EF’s Revenue Cycle Management (RCM) program provides peace-of-mind to Administrators, Owners and Financial Managers.

  • Are you sure that your business office staff have the time and tools to keep up with constant changes in public and private insurance programs?

  • Given staff turnover, are your new hires fully trained and diligently following up to maximize your cashflow?

  • When’s the last time you benchmarked your RCM processes and outcomes against best practices?

  • Are you worried that your outstanding A/R is growing especially the balances over 90 days old?

If you have any doubts about the answers to these questions, EF can help.

EF provides best-in-class Revenue Cycle Management (RCM) services that:

  • Accelerate Cashflow

  • Reduce Write-offs

  • Provide Needed Expertise
  • Ensure Accountability
  • Free up management attention for caregiving, staff development and strategic initiatives.

Two Ways We Can Help

Consulting Assessments

If you think your operation is running smoothly but want an independent party to review and confirm your beliefs, EF can help.

Our experts will review each aspect of your program and provide an assessment of how it stacks up to best practices. We also provide recommendations on how you can accelerate cashflow, reduce your A/R and collect aged debt.

Ongoing Services

If you’re looking for more help and want us to assume responsibility for this function, we can do so.

Hiring EF brings you cost certainty, avoids the need to recruit, train & retain skilled staff, and leverages a set of proprietary tools including models developed from decades of experience and state-of-the-art software customized to ensure compliance and accountability.

With potentially millions of dollars at stake, EF’s RCM Team can handle these critical processes so you can focus on the bigger picture.

Preadmission Financial Management

  • Advise, track and assist with the process of insurance preregistration and/or authorizations based on payers
  • Review that admitted residents have contracted payors
  • Audit financial responsibility paperwork

Financial Management Census

  • Update census with accurate payors
  • Update level of care/payor changes to provide correct billing
  • Coordinate continuations from initial authorizations

Medicaid Pending & Private

  • Establish protocols for monitoring Medicaid pending eligibility and denials
  • Coordinate with Medicaid application agencies in filing appeals, reapplications, and conversions
  • Documented follow-up for private collections and A/R balances

Medicaid Claims

  • Follow standard protocols and maintain billing documentation to identify coding issues
  • Track Medicaid plan types to ensure eligibility

Billing & Collections

  • Consistent, timely follow-up on aging balances
  • Thorough documentation of follow-up
  • Recommend accounts for legal collections
  • Fix issues impeding collections
  • Monitor timelines to meet billing deadlines

A/R Cash Management Reconciliations

  • Regular reconciliations to ensure accuracy and prompt follow-up
  • Identify issues prior to month end close to avoid financial adjustments
  • Optional secure lockbox for check handling, timely deposits and auditable processes

Request a No Obligation Meeting

Learn How EF’s decades of experience can improve your cashflow today.