Who we are..

Clinicspectrum is Healthcare Revenue Cycle and Consulting Service company focusing on “Integral Revenue Cycle Management” to bring Financial Health to Practice.

Our CLIENTS…..

• 600+ Medical Practices/Groups (3000+ Providers)
• 47+ Billing Companies
• 4 Hospitals
• 7 Healthcare IT Companies under White Labels

Why us…..

• We make a difference through our “Hybrid Workflow Model” and “Integrated Revenue Cycle Management Services”.
• Our commitment is to bring “Financial Health” to Practice utilizing following components in Managing Revenue Cycle

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• Digital Branding of Practice.
• Front End Eligibility Verification / Precertification and Financial Counseling
• Clinical Documentation Compliance and Coding
• Patient Engagement for Clinical/Financial Reasons

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• Timely Claim Submission and Scrubbing
• Provider Education on Medical Necessity
• Random Chart Audits for Coding and Documentation
• Follow up of unpaid insurance claims every 6 weeks

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• Automating Patient Balance Collection utilizing our Patent Pending Product “AutoCollectSpectrum”
• Expert Denials Team that understand Medical Necessity, Appeals and Coding to resolve denials
• Monthly Review Meetings with Key Stake Holders to discuss Trend, Improvements and Workflow changes

Our commitments……

• Claim is followed up almost every 6-7 weeks until there is a logical conclusion from Primary Payer.
• Our workflow is so comprehensive that NO ONE CAN PRODUCE more collection per procedure.

Our Recent White Paper on “8 Key Elements for Revenue Maximization” was features in HFMA, MGMA and HBMA organizations. It has been selected for presentation among all Hospital CFO in New Jersey HFMA conference. We implement those 8 Key Elements for Practices that utilize our Integral RCM Services.

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• Our Audit Team would keep Your Staff and Our Staff on Toes to make sure NO MONEY is lost.
• Our Digital Strategy Team would create enough Animated Education Material for your patients/providers and staff for capturing all Revenue Opportunities.

Our Work

• Total number of claims entered Monthly : 143,000
• Total number of eligibility checked Monthly: 65,000 (Live Representative)
• Total number of eligibility checked Monthly : 89,000 (Online)
• Total number of claims for AR f/up Monthly : 220,000
• Amount of payment posted Monthly: $15 Million

Our Team

• Total team size in Claims Entry Department : 100
• Total team size in Eligibility Department : 50
• Total team size in Payment Posting : 55
• Total team size in AR follow up : 195
• Total number of account management team member in NJ office: 60+

Billing Service Performance at a Glance - Collection In Million Dollars

Collection in Million Dollars

Our challenge…..

• If any billing company can produce MORE COLLECTION per PROCEDURE in 6 months’ time at LOWER PERCENTAGE of collection, we would refund our entire PROFIT from your account.
• PROFIT margin at HYBRID collection model is : 1.13% of collection
• PROFIT margin at Full service collection model is : 1.35% of collection