Health Systems & Physicians Services

Health Systems & Physicians Services

We can help improve financial performance and support new payment models, as well as help you better manage care across the continuum and promote patient engagement and wellness to reduce readmissions.

Consumer Experience

Capture market share and drive better experiences with consumers, patients, physicians and your community.

Scheduling
Providing patients with a friendly, efficient scheduling service, and delivering office staff the support they need.

Key Benefits:
Improve the ability to capture patient appointments across points of care

  • Extend scheduling hours to capture additional appointments and cancellations

Eligibility & Enrollment
Finding coverage options and other financial assistance to help cover the rising cost of healthcare.

Key Benefits:
Secure reimbursement for uncompensated care

  • Increase point-of-service payments
  • Reduce bad debt

End-to-End Revenue Management and Externalization

Improve revenue cycle efficiency at every phase of the patient/provider interaction and patient financial services functions.

Scheduling
Providing patients with a friendly, efficient scheduling service, and delivering office staff the support they need.

Key Benefits:
Improve the ability to capture patient appointments across points of care

  • Extend scheduling hours to capture additional appointments and cancellations

Eligibility & Enrollment
Finding coverage options and other financial assistance to help cover the rising cost of healthcare.

Key Benefits:

  • Secure reimbursement for uncompensated care
  • Increase point-of-service payments
  • Reduce bad debt

Denials Prevention
Helping to reduce denial backlogs and apply best practices reducing long term denial rates.

Key Benefits:

  • Keep clinical resources focused on patient care
  • Reduce your administrative and clinical denial backlog

Patient Financial Services
Focusing on short-term conversion, clean-up projects, and integration of our world-class Revenue Performance platform, Viu, for long-term solutions.

Key Benefits:

  • Recover uncollected revenue and reduce future denials
  • Improve yield and reduce aging accounts receivable

Revenue Management
Ensuring short-term, sustainable financial improvements while providing the adaptability, scalability and proven processes to help prepare your organization for value-based reimbursement.

Key Benefits:

  • Increase your collections and decrease bad debt write-offs
  • Improve net revenue and contain costs

Clinical Revenue Integrity & Health Information

Enhance revenue capture and reduce revenue leakage.

Charge Description Master
Reviewing claims before or after payment depending on your needs. Our process is flexible and can be customized whether your facility has an electronic medical records system, a hybrid record, or a paper record.

Key Benefits:

  • Identify gaps in Charge Description Master (CDM)
  • Reduce bill holds, claim rejections and denials
    Improve the charge capture and CDM management processes

Coding Services 
Offering inpatient, outpatient and professional fee coding services for every major specialty, including those with complex coding requirements such as radiology and anesthesiology.

Key Benefits:

  • Pinpoint areas of risk and potential coding issues
  • Improve the efficiency of the revenue cycle

Clinical Documentation Improvement
Working to ensure that clinical documentation is accurate, timely, and clearly reflects the scope of services provided.

Key Benefits:

  • Enhance clinical documentation specificity to support accurate code assignment
  • Identify potential compliance issues and areas for improvement

Central Business Office (CBO) Partnerships

Improve revenue cycle efficiency at every phase of the patient/provider interaction and patient financial services functions.

Denials Management
Managing the reduction of denial backlogs and applying best practices for long term reduction of denial rates.

Key Benefits:

  • Keep clinical resources focused on patient care
  • Reduce your administrative and clinical denial backlog

Underpayments
Managing denied claims and quickly correcting underpayments.

Financial Management and Health Plan Operations

Enhance revenue capture and reduce revenue leakage.

Financial Risk Intelligence
Providing a dashboard allowing your team to evaluate and improve your organization’s performance. The dashboard consolidates key performance indicators that guide decision-making round network optimization, contract and incentive design, and utilization management.

Key Benefits

  • Reduce the cost of care by identifying areas of opportunity in your population’s resource and network utilization
  • Optimize the performance of risk-based contracts by looking at both revenue and cost opportunities

Health Plan Administration & Management
Helping with the necessary technology infrastructure and management oversight to support licensed health plan operations.

