shoulders.

    • Single Payer Negotiations/Issues

      If you have a big problem, we can get involved and advocate for your win – We have the track record to prove it.

DSH PAYMENT VALIDATION

WE WOULD LOVE TO HELP YOU.

Email us today to get started.

CONTACT US

With over 20 years of experience, the Business Side helps healthcare organizations get their revenue back in their hands. The Business Side helps with all areas of medical billing for short term relief or for long term help.

CONTACT INFO

6835 Olney Laytonsville Rd, Gaithersburg, MD 20882

The Business Side. Site designed and maintained by Josh Critzer Media

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