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Eligibility Solutions
CHESS
OOS
Undocumented Alien Program
TPL
Presumptive Charity Scoring Solutions (PARO®)
Denials Management & Appeals
Specialty Accounts Receivable Solutions
Pre-Bad Debt Solutions
Early Out / Self Pay Collection Solutions
Revenue Cycle Consulting





 
ULTIMATE REVENUE CYCLE CONSULTING
We Provide The Best Results In The Industry

Cardon is known for America's leading suite of eligibility and revenue cycle solutions. Our technology is rivaled by none in the industry. Except perhaps - our people - the industry's leading consultants.

Cardon solutions experts work closely with your admissions and business office to optimize your revenue cycle process and to expedite your cash flow. Our consultants conduct an assessment, provide a best-practice recommendation, develop and train staff and implement best-practice processes.

Our Admissions Process:

  • Pre-registration - We identify and pre-register any patients scheduled for future services.
  • Insurance Verification - We verify benefits in order to educate the patient about their financial responsibility to the provider and try to collect deposit, co-pay or deductible prior to service.
  • Authorization and Pre-Certification - We ascertain the authorization or pre-certification number in order to secure payment from carrier.
  • Financial Counseling - We present financial options for the patient in order to secure carrier payment or other avenues of medical financial assistance.
  • Up-front Collections - We allow the patient to pay deposit, deductible or co-pays prior to visit.
  • Discharge Collections - We work in the emergency departments to educate the patient about financial responsibility and allow collections within the EMTALA guidelines.
  • Quality Assurance Program - We assure our quality registration process and allow you to set goals within the admissions department.
  • P&P - We provide you with a solid standard process.
  • Admission Management Indicators - We help manage your daily operations and allow you to see trends, permitting a proactive approach to resolving peaks within trends. Our Business Office Process:
  • Billing - We assure your cash collections with an effective and efficient billing system and practice.
  • Cash Application - We provide a timely and well balance practice resulting in accurate payments and timely follow-up on denials and secondary billing.
  • Collections - We deliver a timely follow-up within file deadline and appeal deadline in order to assure greater cash collections. We further assure cash collections with a timely follow-up on denials and secondary billing.
  • Denial Management - We allow trending of denials, administrative or technical, in order for provider to fix front end or back end process that may have caused the denial. This also allows provider to evaluate our service as a reimbursable expense.
  • Contract Management - We assist providers with the proper management of rate reimbursement. Our database allows the provider to assure accurate payments or possible appeals due to incorrect payments.
  • P&P - We provide you with a solid standard process.
  • AR Management Indicators - We help manage your daily operations and also you to see trends, permitting a proactive approach to resolving peaks within trends.

We are dedicated to complementing our state-of-the-art technology with the industry's best people to implement bestpractice processes. We bring this all together for you and proudly continue to provide the industry's leading results.

Contact us to learn how to optimize your Admissions & Business Office process with our Ultimate Revenue Cycle Consulting services.

 

 
 
 
 
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* HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.