Key Benefits

  • Launch a health plan or receive delegated risk from a payer
  • Tailor your health plan solution to meet relevant claims processing requirements

Clinical Integration & Physician Alignment

Share actionable clinical and financial information to support care coordination, evidence-based care protocols, and payment models.

Reviewing claims before or after payment depending on your needs. Our process is flexible and can be customized whether your facility has an electronic medical records system, a hybrid record, or a paper record.

Key Benefits:

  • Identify gaps in Charge Description Master (CDM)
  • Reduce bill holds, claim rejections and denials
  • Improve the charge capture and CDM management processes

Coding Services
Offering inpatient, outpatient and professional fee coding services for every major specialty, including those with complex coding requirements such as radiology and anesthesiology.

Key Benefits:

  • Pinpoint areas of risk and potential coding issues
  • Improve efficiency of the revenue cycle

Clinical Documentation Improvement
Working to ensure that clinical documentation is accurate, timely, and clearly reflects the scope of services provided.

Key Benefits:

  • Enhance clinical documentation specificity to support accurate code assignment
  • Identify potential compliance issues and areas for improvement

Underpayments Recovery Unit

Providing coaching and training services for high potential, emerging and established leaders working within the revenue cycle management profession.

Therefore TCG has created a special Underpayments recovery unit that utilizes, your current system to identify/capture potential underpayments and our proprietary systems and SMEs to recover every underpayment possible.
Key Benefits:

  • Identify both organizational and individual strengths and development opportunities
  • Providing essential skills to improve individual performance

Underpayments

Every dollar counts to an organization. Payors due to their systems are consistently not paying provider claims appropriately.

Therefore TCG has created a special Underpayments recovery unit that utilizes, your current system to identify/capture potential underpayments and our proprietary systems and SMEs to recover every underpayment possible.
Key Benefits:

  • Identification of root-cause payer issues
  • Identification of internal issues which cause potential underpayments
  • Bottom line cash recovery

RCM Leadership Coaching and Training

One of the most important elements of AR management is meaningful reporting. Most systems don’t have an efficient reporting tool that is user friendly.

TCG with its proprietary system Viu provides daily client facing dashboard reports directly to key organizational personnel of every meaningful element within the RCM that is needed to properly manage an organizations RCM. TCG not only provides the data in the form of RCM dashboards but also a SME that provide monthly insights on your organizations RCM risks and opportunities.

Key Benefits:

  • Greater RCM insight
  • Faster decision making (RCM risks and opportunities)
  • Granular communications to C-Suite and Board level

Work Down Projects

There are times in every Healthcare organization where an Accounts Receivable (AR) partnership is necessary; EHR Transition, staffing shortage, financial "cash" crisis, ownership change and AR realignment.

When these scenarios occur, Healthcare organizations nationwide have trusted TCG to be its AR partner. Whether it’s a short term onsite project, Full-offsite externalization, High Dollar, Small Balance or Credit balance project; TCG maximizes cash recovery with the least intrustion on our clients. Using our proprietary systems Viu, work-driver and our system certified AR specialist (Billing, Follow-up and denials management) to efficiently exceed work-down timeframe, effectively report all activities to the client and stabilize organization cash.

Key Benefits:

  • Cash stabilization
  • Seamless IT/IS integration (Host system (client) to TCG systems)
  • Greater reporting visibility
  • Flexible contracting
  • Audit warranty for any TCG worker performed
We would love to hear from you.

Contact Us

The Chappelle Group
The Chappelle Group delivers the industry’s most flexible solution for measuring and managing performance. We offer integral financial and management services, and we're responsible for our process and results. We thank each client and their projects.

Our Address

Maryland Trade Center One 7500 Greenway Center Drive, Suite 900 Greenbelt, Maryland 2077

Our Phone

Office Telephone :
(301) 220-3255

Our Email

Main Email : info@chappellegroup.comm
Inquiries : info@chappellegroup.com

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