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Manage the Revenue Cycle
Control Your Practice, and Your Future
	 These	are	uncertain	times	for	independent	practices.	But	one	thing	is	clear.	If	you’re	providing	excellent	patient	care	and	
running	a	practice	that	functions	like	a	successful	business,	you’ll	be	in	a	stronger	position	to	chart	your	own	course	–	no	matter		
how	the	future	unfolds.	
	
	 ALN	can	help	improve	the	business	side	of	your	practice	to	give	you	the	financial	results	necessary	to	stay	independent.	We	offer		
comprehensive	Revenue	Cycle	Management	(RCM)	services,	unlike	traditional	billing	companies	and	software	vendors	whose	focus	is	
more	narrow.		With	our	broad	range	of	capabilities,	we	can	help	you	manage	the	entire	revenue	cycle	and	turn	your	good	practice	into		
a	great	business.		Bringing	together	the	best	people,	processes,	technology	and	data,	we’ll	help	you	realize	more	revenue	–	more		
efficiently	–	so	you’ll	have	the	ability	to	control	your	future.	



                                      Choose Your Level of Service
                                      ALN’s	RCM	services	can	be	configured	to	meet	the	needs	of	any	practice.	So	whether	you	want	a	
                                      full	outsourcing	partner	or	someone	who	handles	just	selected	RCM	activities,	we	can	do	the	job.	
                                      No	matter	how	you	choose	to	use	our	capabilities,	the	goals	will	always	be	the	same:	help	you	get	
                                      more	performance	from	your	revenue	cycle	so	you	can	control	your	future.




Four Performance Drivers
The traditional billing and collections model is changing and expanding. Today’s revenue cycle process encompasses almost
every aspect of your practice. It’s complex, regulated and rapidly becoming more automated. The difference between typical and
exceptional performance often makes the difference between staying independent or not. Performance depends on four factors.

People
	 Behind	 any	 high	 performing	 business	 process	 is	 a	 team	 of	 exceptional	 people.	 The	 ALN	 staff	 includes	 healthcare	 veterans	 with	
front-line	experience	in	coding,	compliance,	contract	management,	credentialing,	billing,	collections,	denial	management	and	more.	             	
Combine	these	skills	with	the	talent	in	your	practice,	and	you’ll	have	a	team	that	will	optimize	your	revenue.

Technology
	 Across	 the	 entire	 revenue	 cycle	 more	 automation	 is	 being	 used	 every	 day.	 Technology	 enables	 every	 activity	 in	 the	 revenue	
                                                                                                                                             	
process	to	be	performed	quickly,	accurately	and	consistently.	We	offer	two	fully	integrated	applications:	Centricity®	from	GE	Healthcare	and		
CareTracker®	by	Ingenix.	Both	include	practice	management	and	electronic	medical	record	systems,	and	both	are	CCHIT-certified.	We’ll	
implement	either	solution	and	provide	training,	hosting,	maintenance,	support,	and	integration	with	other	applications.	

Processes	
	 The	process	produces	the	results.	And	by	process	we	mean	how	claims	data	are	initially	collected,	how	claims	get	submitted,	how	       	
accounts	receivable	get	worked,	which	steps	are	automated,	which	tasks	require	a	specialist,	and	how	improvements	get	identified	and	
implemented	–	all	of	the	work	of	turning	claims	into	cash.	Deploying	efficient	processes	–	and	executing	them	consistently	with	structure	
and	discipline	–	that’s	what	drives	a	practice	to	a	higher	performance	level.

Data
	 It	takes	good	data	to	make	the	decisions	about	how	to	improve	your	revenue	cycle.		When	you	work	with	ALN,	you’ll	have	access	       	
to	critical	data	about	the	key	aspects	of	this	part	of	your	business.	Delivered	to	you	in	simple	reports	and	direct	conversations,	this	
information	will	help	us	work	with	you	to	compare	your	performance	to	benchmarks,	pinpoint	problems	and	identify	opportunities	for	
improvement.	As	a	result,	you’ll	have	the	business	intelligence	you	need	to	improve	the	decisions	about	your	business.




                                                                                          ©2009	ALN	Medical	Management,	Inc.	All	rights	reserved.	1109
Today’s revenue cycle encompasses countless activities in your practice.	
ALN can help you manage the entire revenue cycle and turn your practice into a great business.


