Empower your Hospitals’ Financial Health
Specialized Revenue Cycle Management Solutions for Small and Critical Access Hospitals and Health Systems
We Know Facility Billing
We offer a seasoned team equipped with the knowledge and experience to tackle hospital billing intricacies and adapt swiftly to regulatory changes. Our streamlined RCM processes and cutting-edge tools are specifically designed to enhance efficiency and accuracy, empowering small hospitals and health systems to focus on providing exceptional patient care without the constraints of undue administrative burdens.
Rely on a Qualified Team
Our experts are qualified and steady, so you don’t have to worry about staffing issues like turnover and finding skilled personnel. We navigate changing billing procedures and legislation.
Simplify RCM
Our proven processes keep things simple, as increasingly intricate billing processes make RCM challenging to handle efficiently in-house.
Enjoy Custom Service
Replace inadequate processes and embrace our flexible tools and helpful experts that meet your hospital’s unique RCM needs and reduce administrative headaches.
Outstanding RCM Services, Powered by Outstanding Technology
Every hospital and health system’s billing needs are unique. We offer a customizable suite of tech-powered RCM solutions and can help you determine which solutions would benefit your facility most.
About our Reporting Tool: SalientView
SalientView is a web-based revenue cycle management reporting tool. Its transparent and comprehensive data dashboard allows healthcare executives, providers, hospital staff, and finance professionals to view trends and make decisions based on actionable data. SalientView helps our clients improve not only revenue cycle but practice operations overall.
“The web application dashboard is absolutely fantastic! The interface is not only intuitive but also beautifully designed, making it a joy to navigate through complex data effortlessly. It’s truly a game-changer for our team’s productivity and data management!”
Jim Suver, CEO – Ridgecrest Regional Hospital
Tailored Discovery Process
As part of our discovery process, we complete a comprehensive evaluation of hospital revenue cycle operations to develop a tailored RCM solution that meets your hospital’s specific needs. We find this tailored approach is the best foundation for a long-term relationship founded in partnership.
End-to-End Facility RCM Solutions
Our comprehensive RCM services cover every aspect of revenue cycle management, meaning you can outsource as much or as little of the process as you want to a trusted partner.
Access Management
- – Preregistrations/precertification/preauthorization
- – Insurance Discovery Verification
- – Patient Advocacy
- – Management of on-site FTEs
Self-Pay Collections
- – Pre-Collections (60-90 days)
- – Call Center Collections
- – Automated Telephonic Collections
Heath Information Management
- – Coding and auditing
- – Charge capture
- – Clinical documentation improvement
Revenue Integrity
- – Third-Party Liability (Subrogation)
- – Underpayment Identification and Recovery
- – Legacy AR Management
- – Denial Management
Management Reporting Services
- – Creation of customized client dashboards
- – Clear, valid, and actionable data
- – Customized reports per individual user requirements
Claims Process
- – Electronic claims submission
- – Insurance follow-up
- – Payment posting (ERAs and paper)
- – Payer relations
- – Billing
Provider Services and Analytical Support
- – Managed Care Contracting
- – Provider Enrollments and Revalidations
- – Credentialing and Support
- – Contract Management and Modeling (ongoing)
- – Dedicated Account Management
Administrative Support Services
- – Accounts Payable Processing
- – General Accounting
- – Bundled Payment Administration and Management
- – Monthly Financial Reporting
Specialized A La Carte Services
- – Coding only
- – RCM leadership
- – Targeted improvement projects
Why Resolv?
Seamless Integration
Our solutions integrate seamlessly with your existing hospital management systems, maximizing efficiency and data visibility.
Customizable Solutions
We tailor our solutions to meet the unique workflows and challenges of each hospital, offering flexibility in outsourcing and staffing.
Continual Support
Our team provides ongoing support and reporting, ensuring that your hospitals or health system receives the RCM support you need to thrive.
Flexible RCM Engagements
In-House RCM +
Our Support
Benefit from our expertise and continue employing your in-house RCM staff while we provide consulting support, coding services, and/or RCM leadership.
Hybrid In-House/
Outsourced Model
We work with your leadership to develop the most efficient and effective RCM team, leveraging a combination of your internal resources and our external experts.
Fully Outsourced End-to-End RCM
Fully outsourced RCM means we handle every aspect of your RCM process. As a result, your team can focus on day-to-day hospital operations and patient care.
Ready for a RCM partner you can rely on?
Contact us today to learn more about our tailored RCM solutions for smaller hospitals and health systems.