The challenges of today’s healthcare industry demand that serious attention be given to the entire revenue cycle. A modern healthcare revenue cycle is defined as all administrative and clinical functions that contribute to the capture, presentation and collection of patient service revenue. In general, these functional areas act sequentially on a patient visit, adding critical information required for procuring payment. If one area in this cycle performs poorly, the ultimate goal of cash collections will suffer.
CSF provides outsource “tactical” services through the MSO such as revenue cycle management, electronic medical record (EMR), billing technology and information technology support, health plan contracting, credentialing, outcomes and care management, professional development, compliance, patient registration/verification, group purchasing, financial management, and human resources functions. Practices can reduce their administrative costs and practice leadership can focus on strategic activities that improve patient care, build a stronger brand, develop relationships, and grow their business.
Our team concentrates on building “the Cornerstone” of success for your business by:
- Establishing a solid foundation at set up and implementation.
- Consistent communications with the client
- Support your organization’s staff in all areas
- Expanding education to the Providers, the clinic staff and senior leadership of your organization
REVENUE CYCLE MANAGEMENT (RCM):
Acute Care, Outpatient Hospital, Ambulatory Surgery, Physician/Surgeons and Laboratory
RCM is the method that manages claims processing, payment and revenue generation. It requires whoever is billing keep track of all claims that are within the system, make sure payments are collected and that any denied claims are addressed. RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly coding claims using CPT and ICD-9 codes.
RCM is the cornerstone to making your entity more profitable. We combine our many years of real life experience with available technology to offer the best solutions for our clients. Our primary function is to get clients paid a fair compensation for the services they provide. This process starts with timely and accurately submitted claims to the payers. If claims are denied or low paid, we then hand the claim to our dedicated denial management team member who pursues the payment as if it were their own money. After all appeals are exhausted we then have other options through relationships (i.e. legal) to continue the fight for our clients.
CHRONIC CARE MANAGEMENT:
Why CSF For Chronic Care Management?
Give Your Practice the Tools It Needs to Grow!
The CSF Chronic Care Management (CCM) system was specifically designed for those healthcare organizations deciding to provide and outsource a CCM program. This service is available to all healthcare organizations throughout the country looking for a reliable partner to team with for a CCM program.
Our Chronic Care Management system guarantees your practice will meet the complex requirements of Medicare’s new CCM Code 99490. CSF CCM combines easy-to-use technology with 24/7 patient access to experienced medical professionals to assure the most comprehensive care coordination solution.
- Increase Revenue Without Costs
- Earn reoccurring income
- Additional $150,000 Per Physician
- Coast-to-Coast Call Centers
- Experienced & Trained Staff
- 24/7 Access to Care Management
- Certified EHR with CCM Templates
- Enhance Practice Operations
- Seamless Integration and Necessary Functionality
Cornerstone Forces CCM Has Set the Standard for Chronic Care Management. Increase revenue while enhancing patient care!
TOXICOLOGY LAB SPECIALIST:
HOPD TOXOCOLOGY SUPPORT
Cornerstone Forces is one of the few healthcare MSO consulting firms to provide experienced toxicology coders and billers to hospitals and laboratory management firms. Cornerstone understands the complexities of toxicology panel development as well as the billing rules of the various commercial payors across the country. We stand ready to support both the hospital and laboratory management teams in the implementation a solid workflow. From requisition to billing & collections, Cornerstone Forces has significant relationships with many laboratories across the country as well as access to clinics who are looking for laboratories to run the toxicology samples.
Our Client Service Consultants work with the laboratory team to determine volume capabilities and reporting.
CONSULTING, COMPLIANCE, CODING & CREDENTIALING:
TURN-AROUND CONSULTING, CLINIC RE-ENGINEERING AND CLINIC MERGERS, DISSOLUTIONS AND NEW PRACTICE START-UP
The Cornerstone team is comprised of seasoned professionals with a focus on the management of the business of health. Providers of all types seek support in various areas of the revenue cycle and healthcare business practices. Many of our team members have worked in large teaching hospitals, multi-specialty mega clinics and small solo practices. Our advisory Board consists of former hospital administrators, attorneys with fraud & abuse defense capabilities, certified coders, former government auditors and several Business Office Managers and Clinic & ASC Administrators. In short, Cornerstone provides a comprehensive team to support all levels of business support.
EDUCATION & TRAINING:
The challenges of today’s healthcare industry demand that serious attention be given to the entire revenue cycle. A modern healthcare revenue cycle is defined as all administrative and clinical functions that contribute to the capture, presentation and collection of patient service revenue. In general, these functional areas act sequentially on a patient visit, adding critical information required for procuring payment. If one area in this cycle performs poorly, the goal of cash collections will suffer.
Thus, our team concentrate on building “the cornerstone” of success by:
- Expanding education to the Providers, the clinic staff and senior leadership of Your Organization
- Support Your Organization staff in all areas
- Establishing a solid foundation at set up and implementation.
- Consistent communications with the client staff