Get paid more and faster. Health Revenue 360, LLC’s medical billing services is an end-to-end revenue cycle management solution that’s geared to a variety of services.

Our knowledgeable staff has more than 30-years experience, and understand both sides of the fence, from patient to practice. We can handle your entire billing operations from claim creation, follow-up, payment posting to guiding your practice staff to get you paid more and faster.

At Health Revenue 360, LLC, our Team has guaranteed accuracy rating and quick turnaround times. So save yourself the hassle and prevent any medical coding inaccuracies from getting you into a federal or state bind by working with our Team of certified professional coders. Our Team has the training and the experience to guarantee accuracy that will help you see a larger and more stable bottom line. Our guaranteed accuracy means that you can take care of your patients knowing that your claim is coded to the highest level of specificity.

Health Revenue 360, LLC offers a full suite of healthcare denial management services that include AR follow-ups claims status checks, resolution of denied claims, preparing appeal letters, etc. – all done with one goal in mind which is to collect all dollars due for your services rendered.

Many physicians and facilities fail to manage denied claims and resubmit them because they lack the time and expert knowledge on the healthcare denial management reimbursement domain. Health Revenue 360, LLC deploys a dedicated Team of employees who will manage denials promptly and provide efficient denial management services.

We can identify the major reasons claims have been denied. The list below identifies the most frequent denial reasons that medical practices experience:

• Referrals & Preauthorizations
• Information from patient
• Duplicates
• Medical Necessity
• Insufficient Documentation
• Bundled/Non-covered
• Credentialing and Contracting

Health Revenue 360, LLC has established a workflow that tracks claims as they enter and leave your system.

At Health Revenue 360, LLC we work to provide our clients financial peace of mind. Providing patients quality health care also relies on the accuracy and completeness of medical records generated by clinicians/medical staff. The strongest way to improve your practice and the high quality services you provide is through medical record auditing and improving your clinical documentation. Health Revenue 360, LLC works to help providers operate more efficiently by pin-pointing areas of weakness that can be corrected through training.

The Benefits of Medical Auditing

Medical record audits help to provide a smooth delivery of care and to improve the financial health of your practice. There are many reasons why it is important to perform medical audits, such as:

• To stop the use of outdated or incorrect codes for procedures
• Help pin-point and correct problem areas before insurance or government payors challenge incorrect coding
• To resolve reimbursement deficiencies and opportunities for appropriate reimbursement

The Medical Auditing Services We Supply

• Reviewing for medical necessity
• Insuring no outdated coding
• Reviewing for down coding and up coding
• Auditing for unbundling
• Check for lack of documentation
• Analyzing compliance with payor’s policies
• Supporting appeals for clients
• Providing coder education and development

Building a staff of medical management is key to having good practice management. There are several aspects to maintaining your practice.

Staffing

Your team should consist of diverse, talented medical professionals from your front office to your back office. Selecting your team goes hand-in-hand with keeping your organization successful.

Communications

Internal: Making internal communications your top priority will ensure effective communication between staff members to allow for easier workflow and help eliminate any errors.

External: Forming a relationship with the community is just as important as creating good internal communication.

We understand just how frustrating it can be working with insurance companies and the piles of paperwork associated. At Health Revenue 360, LLC, we can help you navigate the difficult process of credentialing and contracting at an affordable cost.

We work with an array of specialties from:

• Cardiology
• Family Practice
• Internal Medicine
• OB/GYN
• Orthopedics
• Pain Management
• Pediatrics
• Physical Therapy
• Psychiatry/Mental Health

The benefit of working with Health Revenue 360, LLC for credentialing and contracting is that we can save your practice from the piles of paperwork and phone calls. We make all the phone calls, follow-ups, and submit all applications, e-mails, and faxes for you! We can also get you paid by the insurance companies faster!