RCM Evaluation & Coding

RCM Evaluation & Coding logo color

Revenue Cycle Audit & Optimization

The O’Sullivan Group is a Revenue Cycle and Coding Optimization expert for all types of professional, ancillary, allied and facilities.

We provide revenue cycle solutions across a broad spectrum of clients including professional practices, ancillary services, outpatient facilities, post-acute services, and behavioral health.

We work with clients in ad-hoc capacity ranging from audit and corrective action plans to interim internal support.  We find ways to maximize revenue in short term recovery as well as help create sustainable and effective operations that have industry leading performance metrics and efficiency.

Our team of experienced professionals are dedicated to obtaining results utilizing the latest tools and technology, while never forgetting to execute on the fundamentals.

Highlights Include:

  • Robust Data analytics provides actionable opportunities
  • Focused financial modeling to determine ROI opportunities
  • Performance Monitoring via dashboard metrics & benchmarking
  • Charge capture audit, process improvement help speed claims submission
  • Comprehensive RCM process review and improvement
  • Highly Skilled and Experienced Coders
  • Educational Services
  • Denial Management Services
  • Work Queue Edit Resolution
  • EMR expertise / Technology integration
  • Turnaround services
  • Interim staffing
  • Temporary outsourcing
  • Insourcing Staffing plans

 

Coding Services

In addition to broader RCM services, we offer a full compliment of coding services on an a la carte basis.

CODING Services SOLUTIONS
  • Charge entry and coding services
  • Interim staffing
  • Coding backlog reduction
  • Edit and denials management
  • Monitoring of CAC or offshore coding programs

 

EDUCATIONAL SERVICES
  • Provide subject matter expertise when internal resources are not budgeted or available
  • Quality reviews for providers and coding staff
  • Continuing education for coding staff

We Work With:

Providers:
  • Allergy
  • Anesthesiology
  • Cardiology/Cardiovascular Surgery
  • Chemotherapy/Infusion
  • Dermatology
  • Durable Medical Equipment
  • Electrophysiology
  • Emergency Medicine
  • ENT/Audiology
  • Evaluation and Management
  • Gastroenterology/Bariatric Surgery
  • General Surgery
  • Hospitalist & Intensivists
  • Neurology/Neurosurgery
  • Obstetrics and Gynecology
  • Oncology/Hematology
  • Ophthalmology
  • Orthopedic Surgery
  • Pathology/Laboratory
  • Pain Management
  • Physical Therapy
  • Pediatric Surgery
  • Plastic Surgery
  • Podiatry
  • Primary Care
  • Pulmonary Medicine
  • Radiology
  • Radiation Oncology
  • Thoracic Surgery
  • Urology
  • Wound Care
Ancillary & Facility:
  • ASC
  • Home Health
  • SNF
  • Hospice
  • Infusion
  • DME, Orthotics, Prosthetics
  • Urgent Care
  • Imaging Center