Simplifying Complex Authorizations, Reducing Denials
Physician Advisory Services
Customized solutions designed to optimize clinical documentation, enhance coding accuracy, and safeguard revenue integrity.
Overview
Leveraging A2OHealth’s team of skilled physicians and healthcare professionals, we deliver customized solutions that optimize clinical documentation, enhance medical coding accuracy, and protect revenue integrity. Our physicians collaborate closely with your healthcare team to ensure documentation precisely reflects patient conditions and the complexity of care provided. .
We also facilitate peer-to-peer reviews with insurance companies, enabling direct communication between our physicians and the insurers’ medical professionals.
This collaborative approach promotes transparency, improves communication, and fosters mutual understanding of complex cases
Services Provided
Our expert guidance supports optimal clinical and operational management to enhance quality, ensure regulatory compliance, and drive greater operational and financial efficiency. Our services include:
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Integration of quality management, resource utilization, patient safety, regulatory compliance, and clinical documentation
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Advisory support on medical necessity of services
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Thorough review of clinical records and documentation
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Analysis of appeal and denial claims
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Accurate documentation of patient conditions, symptoms, and treatments
Together, these services help your organization maintain compliance, improve patient outcomes, and maximize financial performance.
Benefits
Clinical Documentation and Coding Accuracy
Ensure clinical documentation precisely captures patient conditions and care complexity to maximize revenue and maintain regulatory compliance.
Increased Revenue
Minimize financial losses by effectively managing clinical denials and appeals, ensuring timely resolutions and securing appropriate reimbursements.
Communication and Transparency
Peer-to-peer reviews and direct dialogues between healthcare professionals and insurers foster transparency, strengthen communication, and build mutual understanding of complex cases.
Efficiency, Precision, and Performance with RCM
Clinical Administrative
Services
Outsourced clinical resources to ensure compliance, optimize reimbursement, and enhance patient care.
Clinical Prior Authorization Services
We assist in securing clinical authorizations for complex medical cases, including both prior (prospective) and concurrent authorizations, to ensure appropriate reimbursement and timely care delivery in alignment with payer contracts.
Clinical Integrity Services
Accurate coding depends on meaningful documentation that is complete, precise, and consistent. Implementing a well-designed Clinical Documentation Integrity (CDI) program can help you achieve these standards and enhance revenue outcomes for your organization.
Clinical Denials and Appeals
Healthcare providers face significant challenges managing clinical denials and appeals, which can affect timely and full payment for services rendered. Denials often stem from issues related to medical necessity, clinical validation, length of stay, or level of care, and may occur concurrently (while the patient is still admitted) or retrospectively (after discharge).
Physician Advisory Services
We also facilitate peer-to-peer reviews with insurance companies, enabling direct dialogue between our physicians and insurers’ medical professionals. This collaborative approach fosters transparency, improves communication, and builds mutual understanding of complex cases.
Medical Coding Services
Accurate and comprehensive medical coding is essential for healthcare organizations to maintain a clear picture of each patient’s health. Proper coding ensures that..
EDI Enrollment Services
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Claims Management
Unprocessed or unpaid claims in accounts receivable have become an all-too-common challenge in today’s healthcare landscape. This growing backlog doesn’t just impact the bottom line..
Analytics & Reporting
Beyond the limits of traditional EHR reporting. Our advanced platform empowers you with real-time insights, visualizations, and analytics that go far beyond what conventional systems offer.
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Get in touch
Visit our agency or simply send us an email anytime you want. If you have any questions, please feel free to contact us.
Headquarters
A2O Healthcare
USA Office
10301, Northwest - FWY, STE, 314, Houston, Texas- 77092, USA
Our Locations
Where to find Us?
Delhi Office: 2New Delhi E-92, 1st Floor, South Extension Part-1, New Delhi – 110049, India
Bangalore Office:No 6 4 th Floor Wisdom Heights Kalyan Nagar Bangalore -560043
Singapore Office:1 N Bridge Rd, #46 High Street Centre, Singapore 179094