Revenue Cycle Review and Assessment

Epoch is equipped to assist you in addressing focused and general operational revenue cycle reviews and assessments. Our multipronged approach is to address the issue through one or more of the following steps:

  • Billing, coding and data screening
  • Targeted or random coding and billing reviews
  • CDM and order entry validation
  • Review of systems and data flow integrity
  • On-site management Interviews
  • Front end to back end comprehensive revenue cycle assessments

Focus areas that we helped clients with:

  • Evaluation and Management (E/M) level reporting (Emergency Department, Clinic,
    Physician) and Medicare technical guideline development
  • Pathology, Microbiology and Send-out laboratory billing
  • Injection and Infusion regulatory guidelines, including charge sheets and CDM entries
  • Interventional Radiology and Special Procedure charging, coding and billing
  • Chemotherapy drugs and administration
  • Pharmacy and formulary with multiplier/ divisor review
  • Nuclear medicine procedures and radiopharmaceuticals
  • Surgery and required devices
  • Observation and utilization management and short stay resolution
  • MS DRG challenges and suggestions for documentation improvement
  • PT/OT/ST pitfalls and risks
  • Identification of payor remittance errors