Patient Financial Services

TCG Denials & Appeals Management gives your organization the power to recoup revenues lost through inappropriate clinical, technical and administrative denials-without shifting staff resources away from patient care. Our experienced nurses use their knowledge and skill to resolve all types of denials, even the most complex requiring extensive review of the medical record. We’ll help reduce your denial backlog and apply best practices that could reduce denial rates over the long term. We bring you the benefit of years of knowledge gained from working with other hospitals and apply these best practices immediately-from appeal strategies to writing effective appeal letters. As we work your accounts, we’ll identify the root cause of denials and work with your teams to implement effective strategies and process improvements to reduce costly delays in payment.

TCG Revenue Cycle Outsourcing for Providers-recognized by KLAS®-secures short-term, sustainable financial improvements, while providing the adaptability, scalability and proven processes to help prepare your organization for value-based reimbursement. We assume operational responsibility for your full revenue cycle using a shared-services model engineered to give you access to premier technology without the burdens of investment and maintenance. We also deploy thousands of revenue cycle experts across the nation. This team of experts combines more than 30 years in revenue cycle management with two decades supporting accountable care business processes to help your organization succeed in the transition from fee-for-service to fee-for-value.

* TCG’s Revenue Cycle Outsourcing offering is recognized in the KLAS 2015 Revenue Cycle Services Report for its ability to help our clients improve collections (cash, A/R); streamline processes; decrease costs; and most importantly, evolve into a future state.

Medical bills are the primary cause of personal bankruptcy in the United States, according to a series of estimates compiled by NerdWallet Health. TCG Patient Advocacy helps patients find coverage options and other financial assistance to help cover the rising cost of healthcare. Our expertly-trained patient advocates work on-site in your hospital to identify and match eligible patients with federal, state and other third-party coverage, including options under the Affordable Care Act. Our counselors provide professional guidance and advocacy throughout the process, working to make sure your patients feel comfortable and understand coverage benefits and financial obligations. Even after they have gone home, patients can reach our Patient Advocacy Support center to assist in completing enrollments and address additional concerns. In return, you are able to get in front of potential accounts receivable risks while increasing patient satisfaction and being an advocate for your patients.

TCG A/R Management resolves A/R through high-impact services that help you bring in the revenue you’ve earned. Customize your engagement to focus on a short-term conversion, or clean-up project, or choose to integrate with our world-class Vui platform for a more long-term solution. With our skilled onsite and offsite resources and a process-driven approach, TCG A/R Management consistently achieves resolution rates of greater than 95 percent of assigned inventory. We’ll help reduce your A/R backlog and identify processes, as well as policy and system changes that can improve your long-term financial performance.