Comprehensive Revenue Cycle Management Services at We5
Navigating the complexities of the healthcare revenue cycle can be challenging. At We5, we offer end-to-end medical billing, coding, and accounts receivable management services to simplify this intricate process.
Navigating the complexities of the healthcare revenue cycle can be challenging. At We5, we offer end-to-end medical billing, coding, and accounts receivable management services to simplify this intricate process.
Streamlined Services and Advanced Automation Across the Revenue Cycle
We collaborate with healthcare organizations to enhance and expedite reimbursements, prevent denials, curb revenue leakage, and elevate the patient experience. Our innovative automation technologies ensure optimal revenue cycle performance. Trust We5’s best practices to achieve superior results.
Our partnership focuses on leveraging the latest technologies and industry best practices to refine and accelerate reimbursements, minimize denials, halt revenue leakage, and ultimately enhance patient satisfaction. We are dedicated to optimizing your revenue cycle while cutting costs and increasing revenue.
Our services cover the entire revenue cycle, from front-end to back-end, including:
At We5, we are dedicated to achieving revenue cycle excellence through innovative automation technologies and best practices. Allow us to streamline your revenue cycle processes and drive improved financial outcomes.
Efficient scheduling and appointment management are crucial for providing high-quality healthcare. Properly capturing eligibility and prior authorization requirements, minimizing long hold times, and streamlining processes are essential to ensure patient satisfaction and maintain positive referrals from physicians.
Efficient scheduling and appointment management are crucial for providing high-quality healthcare. Properly capturing eligibility and prior authorization requirements, minimizing long hold times, and streamlining processes are essential to ensure patient satisfaction and maintain positive referrals from physicians.
Patient Scheduling
At We5, we recognize the significance of effective scheduling and appointment management in enhancing healthcare delivery. Our goal is to streamline the scheduling process, reduce no-shows, and boost patient engagement, ensuring optimal outcomes for both providers and patients.
Our Patient Scheduling and Appointment Management services are designed to assist healthcare providers in managing their schedules more effectively while enhancing patient satisfaction. Our comprehensive services include:
Benefits of Our Patient Scheduling and Appointment Management Services
At We5, we understand that effective scheduling and appointment management are vital to delivering high-quality healthcare services. Our services are designed to streamline your operations, reduce no-shows, and enhance patient engagement.
Contact Us: Today to discover how We5’s Patient Scheduling and Appointment Management services can benefit your organization.
FAQs about Our Patient Scheduling and Appointment Management Services
At We5, we recognize that accurate and thorough eligibility and benefits verification is essential for providers to deliver timely and appropriate care. Our Eligibility and Benefits Verification Services are designed to support healthcare providers in making informed decisions regarding patient care, medications, and diagnostics—particularly for elective and non-emergency procedures—based on the patient’s insurance coverage.
At We5, we recognize that accurate and thorough eligibility and benefits verification is essential for providers to deliver timely and appropriate care. Our Eligibility and Benefits Verification Services are designed to support healthcare providers in making informed decisions regarding patient care, medications, and diagnostics—particularly for elective and non-emergency procedures—based on the patient’s insurance coverage.
Without proper verification processes, providers may face significant revenue losses due to denials and delayed payments. To mitigate these risks, we provide comprehensive insights into patient eligibility before the actual encounter. This enables healthcare providers to recommend treatments aligned with coverage parameters, understand out-of-network benefits, and manage payment responsibilities effectively.
Our team of experts excels in verifying patient eligibility by checking coverage details through payer websites and making necessary phone calls. We ensure a standardized, efficient verification process with quick turnaround times.
Eligibility and Benefits Verification Services at We5
Our Eligibility and Benefits Verification Services offer the following advantages:
We5’s Value Proposition for Eligibility Verification Services
Our Eligibility Verification Services provide the following key benefits:
Contact Us: today to discover how We5’s Eligibility and Benefits Verification Services can enhance your organization’s efficiency and financial performance.