                                      Revenue Cycle Management
                                                     Front End                       Transaction Processing                                Back End




              Contract                Scheduling/             Patient              Charge                  Mail                 Claim               Patient
             Negotiations             Registration           Check-In               Entry               Processing            Statusing           Statements


                Fee                    Eligibility         Co-Pay and              Claim                Scanning/              Denials           Inbound and
                                                           Deductible
              Schedule                Verification                               Scrubbing               Indexing              Analysis         Outbound Calls
                                                            Collection

                                                              Patient                                     Bank
              Provider                Appointment                                  Pre-                                      Request for           Collection
                                                             Payment
            Credentialing              Reminders                               Adjudication              Deposits            Information            Letters
                                                          Arrangements


              EDI/ERA                                      Encounter              Claim                  EFT, ERA           Appeals and             Patient
             Enrollment                                  Documentation          Submission              Processing           Resolution             Refunds


                                                           Coding and                                                                           Conveyance,
               Banking                                                            EDI                    Payment
                                                            Charge                                                                              Small Balance
               Set-Up                                                          Management                Posting
                                                            Capture                                                                               Write-Off


                                                                                                        Revenue                                   Transition to
                                                                                                        Allocation                                 Collections




                                           Revenue Cycle Management Support


          • Daily/month-end balance         • Open issues tracking          • Regulation monitoring          • Practice management system      • Process measures
          • Month-end reporting             • Key metrics tracking          • Coding and chart audits        • EMR integration                   and audits
                                            • Non-collectible adjustments   • Coding support for             • Other application integration   • Employee performance
                                            • Ad hoc reporting/analysis       billing process                • Interfaces/data exchange          audits
                                            • Root cause analysis                                            • Hosting and support             • External audits



 Get Results                 Ask ALN clients why they work with us and you’ll get a variety of answers, but they all point to helping their
                             practices stay independent. Choosing ALN means you:

 Focus on patient care.	Eliminate	                      Recover more revenue. Get	rightfully	paid	                      Gain IT flexibility. Invest	in	a	solution	
 distractions,	do	the	work	you	love.                    for	the	services	you’ve	provided.                               that	can	accommodate	changes	and		
                                                        Control your destiny. Achieve	the	financial	                    put	you	on	a	flexible	path	toward	the	
 Streamline workflow.	Make	your	                                                                                        technology-based	future.
                                                        strength	necessary	to	stay	independent.
 whole	office	run	more	efficiently.	
                                                                                                                        Increase profitability.	Eliminate	common	
                                                        Reduce risk. Protect	your	practice	from	
 Make better decisions. Use	facts	                                                                                      mistakes	that	erode	revenue	and	drive		
                                                        fraud,	systems	downtime,	technology		
 and	data	as	the	basis	for	action.                                                                                      up	costs	due	to	rework.
                                                        obsolescence	and	other	risks.


 Take Charge of Your Future
 The	world	of	healthcare	is	changing	rapidly,	but	you	have	the	power	to	control	your	future	–	if	you	turn	your	practice	into	a	great	business.			
 We	understand	that	inviting	a	third	party	to	share	responsibility	for	your	revenue	cycle	is	a	big	step.	A	personal	discussion	is	the	best	way		
 to	begin	addressing	your	questions	and	concerns.	Contact	us	today	and	let’s	get	started.	It	will	be	our	privilege	to	serve	you.



                                                                                               www.alnmm.com
                                                                                               1-866-611-5132
                                                                                               1221	W.	Mineral	Avenue,	Suite	201,	Littleton,	Colorado	80120

