Billing


Revenue Cycle Management

The hallmark of a successful health care organization is the optimum quality of care it provides; offering services that inspire every individual to achieve and maintain maximum level of dignity, independence and healing. Success also requires an effective revenue cycle management (RCM) system that supports the financial and regulatory goals necessary to sustain excellent quality care.

What are your pain points? Do you have an effective RCM system? Do you have an effective tracking system? Are you getting the maximum allowed on your Medicare/Medicaid claims? Are you meeting your financial goals? Are you aware of new regulations?

Designing and executing an effective RCM system is a multifaceted process requiring unique skills and dedicated resources. The ECS Solutions team has extensive knowledge and proven experience in every aspect of the RCM process; from timely billing and payment processing, to building strong workflows, to compliant-driven policies and procedures.

With ECS as a partner, our clients are able to focus on quality care, knowing that the financial systems are in place to support their infrastructure; and workflows, and policies and procedures are in place to ensure regulatory compliance.

ECS revenue cycle management services include:

  • Billing for Medicare, Medicaid, Private Insurance and Private Pay, and Other Payers
  • Business Office Review and Analysis
  • Account Reconciliations
  • Posting Payments and Month End Assistance
  • AR Reviews and Cleans; and Back-Billing

ECS billing services include:

  • Managed Care (HMOs, PPOs, Medicare 
Advantage Plans)
  • Private pay and Medicaid Coinsurance
  • Medicaid Direct Therapy
  • Medicaid Inpatient Claims
  • Medicare Part A
  • Medicare Part B
  • Private Insurance and Private Pay
  • Workers’ Compensation
  • MSP
  • And More…

A Reliable Resource

Knowledge is invaluable. ECS specialists are the most knowledgeable in the industry. You can rely on the most relevant and current information — at all times.

We Are Committed

We provide you with exceptional, reliable, and thoroughly accurate services.

High Priority Support

ECS support and services are available for short or long term projects, on call, onsite, or remote.

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Skilled Nursing Facility Solutions

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Flex Support Program

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Skilled Nursing Facilities

In 2017, The Center for Medicare and Medicaid Services released its Skilled Nursing Facility and Payment Data, which includes data on 15,025 skilled nursing facilities, over 2.5 million stays, and almost $33 billion in Medicare payments for 2014. These astounding statistics explain the significance of CMS’s rules and regulations which are designed to ensure quality care; compliance; and mitigate fraud, waste and abuse. Federal, state and local regulations for SNF can be complicated; straining resources that often compete with those dedicated to quality patient care. ECS Solutions’ staff of industry experts can handle your revenue cycle management, compliance and provide training to your staff; allowing you to focus on patient care.

Home Health

Home health care service is the fastest growing industry in the United States. In a 2015 study released by the U.S. Bureau of Labor Statistics (BLS), the compound annual growth rate for home healthcare services from 2014-2024 will be nearly 5%, the highest among all industries. Aging populations, developments in transportable medical technologies, and preference for in-home care are driving this growth. According to the Centers for Disease Control, in 2014, long-term care services were provided by 12,400 licensed and regulated home health agencies. ECS Solutions offers revenue cycle management services for home health agencies that include comprehensive billing services, intake management, Medicare audit assist, accounts receivable clean up and more. Lead by a team of skilled specialists, an ECS partnership optimizes financial performance, and improves reimbursement and compliance results.

Hospice

Hospice is a specialized type of care for people facing a life-limiting illness, their families and their caregivers.  According to the National Hospice and Palliative Care Organization (NHPCO), in 2014 an estimated 1.6 to 1.7 million patients received services from hospice, of whom 85.5% were covered by the Medicare hospice benefit. Driven by the aging baby boomer population and the recent surge in chronic diseases, hospice care has become a growing segment of Medicare payments; with a unique set of billing and compliance requirements. Just as it takes a team of exceptional caregivers and healthcare professionals to care for a hospice patient; a specialized skill-set and knowledge is required to maneuver the changing Medicare hospice landscape.

ECS Solutions and its team of highly skilled professionals are experts at staying apprised of shifting regulations and applying them to your specific business needs; resulting in increased cash flows and effective and compliant organization.

CALL 614-734-1700 OR CONTACT AN EXPERIENCED CONSULTANT