Prior authorization is a critical component of the healthcare revenue cycle, offering vital protection for both healthcare providers and their patients. It ensures that services, medications, and procedures comply with payer guidelines and coverage requirements, safeguarding against substantial financial liabilities and revenue losses. Adhering to these guidelines is especially crucial for complex or costly treatments, except in emergency situations.
Prior authorization is a critical component of the healthcare revenue cycle, offering vital protection for both healthcare providers and their patients. It ensures that services, medications, and procedures comply with payer guidelines and coverage requirements, safeguarding against substantial financial liabilities and revenue losses. Adhering to these guidelines is especially crucial for complex or costly treatments, except in emergency situations.
Healthcare providers are dedicated to delivering the best possible care while navigating payer guidelines to select appropriate treatment plans. To achieve optimal outcomes, providers must secure prior authorization for diagnostics, medications, or procedures, confirming that the patient’s coverage includes these services. Providers may also recommend alternative treatments within the scope of the patient’s coverage to ensure financial and clinical success. By clarifying these aspects, providers can enhance patient satisfaction and avoid potential financial pitfalls.
At We5, we offer specialized Prior Authorization services designed to streamline the revenue cycle and enhance collection efficiency. We partner with leading solution providers to minimize manual effort, improve quality, and accelerate turnaround times.
Prior Authorization Services at We5
Our Prior Authorization Services include:
We5’s Value Proposition for Prior Authorization Services
Our Prior Authorization Services offer several key benefits:
Contact Us: today to learn how We5’s Prior Authorization Services can enhance your organization’s efficiency and financial performance.
Accurate patient registration and demographic data capture are crucial for the success of your revenue cycle and essential for effective population health analytics. Ensuring complete and precise information at the point of service helps avoid claim denials and delays, ultimately safeguarding your revenue and improving operational efficiency.
Accurate patient registration and demographic data capture are crucial for the success of your revenue cycle and essential for effective population health analytics. Ensuring complete and precise information at the point of service helps avoid claim denials and delays, ultimately safeguarding your revenue and improving operational efficiency.
Research indicates that healthcare organizations can lose up to 7% of their annual revenue due to errors in demographic data capture. Implementing a clear, standardized process for collecting and managing patient demographic information helps prevent critical mistakes and enhances the accuracy of claim submissions. This, in turn, reduces payment delays and denials, ensuring a smoother revenue cycle.
We5’s Patient Registration Services
Our Patient Registration Services are designed to enhance accuracy and optimize your revenue cycle through meticulous demographic data management. Our services include:
What to Expect with We5’s Patient Registration Services?
Partner with We5 and benefit from our expertise in revenue cycle management. Our dedicated team of process experts is committed to understanding your organization’s functions thoroughly, ensuring total efficiency and accuracy. Here’s what you can expect:
Contact Us: today to discover how We5’s Patient Registration and Demographics Services can enhance your revenue cycle management and improve overall operational efficiency.
Effective documentation and accurate charge entry are critical to preventing revenue leakage, which can result in significant financial losses. Implementing robust charge capture workflows and fostering effective collaboration between coding and charge entry teams are essential for reducing lost revenue and improving the overall revenue cycle process.
Effective documentation and accurate charge entry are critical to preventing revenue leakage, which can result in significant financial losses. Implementing robust charge capture workflows and fostering effective collaboration between coding and charge entry teams are essential for reducing lost revenue and improving the overall revenue cycle process.
We5’s charge entry experts, equipped with deep expertise in multiple specialties and revenue cycle platforms, handle a high volume of charge transactions with exceptional precision. Our client portal facilitates seamless communication and collaboration, ensuring a smooth end-to-end process.
