Revenue Cycle Managed Services for healthcare

Flexible solutions for healthcare revenue cycle management and administrative functions

Virtual resources scaled to meet the needs and challenges of your healthcare business

Established in 2002, Revenue Cycle Managed Services specialize in providing operational support functions—revenue cycle, call center, testing, etc.—for hospitals, medical groups, payers and other providers in a surge, partial, or full function outsource capacity. Revenue Cycle Managed Services provide access to thousands of resources onshore and provide optional offshore capability, depending on your needs.

  • Flexible solutions for revenue cycle management
  • Automation, such as machine learning and artificial intelligence, is used to manage repetitive, time-consuming activities
  • Virtual, experienced resources leveraged to deliver unparalleled services

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Learn more about how we support your extended business

Best in KLAS

Due to our emphasis on quality, PwC Revenue Cycle Managed Services have been recognized as being #1 in KLAS’ independent review for Extended Business Office Services in 2011, 2014, 2017, 2018, 2021, and 2022.

We have been recognized six times in the past 12 years for satisfaction of services provided.

klasresearch.com

Our Revenue Cycle Managed Services help address your biggest challenges and can get up and running in a matter of weeks.

Vaccine mandate staffing shortages

For an industry that has been on the front lines of battling the pandemic, health industry executives surveyed showed more interest in their companies having a vaccine mandate for employees than other industries, with 43% of health leaders in support compared to 30% across other industries.

Vaccine mandate: Is your organization seeing a decline in outcomes or multiple open positions due to the mandates?

Quality and productivity

Health leaders indicated they plan to make strategic changes over the next 12 to 18 months in response to their experience during the pandemic—with 53% of executives surveyed saying they may revamp processes to make the organization less dependent on employee institutional knowledge.

Companies should consider where automation and other digital investments may be best deployed.

Quality and productivity: Are you preparing for digital investments in the future?

The “Great Resignation”

Employees have had more than a year to reflect on their needs and aspirations, and many want a new model of work. Our latest US Pulse Survey found that 65% of employees are looking for a new job. We also talked to executives, 88% of whom told us they are seeing higher turnover than normal.

The Great Resignation: How can leaders communicate to their organization and navigate staffing challenges?

Collaborative relationship

When you tap into our Revenue Cycle Managed Services, you gain access to thousands of resources both onshore and offshore. Our Revenue Cycle Managed Services specialize in providing various functions—revenue cycle, call center, testing, etc.—for hospitals, medical groups, payers and other providers in a surge, partial or full function outsource capacity.

Collaborative relationship: How are you thinking about building your future workforce through the use of trusted collaborators?

Service offerings

Our Revenue Cycle Managed Services enable flexible solutions for healthcare providers from Extended Business Office point solutions to holistic full function business process outsourcing services. Working real-time in your systems, Revenue Cycle Managed Services can help you with:

  • Accounts receivable collection services
  • Billing and follow-up
  • Revenue cycle outsourcing and special projects
  • Cash posting
  • Denial management

  • Clinical/physician advisory services
  • Customer service
  • Revenue cycle automation
  • Analytics support
  • Patient access support
  • And more

 

A virtual workforce that delivers efficiencies for your organization where you need it most.

What makes Revenue Cycle Managed Services unique?

PwC is a professional services firm that is committed to the individual success of each client. We are not held to short-term targets for shareholders or owned by your competition.

  • We offer 100% onshore US-based resources with optional offshore (and blended model) capabilities.
  • We deliver industry leading services which is evidenced through our quality results routinely recognized as Best in KLAS.
  • We have a flexible workforce with the ability to scale up or down quickly with adjustable hours to help meet your needs.

  • We operate as an extension of your team using virtual private network (VPN) connections to work real-time in your systems, maintaining the system of record.
  • We offer the quality trusted brand of PwC with ongoing training and background checks required of all staff.

PwC’s Products

Resolution Queue

Our automated work-driver tool for healthcare, third-party accounts receivable remediation and a variety of other business processes.

Resolution Queue is our proprietary workflow software that queues accounts to staff based on workstreams assigned by supervisors and tracks employee productivity. Its algorithms provide workable inventory that is actively refreshed and reconciled as it controls and distributes worklists, providing flexibility to track, categorize, prioritize, and report on the status of accounts in real-time, on demand.

Instilling Quality

Our dynamic quality assurance tool that monitors work quality and automates flagging for added support.

Instilling Quality monitors the quality of our work, signaling where additional support may be necessary, and helps us maintain a high quality of work through effective communication with our clients. It’s a methodology coupled with an intuitive technology designed to objectively select and quantify the accuracy and completeness of staff follow-up actions on accounts.

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Contact us

Joshua Cahn

Joshua Cahn

Principal, PwC US

Tel: (617) 780 7976

Larry  Patrick

Larry Patrick

Principal, PwC US

Tel: (404) 561 1985

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