Implementing Breakthrough Methodology in Acute Care Billing Services

Before delving into the subject of Acute Care billing services and how we approach it at Sunknowledge, a short introduction to this area of healthcare services would not be out of place. Acute Care is a specialized branch of secondary healthcare, catering to patients in need of urgent but short-term medical attention owing to a severe injury or critical episode of illness, a sudden medical exigency, or during an immediate post-surgery phase. Acute Care services are usually provided in a hospital (such as an Emergency Room, a surgical unit or an ICU unit) or at an Urgent Care facility. This is because Acute Care involves patients who need to be closely monitored and provided rapid medical intervention whenever the need arises.

While generally being associated with active, short-term care, another variant of Acute Care can be found in ‘Long-term Acute Care’ (LTAC) programs, designed for patients with serious medical problems that require intense, special treatment for an extended period of time, often up to 20 to 30 days. These services are provided at LTAC facilities that specialize in delivering intensive hospitalization services for extended time periods.

  • Very often, LTAC patients get transferred to these facilities from the ICU units of traditional hospitals where their care was initiated.
  • It is important to note that in a number of cases, there is a requirement of prior authorization for LTAC stays. The payer determines the authorized duration of stay on the basis of the client’s need as documented in the medical records.
  • After the authorized stay ends, the provider has to transfer the patient to a more appropriate level of care (Long-term Care or Home Healthcare) as per the patient’s need.

It is apparent from the above that Acute Care billing is a complex affair, requiring detailed and lengthy documentation, the use of specific codes, and a strict adherence to regulatory compliances as mandated by different payers such as Medicare, Medicaid and other insurance programs. Needless to say, it requires a competent team of skilled and experienced Acute Care billers and coders with a thorough understanding of such matters to ensure the best outcome from your Acute Care billing efforts.

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Sunknowledge: The Definitive Destination for Acute Care Billing Services

Verifying the patient’s eligibility, executing a flawless Charge Capture, accurately documenting all services, coding with precision and submitting clean claims are some of the more important aspects of an efficient Revenue Cycle Management for any Acute Care facility. One also needs to be aware of different Payer norms and coverage particulars. For example, it is important to know that clients enrolled in managed care plans are also eligible for Long-term Acute Care services. Further, in many cases, post-operative documentation and coding, and evaluation & management of what services have to be billed eventually decides the validity of the charges or the possible loss of revenue.

  • Trust our Acute Care Revenue Cycle Management (RCM) experts to help you in not just reaching your collection goals, but going beyond them.
  • We have a highly experienced team to quicken your Acute Care billing process as well as lower operational cost considerably.
  • We ensure full HIPAA-compliant operations and robust measures against malicious cyber threats to patient data and information.
  • Our ability to work with multiple Acute Care centers and hospitals makes us a powerhouse to drive your revenue management goals in best proportions.
  • We also reduce any risk of non-compliance with our AAPC/AHIMA/ ACMS certified coding specialists.

We at Sunknowledge believe that true excellence in Acute Care billing services can only be attained through a diligent adherence to the best industry processes, continuous self-appraisal, and constantly adapting to changes in the healthcare sector. We ensure this with the help of our highly streamlined RCM processes, consistently maintaining an average accuracy rate of more than 99% and working in close association with Acute Care facilities to help them end all their billing & collection challenges.

Partner with our team as we have complete understanding of leading practice management systems such as AccuMed, InstaHMS, WRS Health, ProviderSuite and others, and can extend you individualized Acute Care billing services meeting your protocols by working as a seamless extension of your current operations.

Remember, we are among the very few RCM companies with extensive experience in working for both healthcare providers and payers. This dual experience lets us provide you with a unique advantage in getting your claims passed at a faster rate and in larger numbers.

Unleash the Sunknowledge Advantage in Your Acute Care Practice

Close all gaps in your revenue cycle, minimize denials and boost collections with Acute Care billing services from Sunknowledge.

Partner with us and enjoy:

  • Highest productivity with maximum accuracy
  • Up to 80% reduction in your billing & collection cost
  • Free Team Leader and Account Manager
  • Minimum 10% complimentary buffer for uninterrupted productivity
  • Real-time support delivered across all time zones
  • Top-notch references from leading names in US healthcare
  • Complete HIPAA compliance with added PHI security
  • No binding contracts or restrictive clauses
  • A flat, all-inclusive rate of $7 per hour with nothing extra to pay

Contact us today to schedule a free consultation. Let our experts show you how we can transform your Acute Care billing operations for higher returns and more collections at a remarkably lower cost than what you are spending now.

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