Charge Capture
Our charge entry process is designed to maintain consistency and accuracy:
Charge Audit
We5’s Charge Audit services are designed to uncover missed charges, over-billing, and coding errors that can lead to revenue loss. Our analytical approach includes:
Charge Audits help diagnose issues such as problems with charge entry, provider absences, delayed charge reporting, changes in coding patterns, unbilled services, and other causes of claim denials. Ideally, charge consistency should be maintained from month to month, barring any changes in physician availability or productivity.
We5’s Value Proposition for Charge Entry and Charge Audit Services
Our Charge Entry and Charge Audit services offer the following benefits:
Contact Us: today to learn how We5’s Charge Entry and Charge Audit services can enhance your revenue cycle management and improve financial performance.
Are you facing challenges with accuracy scores and turnaround times in your medical coding process? Accurate and efficient medical coding is crucial for a smooth healthcare revenue cycle. Subpar performance in these areas can impact your bottom line. We5 offers expert coding solutions to optimize your revenue cycle and enhance financial outcomes.
Are you facing challenges with accuracy scores and turnaround times in your medical coding process? Accurate and efficient medical coding is crucial for a smooth healthcare revenue cycle. Subpar performance in these areas can impact your bottom line. We5 offers expert coding solutions to optimize your revenue cycle and enhance financial outcomes.
We5’s Global Coding Platform
Medical coding, while essential, can be complex and overwhelming due to evolving ICD-10 requirements and payer trends. With We5’s Coding and Auditing services, you can streamline your revenue cycle and ensure efficient, accurate coding.
Process and Technology
Rest assured knowing that We5 provides a highly skilled team, following a proven process and utilizing cutting-edge technology. It's like having your own coding department without the associated expenses and complexities.
Training Methodology and Audits
Attracting and retaining experienced coders can be challenging. Partnering with We5 means gaining access to a team of seasoned coders without the lengthy hiring process. Each coder is rigorously vetted, trained, and tested weekly, with built-in audits to ensure accuracy throughout the process.
Best Practices
Transform your revenue cycle management with We5’s proven methods. We provide regular updates and expert suggestions for continuous improvement, ensuring that coding practices align with the broader revenue cycle management strategy.
Technology
Utilize our proprietary platform, arc.in, to gain unparalleled visibility and oversight. Track productivity, monitor auditing scores, and see exactly who is working on your account and what tasks they are handling. The arc.in platform ensures 100% transparency and peace of mind.
Elevate Your Back-Office Revenue Cycle Management
Focus more on delivering exceptional patient experiences and less on revenue cycle concerns. Implement We5’s back-office solutions across your RCM disciplines to unlock new value and optimize your revenue cycle.
Contact Us: today to learn more about how We5’s Medical Coding Services can enhance your revenue cycle management and financial performance.
Clear, consistent, and accurate clinical documentation is essential for high-quality healthcare. It enhances patient care, supports effective communication, and minimizes claim denials. However, achieving these goals can be challenging when your care team faces difficulties with the documentation process.
Clear, consistent, and accurate clinical documentation is essential for high-quality healthcare. It enhances patient care, supports effective communication, and minimizes claim denials. However, achieving these goals can be challenging when your care team faces difficulties with the documentation process.
We5’s Clinical Documentation Improvement (CDI) services are designed to meet the unique needs of your health system. Our skilled professionals, passionate about improving documentation quality, are experienced in reviewing and enhancing medical records. By partnering with us, you can boost your CDI program's performance and ROI while enjoying a range of benefits:
Why Enhance Your CDI Program with We5?
Outsourcing a portion of your CDI program is a significant decision, especially when it impacts clinical outcomes and physician processes. At We5, we offer a flexible approach to ensure that your needs are met while supporting your staff, patients, and community.
Flexibility in Staffing
Our CDI services can be customized to fit your organization’s needs. Whether you prefer an onsite, offsite, global, or domestic solution—or a combination of these—we offer the flexibility to create a CDI program that aligns with your goals.
Increased Communication
Effective communication is crucial for successful CDI. Ensuring that all team members adhere to best practices and clearly document encounters requires a structured communication strategy. We help establish the right communication patterns to keep CDI practices at the forefront and align everyone towards the goal of improved documentation.