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Manage the Revenue Cycle

  • 1. Manage the Revenue Cycle Control Your Practice, and Your Future These are uncertain times for independent practices. But one thing is clear. If you’re providing excellent patient care and running a practice that functions like a successful business, you’ll be in a stronger position to chart your own course – no matter how the future unfolds. ALN can help improve the business side of your practice to give you the financial results necessary to stay independent. We offer comprehensive Revenue Cycle Management (RCM) services, unlike traditional billing companies and software vendors whose focus is more narrow. With our broad range of capabilities, we can help you manage the entire revenue cycle and turn your good practice into a great business. Bringing together the best people, processes, technology and data, we’ll help you realize more revenue – more efficiently – so you’ll have the ability to control your future. Choose Your Level of Service ALN’s RCM services can be configured to meet the needs of any practice. So whether you want a full outsourcing partner or someone who handles just selected RCM activities, we can do the job. No matter how you choose to use our capabilities, the goals will always be the same: help you get more performance from your revenue cycle so you can control your future. Four Performance Drivers The traditional billing and collections model is changing and expanding. Today’s revenue cycle process encompasses almost every aspect of your practice. It’s complex, regulated and rapidly becoming more automated. The difference between typical and exceptional performance often makes the difference between staying independent or not. Performance depends on four factors. People Behind any high performing business process is a team of exceptional people. The ALN staff includes healthcare veterans with front-line experience in coding, compliance, contract management, credentialing, billing, collections, denial management and more. Combine these skills with the talent in your practice, and you’ll have a team that will optimize your revenue. Technology Across the entire revenue cycle more automation is being used every day. Technology enables every activity in the revenue process to be performed quickly, accurately and consistently. We offer two fully integrated applications: Centricity® from GE Healthcare and CareTracker® by Ingenix. Both include practice management and electronic medical record systems, and both are CCHIT-certified. We’ll implement either solution and provide training, hosting, maintenance, support, and integration with other applications. Processes The process produces the results. And by process we mean how claims data are initially collected, how claims get submitted, how accounts receivable get worked, which steps are automated, which tasks require a specialist, and how improvements get identified and implemented – all of the work of turning claims into cash. Deploying efficient processes – and executing them consistently with structure and discipline – that’s what drives a practice to a higher performance level. Data It takes good data to make the decisions about how to improve your revenue cycle. When you work with ALN, you’ll have access to critical data about the key aspects of this part of your business. Delivered to you in simple reports and direct conversations, this information will help us work with you to compare your performance to benchmarks, pinpoint problems and identify opportunities for improvement. As a result, you’ll have the business intelligence you need to improve the decisions about your business. ©2009 ALN Medical Management, Inc. All rights reserved. 1109
  • 2. Today’s revenue cycle encompasses countless activities in your practice. ALN can help you manage the entire revenue cycle and turn your practice into a great business. Revenue Cycle Management Front End Transaction Processing Back End Contract Scheduling/ Patient Charge Mail Claim Patient Negotiations Registration Check-In Entry Processing Statusing Statements Fee Eligibility Co-Pay and Claim Scanning/ Denials Inbound and Deductible Schedule Verification Scrubbing Indexing Analysis Outbound Calls Collection Patient Bank Provider Appointment Pre- Request for Collection Payment Credentialing Reminders Adjudication Deposits Information Letters Arrangements EDI/ERA Encounter Claim EFT, ERA Appeals and Patient Enrollment Documentation Submission Processing Resolution Refunds Coding and Conveyance, Banking EDI Payment Charge Small Balance Set-Up Management Posting Capture Write-Off Revenue Transition to Allocation Collections Revenue Cycle Management Support • Daily/month-end balance • Open issues tracking • Regulation monitoring • Practice management system • Process measures • Month-end reporting • Key metrics tracking • Coding and chart audits • EMR integration and audits • Non-collectible adjustments • Coding support for • Other application integration • Employee performance • Ad hoc reporting/analysis billing process • Interfaces/data exchange audits • Root cause analysis • Hosting and support • External audits Get Results Ask ALN clients why they work with us and you’ll get a variety of answers, but they all point to helping their practices stay independent. Choosing ALN means you: Focus on patient care. Eliminate Recover more revenue. Get rightfully paid Gain IT flexibility. Invest in a solution distractions, do the work you love. for the services you’ve provided. that can accommodate changes and Control your destiny. Achieve the financial put you on a flexible path toward the Streamline workflow. Make your technology-based future. strength necessary to stay independent. whole office run more efficiently. Increase profitability. Eliminate common Reduce risk. Protect your practice from Make better decisions. Use facts mistakes that erode revenue and drive fraud, systems downtime, technology and data as the basis for action. up costs due to rework. obsolescence and other risks. Take Charge of Your Future The world of healthcare is changing rapidly, but you have the power to control your future – if you turn your practice into a great business. We understand that inviting a third party to share responsibility for your revenue cycle is a big step. A personal discussion is the best way to begin addressing your questions and concerns. Contact us today and let’s get started. It will be our privilege to serve you. www.alnmm.com 1-866-611-5132 1221 W. Mineral Avenue, Suite 201, Littleton, Colorado 80120