PROVIDER

PROVIDER SERVICES

Evolve can provide the assistance and support to healthcare providers to manage and achieve operational and financial success.

Our team has extensive experience in the healthcare industry with individuals holding positions in companies such as office-based and hospital-based physician practices, medical billing, clinical laboratories, managed care entities, home care, consulting firms and skilled nursing facilities.

Revenue Cycle Improvement – We can analyze and improve billing processes to optimize your collections and profitability. Our staff can provide the additional resources to implement the improvements or work hand in hand with existing staff.

Assessment Services Include:

Comprehensive review of accounts receivable procedures

Assessment of current practices

Identify procedural and regulatory deficiencies

Month end reporting and designing Month end close processes and procedures

Management Services Include:

Outsourced billing services

Interim or permanent management

Management of insurance payors

A/R Projects- Our team can provide the resources for a variety of accounts receivable projects including:

Clean-up and management of aged accounts receivable

Assistance with Acquisitions or Computer Software Conversions

Collection of acquired accounts receivable or oversight of prior ownerships collection efforts.

Assist or oversee implantation of new software including beta testing, oversight of rollout, data population, and staff training

Regulatory Requirements (ie 855 Applications and PECOS, DDE/FISS applications, NPI Applications)

Part Time/Interim Management

Mergers and Acquisitions Due Diligence – Our experienced team can assist you in assessing acquisition opportunities including assessing the quality of earnings of potential targets. In addition, we can assist in the multiple issues required to integrate acquisitions including, regulatory, operations, software conversions, and financial and management reporting.

Audit and Survey Preparedness – Our team has the expertise to prepare your company for financial and billing compliance audits as well as review and advance preparation for surveys.

Financial Audit Preparation – including cost reports, revenue and general ledger reconciliations, and assessment of bad debt reserves

Billing Compliance Audits – Our team will work with your company to ensure all processes necessary for efficient and compliant billing are in place while maximizing your reimbursement. Services include:

Medicare/Medicaid Regulatory Compliance

ICD-10, CPT Coding, Consolidated Billing

Assessment of unbilled claims

Review potential reimbursable bad debt, including rebilling, and collection of bad debt.

Implementation of corporate financial control procedures

Survey Preparedness – Evolve can conduct reviews of regulatory compliance including resident trust fund audits, regulatory compliance audits, and demand billing document reviewed by federal and/or state agencies.

Practice Management – Our team can provide the resources to manage the financial and administrative needs of your practice, including:

Interim Management, Billing Personnel and other key positions critical to practical success

Practice Financial Reporting and Analysis

Practice Cash Flow and Billing Performance Reporting and Monitoring

Practice Structuring Services (Admission of New Shareholders/Partners)

Practice Sale/Acquisition Consulting Services

Practice Startup Services