Improve ROI
Enhanced clinical documentation directly impacts ROI. Accurate and thorough documentation ensures that your organization is properly reimbursed for the services provided. Improved documentation also streamlines coding efforts, reducing errors and the time coders spend interpreting documentation.
CDI vs. Coding
A CDI specialist focuses on ensuring that physicians' documentation is complete and accurate. While coders assign codes based on documentation, a well-functioning CDI program reduces the likelihood of errors being detected at the coding stage. This collaboration ensures comprehensive and precise documentation.
How CDI Helps Your Community?
Accurate documentation can enhance the quality of data sent to the CDC and other agencies, potentially increasing your chances of securing grants and funding. Furthermore, precise documentation improves care decisions for patients, both during their stay and for future care needs, ultimately benefiting the community.
Contact Us: today to learn how We5’s Clinical Documentation Improvement Services can elevate your documentation practices and improve your revenue cycle management.
Bring Excellence to Your Back Office Revenue Cycle Management
Ensure your coding department is optimized for efficiency and accuracy with We5’s comprehensive Medical Coding Audit and Education Services. Our services are designed to minimize revenue leakage, enhance coding accuracy, and address specific coding issues related to physicians, facilities, or specialties. The insights from our audits drive improvements in clinical documentation and help your coding team work effectively with physicians to enhance accuracy and reduce claim denials.
Ensure your coding department is optimized for efficiency and accuracy with We5’s comprehensive Medical Coding Audit and Education Services. Our services are designed to minimize revenue leakage, enhance coding accuracy, and address specific coding issues related to physicians, facilities, or specialties. The insights from our audits drive improvements in clinical documentation and help your coding team work effectively with physicians to enhance accuracy and reduce claim denials.
Enhance Your Coding Accuracy
Medical Coding Audits Our audit services focus on:
Customizable Education Services Benefit from tailored educational programs designed to address your organization’s unique challenges. Learn from highly skilled coding specialists in either group sessions or one-on-one settings.
Key Features of Our Services:
Coding Excellence In the era of ICD-10 and evolving regulations, aim for more than just compliance—strive for coding excellence. We5’s customizable audit and education services are crafted to meet your specific needs.
Built to Suit Whether you need a one-time audit, ongoing oversight, or a detailed examination of specific problem areas, we develop solutions tailored to your organization. If the audit reveals areas needing further education, we provide customized training programs to address those needs effectively.
Process Improvement Our audits are conducted by expert coding specialists who are proficient in specific service lines and backed by a comprehensive end-to-end revenue cycle management system. We identify and resolve issues throughout the revenue cycle that contribute to coding inaccuracies and revenue loss.
Analytics Leverage We5’s advanced analytics technology to visualize and assess the success of your coding department. Our arc.in platform provides detailed reporting, in-depth analysis of specific areas, and random sampling to gauge overall performance.
We5 Code Audit Process
Contact Us: today to discover how We5’s Medical Coding Audit and Education Services can optimize your coding practices, enhance accuracy, and boost your revenue cycle management.
Bring Excellence to Your Coding Department
Healthcare systems and hospitals face significant revenue leakage, with losses ranging from 4-5% of their total revenue. As a hospital executive, it is crucial to focus on maximizing net revenue, enhancing coding accuracy, and ensuring compliance to create a scalable, error-free revenue cycle process. Neglecting small revenue leaks can result in substantial financial loss and put your organization at risk. Shockingly, up to 60% of health systems lack a formalized revenue integrity program.
Healthcare systems and hospitals face significant revenue leakage, with losses ranging from 4-5% of their total revenue. As a hospital executive, it is crucial to focus on maximizing net revenue, enhancing coding accuracy, and ensuring compliance to create a scalable, error-free revenue cycle process. Neglecting small revenue leaks can result in substantial financial loss and put your organization at risk. Shockingly, up to 60% of health systems lack a formalized revenue integrity program.
