Revenue Cycle
Our Approach
Pennsylvania Mountains Healthcare Alliance believes in the value of prevention and use of data analysis in operational decisions. We use a combination of technology and operational expertise to monitor revenue cycle data flow from beginning to end.
Revenue Cycle Pod
The revenue cycle pod provides overall revenue cycle management using best practice, efficiencies, workflow standards, and reporting to enhance the entire revenue cycle process. A key function within hospital operations, our best-in-class experts work to optimize the financial process used to manage administrative and clinical functions associated with capture, management, claims, payment, and collection of patient service revenue.
Revenue Cycle
Specialized Expertise
Individualized retainers are customized to meet your needs using best practice, standardization, and revenue cycle system review.
Our experts in Patient Access, Health Information Management, Revenue Integrity, and Billing will enhance current practice, increase cash acceleration, reduce denials/bad debt, and promote overall revenue cycle efficiencies.
Contract Management
Contract management takes the responsibility of negotiating payer contracts and maintaining positive payer relationships.
Our team will review and negotiate comprehensive contract language to ensure payers adhere to their obligations while reducing contractual risk and improving operational efficiency.
CDM/Revenue Integrity
The charge master service line manages the charge master description, charge capture, charge coding functions, and the associated analytics. We implement and monitor best practice standards across participating hospitals with regular report analysis and feedback.
Revenue Cycle Technology & Data Analysis
PMHA implements and supports technological tools to maximize efficiency and reduce mistakes through automation and analysis. Our partnerships and technology provide opportunities at all points in the revenue cycle with systems and robust reporting capability around automated eligibility, registration QA, Good Faith Estimates, charge master and coding analytics, and denials management.