EFFICIENCY & REIMBURSEMENT REVIEW 

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Identify the Right Path and Increase Profitability

Eggleston & Eggleston’s Efficiency & Reimbursement Review Services are designed to help you determine appropriate reimbursement for your services while minimizing overhead. With over 20 years of hospital and physician practice accounts receivable and expense analytical review experience, we will return your focus to practicing medicine and seek appropriate compensation for your work. Our experience and information will help you identify areas of reimbursement weaknesses and opportunities to improve cash flow.

Each service below may be customized into a package to meet your needs.

Practice Efficiency

  • Clinical & administrative staffing level evaluation
  • Patient flow evaluation
  • Release of information procedures
  • Record retention protocols
  • Job description review
  • Supply EOQ review
  • Trending expense analytical review
  • Supply contract negotiation
  • Customized loss leader reporting

Payor Contract & Fee Schedule Review

  • Evaluation of current contracts
  • Contract re-negotiation
  • Fee schedule review
  • Evaluation of new contracts

Payor Payment Review

  • Historical review of EOB’s to ensure proper reimbursement
  • Denials management
  • Review of timely filing requirements
  • Timely feedback to management & clinical staff
  • Analysis of bundling requirements

“We saw an increase of 15% in the first year working with Eggleston & Eggleston. We are an organization now. We have transparency. We have a game plan and we have executed that game plan.”
— Mark Hagy, MD ~ Orthopaedic Surgeon

READY TO GET STARTED?

Request a Consultation