Key Sources of Revenue Leakage:
Explore Our Suite of Revenue Integrity Services and Solutions
Structured Revenue Integrity Program
Obtain Prior Authorizations
Clinical Documentation Improvement (CDI)
Charge Capture Audit Services
HIM Coding Review and Coding Staffing
Payment Variance Analysis
Contact Us: Learn how We5 can help your organization ensure revenue integrity and enhance financial performance. Plug the leakage with We5’s Revenue Integrity team today!
While coding and clinical documentation are often seen as the core components of effective medical billing, remittance processing plays a crucial role in the overall revenue cycle. We5 healthcare’s remittance processing team does more than just post payments—we provide valuable insights into your revenue cycle’s effectiveness, including trends in denials, prior authorizations, non-covered services, and the quality of your clinical documentation and coding processes.
While coding and clinical documentation are often seen as the core components of effective medical billing, remittance processing plays a crucial role in the overall revenue cycle. We5 healthcare’s remittance processing team does more than just post payments—we provide valuable insights into your revenue cycle’s effectiveness, including trends in denials, prior authorizations, non-covered services, and the quality of your clinical documentation and coding processes.
Our Remittance Processing Capabilities:
Automated Tools for Payment Posting:
We5 healthcare’s Value Proposition for Payment Posting Services:
Contact Us: Learn more about how We5 healthcare’s Remittance Processing Services can optimize your revenue cycle management and improve financial performance.
Maximize your revenue and reduce unpaid debt with We5 healthcare’s expert Accounts Receivable (AR) Services. Our time-tested best practices and proven processes are designed to enhance your collection efforts and minimize AR backlogs, ensuring that more money is collected, and faster.
Maximize your revenue and reduce unpaid debt with We5 healthcare’s expert Accounts Receivable (AR) Services. Our time-tested best practices and proven processes are designed to enhance your collection efforts and minimize AR backlogs, ensuring that more money is collected, and faster.
Why Choose We5 healthcare for AR Services?
Our AR Services Include:
Proven Success:
Contact Us: Learn more about how We5 healthcare’s Accounts Receivable Services can transform your revenue cycle management and improve your financial performance.
In a healthcare revenue cycle where insurance companies deny an average of 9% of claims, effective Denial Management is crucial for maintaining healthy cash flow. Handling claim denials efficiently not only ensures timely payments but also improves your overall revenue cycle management.
In a healthcare revenue cycle where insurance companies deny an average of 9% of claims, effective Denial Management is crucial for maintaining healthy cash flow. Handling claim denials efficiently not only ensures timely payments but also improves your overall revenue cycle management.
Why Denial Management Matters?
Dealing with claim denials can be time-consuming and divert focus from patient care. Effective denial management is essential to ensure that your organization gets paid for the services provided. We5 healthcare specializes in identifying the root causes of denials, mitigating future risks, and accelerating payment collection.
Download our Denial Management Brochure for more details.
Focus on What Matters
Your primary goal is to improve patient outcomes, not to navigate complex insurance claim processes. With We5 healthcare’s systematic best practices and proven methodologies, we streamline your denial management process, providing valuable insights and helping you get paid faster.
Our Denial Management Approach
Did You Know? 90% of claim denials are preventable. Stop leaving money on the table and optimize your denial management processes.
Success Story
Objective: Improve cash flow and simplify access to revenue. The organization needed to identify inefficiencies and enhance financial performance.
Solution: Within 30 days, We5 healthcare conducted a comprehensive assessment of the organization’s AR footprint. The assessment revealed substantial opportunities for improvement, leading to an estimated $10 million in potential cash flow enhancements.
Contact Us: Learn how We5 healthcare’s Denial Management Services can help your organization resolve claim denials, prevent future issues, and improve financial performance.
Credit balances can become a liability on your balance sheet, consuming valuable time and resources that could be better spent enhancing patient care. Let We5 healthcare handle your credit balance issues efficiently, so you can focus on what matters most: delivering exceptional patient experiences.
