Your oncology practice, whether you specialize in medical oncology, radiation oncology, or surgical oncology, is constantly contending with the realities of the revenue cycle workflow. When you’re working with us, you won’t need to worry about the challenges of hiring, onboarding, and training staff and maintaining service line and coding guideline expertise. Our team of experts does the work. We manage the team and always know how they’re performing and offer coaching and support when needed.
We have experts in revenue cycle management and practice management systems who will optimize your system and ensure it’s populated with the right data. Fee schedules are applied to the practice management system, and the revenue cycle management team acts on under payments.
We partner with your team to develop standard operating procedures to maximize quality and efficiency and outline how communication flows between our team and yours.
We report on key performance indicators to examine performance and active initiatives. This is a vital way to evaluate the success of strategic objectives and track your practice’s progress toward meeting your goals while providing data that allows for informed decision making. Our reporting provides a comprehensive overview of where your organization is at – and identifies areas of improvement and opportunities to make data-driven adjustments to ensure you meet or exceed your goals.
With a target net collections rate of 99% of validated fee schedules, AC3 is empowering oncology practices with real visibility and recovered revenues.
Powering our Revenue Cycle Managed Service is the AC3 Oncology Intelligence Platform, a unique set of powerful technology tools enabling unprecedented insight and accuracy throughout the revenue cycle.
While our Contract Intelligence and Payment Integrity Solution is available as a standalone offering, our fully managed service adds revenue cycle operations to provide a comprehensive solution.
We provide a professional level of customer service that delivers immense value on its own. When supercharged by the technology and software unique to AC3, these services deliver next-level insights — and results.
We’re more than just revenue cycle management. Our tools add technology to standardize the revenue cycle workflow, and our wraparound customer service provides all the support you’ll need. We prior authorize and validate medical necessity with every payer, including Medicare and Medicaid, reducing denial rates and getting you paid faster and more accurately.
Also included in this solution are these four capabilities that make up Contract Intelligence and Payment Integrity:
Stop falling behind on fee schedules and dealing with endless payer and contract issues. With our Fee Schedule Intelligence, your practice enjoys 100% accurate fee schedules that stay current thanks to ongoing management and support. Work with confidence that invisible payer and contract issues are siphoning revenue: our Fee Schedule Intelligence finds and exposes these issues automatically. We also provide chargemaster audits and analysis and a payer contract matrix.
Our claims analytics module analyzes claims faster, in greater detail, and more accurately than any manual process can, giving you transaction-level claim analysis that can bring to the surface opportunities to recover revenue that would have remained invisible under current processes. Included in our claims analysis capabilities are underpayment validation, underbilling validation, and posting error detection. We also work with your practice to identify ways to improve your existing workflows.
Identifying underpayments is only part of the puzzle: next comes the challenge of actually recovering that revenue. AC3’s Fee Schedule Intelligence and Claims Analytics package includes powerful tools for underpayment recovery, including both high-value transactions and lower-value, high-frequency transactions. Our solution also identifies and recovers underbilled transactions, and you receive clear, transparent reporting on recovery and performance.
Our Pharma Financial Intelligence module delivers on-demand dashboards supported by validated payer-specific fee schedules and your current drug catalog, giving you unprecedented clarity and enabling better decision-making. Plus our automated eAlerts notify you when drugs are underwater and/or when there are changes in margin (by payer, drug, or both).
Whether your practice specializes in radiation oncology, medical oncology, or surgical oncology, you can achieve revenue stability and reduce operational complexity by partnering with AC3 for Revenue Cycle Managed Service.
© 2024 AC3, All Rights Reserved • 574.213.0450 • contact@ac3health.com