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Solutions Group Services Releases Dynamic Revenue Recovery Software Programs
Dallas – Solutions Group Services, the preeminent leader in revenue cycle management for EMS organizations and emergency healthcare services in the United States, announced a dynamic new series of products to maximize client revenue and enhance transparency at its Clarity 2024 User Summit in Huntington Beach, CA, on April 9 and 10.
Solutions Group Services’ knowledgebase of reimbursement processes and technology streamlines and optimizes financial workflows for healthcare providers.
"Every industry is experiencing dramatic changes in 2024, " said Managing Partners Asbel Montes and Brian Choate. "To meet the rapidly changing healthcare landscape, these new products set new standards for efficiency, accuracy, and transparency, improving the financial well-being of healthcare organizations."
As the healthcare landscape evolves, Solutions Group Services continues to innovate and advance its mission to drive positive change and enhance the overall patient experience.
Montes added, “These products will enable healthcare agencies to easily find and bill the appropriate insurance carrier. This expedites the revenue recovery for the agency and reduces the patient's confusion about what part of the bill they are responsible to pay. The clarity and transparency offered by these new solutions maximize the recovery of billables and ensure a better patient experience.”
ClearCare Analysis™ allows users to dive deep into comprehensive, real-time data that unveils payer behaviors, trends, and benchmarks. The solution lets users know exactly where their agency stands in the market.
Average “Current Rate” Reports
Transparency in coverage rules issued by the Centers for Medicare and Medicaid Services (CMS) in 2020, require healthcare providers and health plans to provide transparency information related to charges and payer payment arrangements. “ClearCare Analysis™ provides another window needed for delivery of the right care to the right patient at the right time,” said Montes.
This leading-edge program unlocks the power of the agency’s data, allowing them to access and understand healthcare reimbursement and make informed decisions backed by solid data.
ClearCare Analysis™ arms organizations with irrefutable evidence and equips them with insights about payer behaviors, provider chargemaster revisions, an understanding of the Qualifying Payment Amount (QPA) for claims processing as per the No Surprises Act (NSA) provisions, and a way to implement patient-friendly billing practices.
nCite Advisors™, which was also unveiled at Clarity 2024, represents an entirely new vertical created by the leaders at Solutions Group Services to address four segments of the healthcare delivery system that demand further attention: compliance and auditing, contracting and credentialing, alternative payment modeling, and advocacy.
To enhance the audit programs, the audit team includes physicians, nurses, and coding professionals. In addition, nCite Advisors™ gives users a dashboard, nControl™, which examines 23 critical elements within the billing spectrum's pre-bill, coding, and post-bill portions.
“Countless healthcare providers have an audit program. But is it enough?” Montes and Choate emphasized. “nCite Advisors™ gives the agency confidence that claims are billed accurately according to payer guidelines.”
Staff Rankings and Executive Overview Dashboard Samples
The nCite Advisors™ audit program, used in tandem with the nControl™ dashboard, gives providers the tools necessary to identify underpayments, overpayments, and billing risks.
The powerful programs ensure that the user can:
- Determine its risk.
- Understand and implement accountability metrics.
- Enhance its operational efficiencies.
- Ensure appropriate reimbursement per patient encounter.
Contact Solutions Group Services to learn more about how these powerful solutions can work for you.
