Services & Solutions
Revenue Cycle Management
Revenue Cycle Solutions
Effective revenue cycle management enables healthcare organizations like yours to get paid quickly for the services and medications you deliver to patients. Scio brings together the best combination of people, processes, and technology to effectively manage a healthcare organizations’ financial health, and we can help you, too.
We understand every healthcare organization has a unique approach to billing and collections, and that you may need anything from a periodic evaluation of your RCM to a full end-to-end solution. With this in mind, we tailor our offerings to meet your specific needs, including:
Full revenue cycle management – from insurance authorization through completed reimbursement
Auditing services, including audits to uncover missed charges, underpayments, and improper coding, as well as compliance and quality reporting audits
Consulting related to practice management, operations, and acquisitions
Insurance and benefit verification services, including determination of patient financial responsibility, payer restrictions, and required referrals and prior authorizations
Coding And Medical Necessity
Coding and documentation are cornerstones of effective billing and collections. At Scio, we have extensive experience in coding and documenting medical necessity for nearly every medical specialty and for nearly every medical procedure, including surgeries, as well as a seemingly endless number of drugs and medical devices.
Our team is accredited by the American Academy of Professional Coders (AAPC) and uses the updated standards and methodologies established by CMS, including the guidelines set by the CPT-4, HCPCS, ICD-10-CM, LCD/NCD, and CCI EDITS.
Imagine expanding your staff to include an army of more than 800 specially-trained collections advocates. When you engage Scio Management Solutions to handle your organization’s revenue cycle, you’ll have our team of “never give up” advocates working literally around the clock to ensure your organization collects the maximum revenue possible for the service, procedure, or medication administered.
Sure, we do our jobs well. But how can you be sure? As a Scio client, we provide custom reports to measure your practice’s financial performance using established benchmarks provided by the Medical Group Management Association (MGMA), the American Hospital Association, the Ambulatory Surgery Association, and the Urgent Care Association.