Revenue Cycle Management

(RCM) services include end-to-end management of the entire healthcare revenue cycle ranging from patient access to claim processing and collection, enabling a healthcare organization to focus on its core mission of providing care and attention to patients. These RCM services focus on providing overall financial success for healthcare providers by minimizing costs and maximizing collections. RCM solutions are delivered with:

  • Dedication to regulatory compliance
  • Focus on overall client satisfaction
  • Deep revenue cycle domain expertise
  • Business Office Outsourcing

Ethon provides complete business office management services to hospitals and other healthcare providers. Ethon's revenue cycle professionals can manage the entire spectrum of business office operations, focusing on financial performance and maximizing cash collections, allowing clients to focus on their core mission of providing quality patient care.

Medical Coding:

Ethon employs certified and experienced coders. Most of our coders are certified by either AAPC or AHIMA. Our coders follow Medicare, Payer and Client guidelines and are experienced in coding from the medical records. They use our proprietary coding software and industry resources such as Ingenix Encoder Pro to ensure accurate and compliant coding. All of our coding goes through a verification process to ensure proper coding. Provides both short-term and long-term coding services to help hospitals and healthcare providers to improve and accelerate coding performance

Medical Billing:

Ethon provides end-to-end billing solutions including managing the registration files, verifying patient eligibility, charge entry, payment posting, and receivable follow-up. In addition to ensuring that claims are submitted timely and correctly, the team also provides customer service help for any billing questions by patients.

Accounts Receivable:

Driving down accounts receivable (AR) aging, increasing cash collections and improving costs within the revenue cycle are the primary focus of Ethon's AR management service. Ethon's team of specialized patient account representatives have experience with multiple payers and service types, allowing Ethon effectively to provide a dedicated staff to match a client's specific needs. Clients also may assign accounts to Ethon's AR management team at any time during the life cycle of a claim, on first day or at a more aged time such as 90 or more days.

Denial Management

Ethon offers hospitals and healthcare providers a comprehensive set of services that addresses all types of denials. Any denial from a healthcare provider (including technical, coding and medical necessity) may be routed to Ethon to address through its Denial Management Solution, which is a proprietary process to:

Assess - Identify root cause issues of a denial

Document - Track denial reasons and ownership

Appeal - Work to turn denials into cash

Prevent - Stop future losses before they occur

Trend - Provide meaningful insight and analysis

Compliance & Auditing:

Ethon's operation and systems are HIPAA compliant. Utilizing our highly trained and skilled staff, we ensure that our clients maintain the highest level of compliance. Our services include chart reviews, provider feedback, and provider education to ensure provider compliance is maintained.

Provider Credentialing:

Our experienced staff will credential all providers with the appropriate payors, will ensure that providers are appropriately linked to their respective groups, will ensure payors have the correct pay to address, will ensure providers have obtained their NPI numbers and meet and complete all other credentialing requirements of Medicare, Medicaid, and all other payors to ensure timely ability to process claims.

Provider Education:

Ethon employs dedicated staff with prior Medicare work experience and CPC coders to meet with the providers on a routine basis to review coding guidelines and appropriate documentation. Our processes and seminars have proven to be extremely successful in educating the providers on how to properly document in an efficient and effective manner in order to optimize revenue and ensure compliance.

Practice Management:

Ethon employs practice managers to work with the providers and their staff to ensure efficient operations and optimize revenues.