Coding. Charts. Confusion.

SOLUTIONS.

Set your RCM system up for Success.

Tailored Services – Just the right amount of support

Experience

Revenue Cycle

Since 1995 Affinity Revenue Cycle Services has been providing healthcare facilities, physicians, and insurance companies with resources to make sound business decisions for the effective and efficient delivery of quality patient care.

Expertise in provider networks, group health and workers’ compensation cost containment further complement Affinity’s ability to negotiate and build payer and provider relationships.

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Accounts Receivable Management Services

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Additional Billing Support Services

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Medical Coding

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Private Pay Service

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Revenue Cycle Consulting

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Additional Patient Support Billing Services

Tailored

Revenue Cycle Services

Affinity’s innovative business practices and proactive stance view the ever-changing healthcare environment as an opportunity for growth of the integrated healthcare model. With our development and operational expertise, healthcare providers realize long-term facility and physician success while achieving patient care goals through the collaborative relationship.

Affinity specifically tailors each service contract to meet the needs of the client. We provide the development and operational expertise that translates into long-term facility and physician success.

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Access Management

  • Referral Management
  • Preregistrations/ Precertification/ Preauthorization
  • Insurance Discovery Verification
  • Patient Liability Estimation
  • Patient Financial Counseling
  • POS Collection Communications
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Health Information Management

  • Coding & Auditing
  • Charge Master Development & Ongoing Updating
  • Clinical Documentation Improvement
  • Transcription – Outsourced
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Claims Process

  • Electronic Claims Submission
  • Insurance Follow-Up
  • Payment Posting – ERAs & Paper
  • Payer Relations
  • Credit Balance Auditing
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Self-Pay Collections

  • In-house Collections -60 -90 Days
  • Call Center Collections
  • Automated Telephonic Collections
  • Credit Balance Auditing
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Revenue Cycle Auditing

  • Third Party Liability (Subrogation)
  • Underpayment Identification & Recovery
  • Zero Balance Audits
  • Denial Management
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Provider Relations & Analytical Support

  • Managed Care Contracting
  • Provider Enrollments & Revalidations
  • Credentialing Support
  • Contract Mgmt & Modeling (ongoing)
  • Legacy A/R Management
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Management Reporting Services

  • Creation of Customized Client Dashboards
  • Accurate, timely, & client friendly reporting tools
  • Detail – Summary or “drillable” data to users where business decisions are made
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Administrative Support Services

  • Accounts Payable Processing
  • General Accounting
  • Monthly Financial Reporting
  • Monthly, Quarterly & Annual Budget to Actual Variance Analysis by Account, Cases & Payor
  • Financial Analysis (ad hoc)
  • Case Costing
  • Line of Business Analysis
  • New Service Offerings
  • Medicare & Medicaid Cost Reporting & Subsequent Audit Support
  • Quarterly & Annual Independent Financial Audit Support
  • Annual & Quarterly Income & Property Tax Support

HIGHLIGHTS

Company Success

Affinity provides proven effective service and adapts each health care services contract to effectively meet each client’s needs for maximum benefit.

Following are a few of our Revenue Cycle highlights.

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Affinity has directed more than $150 million in client facility development and capital improvement.

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Annually bills in excess of 100,000 patient accounts representing almost $250 million in patient charges.

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Annually collects in excess of $100 million.

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Contracts and re-contracts with more than 100 insurance or managed care plans offered through various entities.

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Schedules, verifies and assists on the pre-certification more than 50,000 patients annually.

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Administers a $2+ million complete hospital management systems to streamline information flow between scheduling, physicians, patient care, pharmacy, lab, radiology, purchasing, payroll, time and attendance, accounting and reporting.

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Deploys state-of-the-art network technologies to facilitate electronic communication, centralized storage and retrieval, 24-hour operations, and seamless integration.

The Affinity team has extensive experience in the development of a variety of health care facilities.

Projects range from hospitals to multi-specialty ambulatory surgery centers, specialty clinics, diagnostic imaging centers as well as IPA’s (Independent Physician Associations) and PHO’s (Physician/Hospital Organizations).

EXPERIENCE

Meet Our Experts

Debra Nussbaum Johnson, CPA

RCS Consultant

Debra Nussbaum Johnson has 26 years of both financial and operational experience with various healthcare entities.

For the past 14 years with Affinity, Debra has been responsible for the development and implementation of four specialty hospital information systems including all aspects of financial operations. Currently, her primary responsibilities include oversight of all Affinity operations including $400 million in annual client gross revenue billing, collections, managed care contracting, compliance activities as well as other financial analysis and client reporting.

Debra has direct revenue cycle and financial management responsibility for multiple healthcare entities including hospitals, ambulatory surgery centers, imaging centers, multiple specialty and primary care physician practices, and physical therapy services. Additionally, she performs financial reporting and internal controls development and compliance monitoring in accordance with Generally Accepted Accounting Principles and the Sarbanes Oxley Act of 2002.

We're Here To Help!

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Office

Head Office
2300 Corporate Park Drive
Suite 400
Herndon
VA 20171

Info

info@harrisaffinity.com

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Call Us

(571) 267-3928