"... the process that begins when a patient comes into the system and includes all activities that lead up to the billing and through the collection process".
Source: Cap Gemini http://www.capgemini.com.
The lengthening revenue cycle affects all specialties within the health care delivery system. The dilemma for the health care provider has to do with the lack of control over shortening it.
Whatever the reasons for unpredictable revenue cycles … HIPAA, the NPI, or carrier dominance … it is clear that the time lag between the provision of service and the receipt of payment from payers is the most critical and worsening financial issue for today's health care provider.
Who is Provider Funding Services?
When asked what their most critical financial challenges are, more often than not practices respond with the cost of malpractice insurance and the lack of predictability with their cash flows. The PFS niche goes directly to cash flow predictability. PFS has a deep and tenured experience with claim information. In addition, PFS has a thorough understanding of commercial lending risk mitigation and risk management requirements although PFS is neither a lender nor a specific lender’s advocate.
PFS Approach …
Address the Effect:
Because providers cannot control the bulk of the cause, PFS assists providers in mitigating the effect of unpredictable payer controlled revenue cycles.
PFS is an independent informational intermediary that provides quantified valuations and timings of medical A/R that lenders can depend upon. Our proprietary methodologies enable lenders to value claim receivables at substantially higher levels than they are independently capable of quantifying.