OUR VISION To assist healthcare organizations in achieving their - - PowerPoint PPT Presentation

our vision
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OUR VISION To assist healthcare organizations in achieving their - - PowerPoint PPT Presentation

OUR VISION To assist healthcare organizations in achieving their goals by providing quality solutions, staff and education to help them stay on top of an ever-changing revenue cycle environment. Managed Resources is a professional consulting


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SLIDE 1
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SLIDE 2 To assist healthcare
  • rganizations in achieving
their goals by providing quality solutions, staff and education to help them stay
  • n top of an ever-changing
revenue cycle environment.

OUR VISION

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SLIDE 3 Managed Resources is a professional consulting group assisting
  • rganizations across the United States in achieving accurate and

appropriate charging, documentation and payment. CodingAID, a specialized division of Managed Resources, assists healthcare organizations optimize its revenue cycle management with coding, compliance, education and recruitment solutions.

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SLIDE 4
  • Clinical Appeals Management
  • Clinical Documentation Improvement Charge Audit
  • Nurse Defense Audit
  • Regulatory Compliance Audits

Revenue Cycle Solutions Coding Solutions

  • Physician & Facility Coding Support
  • Outsourced Coding Training & Education
  • Coding Audit & Review
  • Recruitment
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SLIDE 5 Our clinical appeals team consists of licensed nurses and physician advisors, who conduct a thorough analysis
  • f denied claims with

corresponding medical records to verify recoverable revenue for all payers.

CLINICAL APPEALS

  • Review and analysis of denials
  • Writing professional appeal letters
  • Quality assurance review
  • Submission
  • Follow-ups
  • Reporting & education
  • Retrospective audits

OUR SERVICES

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SLIDE 6 Our national network of Clinical Documentation Improvement (CDI) specialists support the improvement of physician documentation to reflect the severity of illness and risk of mortality of patients across all areas and payers.

CLINICAL DOCUMENTATION IMPROVEMENT

  • Concurrent & Retrospective Reviews
  • CDI Staffing
  • Education & Training

OUR SERVICES

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SLIDE 7 The strength of our service lies in the breadth of experience within our team. Our team of highly experienced RN’s are well-versed in healthcare statutes, payer policies, and national guidelines.

CLINICAL DENIAL AUDITS

  • Clinical Documentation
  • Internal Process Improvement
  • Compliant with National & Payer
Criteria & Guidelines

OUR SERVICES

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SLIDE 8 More than just review, our team
  • f charge audit nurses provide
practical strategies to assist you in improving the accuracy, compliance, and governance of charges.

CHARGE AUDITS

  • Concurrent and Retrospective Audits
  • Documentation Improvement
  • Charge Process Improvements
  • Targeted Audits
  • Nurse Defense Audits
  • Detailed Reporting
  • Reveal Significant Revenue Often
Missed

OUR SERVICES

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SLIDE 9 Regulatory audits for highly regulated clinical services are necessary to maintain
  • compliance. Our team of
compliance audit RN’s are well- versed in government healthcare statutes.

REGULATORY COMPLIANCE AUDITS

  • Clinical Documentation Audits
  • Inpatient Rehab Facilities
  • Renal Dialysis Centers
  • Documentation Improvement for
Clinical Staff
  • Review and Revision of
Documentation Templates

OUR SERVICES

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SLIDE 10 We offer results oriented coding solutions from a team of highly experienced and certified facility and physician coding professionals across all specialties.

CODING SERVICES

  • Outsourced Coding Services
  • Concurrent Production Coding Services
  • Backlog Coding Support
  • Contract Coding - Ongoing or Per-Diem
  • Specialty Specific Coding
  • Concurrent Provider Feedback &
Education
  • Denial & Edit Resolution

OUR SERVICES

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SLIDE 11 Our coding audit program is designed to strengthen compliance and coding accuracy through a detailed review, reporting, and education process.

CODING AUDITS

  • Professional, Inpatient & Outpatient
Reviews
  • Comprehensive Evaluation of Coding
Compliance
  • Detailed Reporting (Line Item Detail,
Executive Summary)
  • Review of Coding Safeguards
  • Department Processes
  • Potential Documentation Issues

OUR SERVICES

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SLIDE 12 As a proven recruitment resource, we specialize in identifying, locating and evaluating top talent for healthcare organizations across the nation.

RECRUITMENT

  • Direct Hire
  • Interim Management
  • Contract Support

OUR SERVICES

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SLIDE 13 Comprised of respected industry leaders and educators that have an average of over 20 years of experience, our education leadership bring the breadth of experience to assist you in meeting your goals.

TRAINING & EDUCATION

  • Provider Training
  • Coder Training Sessions
  • Education on Topics Including
coding or audit results, OIG high-risk areas, specialty specific topics, coding updates & more

OUR SERVICES

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SLIDE 14

I can honestly and without hesitation declare these to be the absolute finest, most thorough, comprehensive and convincing clinical appeal letters I have ever seen in my 25+ year career.

“ “

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LEARN MORE

managedresourcesinc.com managedresourcesinc.com/codingaid