Revenue Cycle Consulting

PHNS’ extensive knowledge and expertise spans the entire spectrum of the revenue cycle, from patient access to account resolution. PHNS is the only managed services company focusing solely on hospitals and provides the following consulting services related to patient financial services:

• Detailed, strategic consulting services
• Assessments of patient access and patient accounting processes
• Key metric calculation and comparison to industry standards
• AR review and strategy development
• Compliance reviews related to HIPAA, EMTALA, CMS, etc.
• Staff education programs
• Recommendations for improvement around people, process and technology components of PFS

PHNS currently has over 150 revenue cycle resources with an average of 15 years of experience in the revenue cycle areas. PHNS account representatives have a proficient understanding of patient access, managed care contracts, experience in calculating reimbursement rates, working knowledge of UB92 and HCFA forms, HIPAA transactions and regulatory compliance standards. The PHNS management team ensures that all account representatives comply with customers’ policies and procedures, associated work plans, operating standards and applicable government regulations, including HIPAA requirements.