Credit balances can become a liability on your balance sheet, consuming valuable time and resources that could be better spent enhancing patient care. Let We5 healthcare handle your credit balance issues efficiently, so you can focus on what matters most: delivering exceptional patient experiences.
Download our Credit Balance Flyer for more information.
Why Focus on Credit Balances?
Handling credit balances might seem like a minor task compared to patient care, but it’s a crucial aspect of maintaining a smooth revenue cycle. Efficiently managing these balances not only ensures compliance but also strengthens relationships with patients and insurance companies.
The Right Approach
Credit balances are often a sign of underlying issues in your billing process. Instead of just addressing the symptoms, We5 healthcare takes a comprehensive approach to identify and correct the root causes, preventing future occurrences.
Bring Excellence to Your Revenue Cycle Management
By leveraging We5 healthcare’s Credit Balance Services, you can reduce administrative burdens and enhance the overall patient experience. Let us manage the complexities of credit balances while you focus on delivering top-notch care.
Contact Us: Discover how We5 healthcare can streamline your credit balance management and improve your revenue cycle. Talk to our team today!
Medical Billing Specialists play a crucial role in optimizing the revenue cycle for healthcare organizations. Ensure your organization operates at peak efficiency by connecting with the best Medical Billing Specialists through We5 healthcare.
Medical Billing Specialists play a crucial role in optimizing the revenue cycle for healthcare organizations. Ensure your organization operates at peak efficiency by connecting with the best Medical Billing Specialists through We5 healthcare.
Download our Billing Specialist Brochure for more information.
Achieve Excellence in Your Revenue Cycle
We5 healthcare’s Billing Specialist model serves as your dedicated partner in managing all account activity, identifying trends, and addressing unresolved accounts receivable (AR). Our specialists are committed to:
What to Expect?
Partnering with We5 healthcare means having a reliable team of Billing Specialists who understand the intricacies of revenue cycle management. Here’s what you can expect:
Best Practices
Leverage We5 healthcare’s best practices engine to elevate your revenue cycle management. Our Billing Specialists are highly trained in industry best practices and continuously focus on improving each step of the billing process.
Download our Billing Specialist Infographic to learn more about our best practices.
Contact Us: Discover how We5 healthcare's Medical Billing Specialists can enhance your revenue cycle management and streamline your billing processes. Contact us today to learn more.
Navigating the complex process of provider credentialing with payers involves numerous manual steps, including completing application forms, responding to payer inquiries, and following up to close the credentialing request. We5 healthcare simplifies and accelerates this process, ensuring your data remains current and compliant with payer requirements.
Navigating the complex process of provider credentialing with payers involves numerous manual steps, including completing application forms, responding to payer inquiries, and following up to close the credentialing request. We5 healthcare simplifies and accelerates this process, ensuring your data remains current and compliant with payer requirements.
Download our Provider Credentialing Brochure for more information
Why Provider Credentialing Matters?
Provider credentialing is a crucial component of the revenue cycle, enabling patients to use their insurance for medical services and ensuring providers receive reimbursement. Efficient credentialing ensures that patients can access care at your practice and prevents them from seeking alternative providers who are already enrolled with their insurance plans.
Streamline Your Credentialing Process with We5 healthcare
Our Credentialing Process Includes:
Provider Enrollment Services
Our Provider Enrollment services ensure that practices are properly enrolled with payers to facilitate claims processing and provider reimbursement. We monitor applications closely to ensure timely receipt and processing, proactively resolving potential issues before they impact reimbursements.
Our Enrollment Process Includes:
Benefits of Our Credentialing and Enrollment Services:
Contact Us: Discover how We5 healthcare’s Provider Credentialing and Enrollment Services can streamline your processes, improve your revenue cycle, and enhance your provider relationships. Join our 80+ clients and revitalize your revenue cycle today!